Tabac, alcool et cannabis pendant la grossesse : qui sont les femmes à risque ? (notice n° 1003269)
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| fixed length control field | 04526cam a2200361 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125134620.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Dumas, Agnès |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Tabac, alcool et cannabis pendant la grossesse : qui sont les femmes à risque ? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2014.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 32 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Objectif : L’usage de substances psychoactives pendant la grossesse représente un enjeu de santé publique important en raison des risques pour l’enfant à naître. La prévention des conduites à risque passe par la compréhension des déterminants qui leur sont associés. Identifier les facteurs liés aux conduites à risque permet également d’éclairer la relation entre exposition prénatale aux substances et construction des inégalités sociales de santé périnatale. Méthode : Cette étude multicentrique s’est déroulée dans 14 maternités d’un département. L’usage de substances psychoactives a été évalué au travers d’un auto-questionnaire. Les issues de grossesses ont été recherchées dans les registres de naissances. Résultats : L’étude a inclus 2 617 femmes et 2 342 enfants (88,2 %). Il ressort un clivage entre l’alcool, bu par les plus âgées et les plus aisées, et le tabac, fumé par les plus jeunes et les plus défavorisées. Une alcoolisation excessive ponctuelle en début de grossesse – davantage rapportée par des femmes primipares qui avaient découvert leur grossesse plus tardivement – se distinguait d’une consommation faible et occasionnelle perdurant tout au long de la grossesse – plutôt rapportée par des multipares. Un cas de syndrome d’alcoolisation fœtale (SAF) a été identifié. Après ajustement sur différents facteurs de confusion, seuls les enfants des fumeuses avaient un poids de naissance réduit. Le statut socioéconomique élevé des buveuses remet en question l’importance du rôle de l’alcool, au regard du tabac, dans la construction des inégalités sociales de santé périnatale. Conclusion : Ces résultats appellent à la mise en œuvre de dispositifs de prévention précoces et ciblés. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Tobacco, alcohol, marijuana and pregnancy: which women are at risk? Aim: Substance use during pregnancy is an important health issue in view of the risks to the unborn child. Predictive factors related to risk behaviors need to be assessed in order to develop prevention strategies. This assessment can also elucidate the relationship between prenatal exposure to substances and the construction of social inequalities in health early in the life course. Methods: This multicenter study was conducted in 14 maternity wards. Substance use was assessed by means of a self-administered questionnaire. Pregnancy outcomes were extracted from by birth registries. Results: The study included 2,617 women and 2,342 newborns (88.2%). There was a marked contrast between drinkers, who were older, and with a higher socioeconomic status (SES), and smokers, who were younger, with a lower SES. Two patterns of alcohol use were observed. Binge drinking at the beginning of the pregnancy was more likely to be reported by primiparous women who had discovered they were pregnant later than average. This pattern differed from that of low regular alcohol use throughout pregnancy, which was more often reported by multiparous women. One case of FAS was observed. After adjusting for several confounders, a lower birth weight was observed only for children of smokers. The higher SES of drinkers raises the question of the importance of alcohol, compared to tobacco, in the construction of social inequalities in health. Conclusion: These results indicate the need for early and targeted interventions. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | consommation d'alcool |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | prise de risque |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | facteurs socioéconomiques |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | troubles liés à une substance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | prévention primaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | grossesse |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | utilisation de tabac |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | alcohol drinking |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pregnancy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | primary prevention |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | socioeconomic factors |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | risk-taking |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | tobacco use |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | substance-related disorders |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lejeune, Claude |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Simmat-Durand, Laurence |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 26 | 5 | 2014-11-24 | p. 603-612 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sante-publique-2014-5-page-603?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2014-5-page-603?lang=fr&redirect-ssocas=7080</a> |
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