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Separate or Concomitant Use of Alcohol and Tobacco during Pregnancy: Prevalence and Associated Factors.

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Title: Separate or Concomitant Use of Alcohol and Tobacco during Pregnancy: Prevalence and Associated Factors.
Alternate Title: Uso separado o concomitante de alcohol y tabaco durante el embarazo: prevalencia y factores.
Authors: Camargo Júnior, Elton Brás1 (AUTHOR) eltonbrasjr@unirv.edu.br, Santos, Kaiuby Freire dos1 (AUTHOR), Silva, Gilson Gonçalves1 (AUTHOR), Fernandes, Maria Neyrian de Fátima2 (AUTHOR), Gherardi-Donato, Edilaine Cristina da Silva3 (AUTHOR)
Source: Salud Mental. Nov/Dec2025, Vol. 48 Issue 6, p283-289. 7p.
Subjects: PREGNANCY, ALCOHOL drinking, HEALTH policy, SOCIODEMOGRAPHIC factors, FETAL development, TOBACCO use, PUBLIC health, MATERNAL health
Geographic Terms: BRAZIL
Abstract (English): Introduction: Pregnancy is a crucial period for a child's physiological and psychological development. Alcohol and tobacco consumption during gestation is a public health concern due to the potential harm to maternal health, fetal development, and infant health. Objective: To identify the prevalence of separate and concomitant use of alcohol and tobacco during pregnancy and associated sociodemographic, obstetric, and clinical factors. Method: A quantitative cross-sectional study conducted with 253 postpartum women in a public maternity hospital in Brazil. Alcohol and tobacco use in the last trimester of pregnancy was assessed using the Alcohol Smoking and Substance Involvement Screening Test (ASSIST). Bivariate analyses and multivariate logistic regressions were performed. Results: The prevalence of alcohol use was 17.4%, tobacco use 7.9%, and combined use 4.7%. Alcohol use was associated with a history of abortion [Adjusted Odds Ratio (aOR) = 3.18] and higher family income. Tobacco use was associated with a higher number of children (aOR = 12.12 for four or more children). Combined use was associated with the absence of a partner (aOR = 4.11) and a previous history of depression (aOR = 3.63). Discussion and conclusion: The results highlight the need for implementing strategic programs for the prevention and control of alcohol and tobacco use during pregnancy, considering the identified risk factors. Raising awareness among healthcare professionals and creating targeted public policies are essential for promoting healthy pregnancy and ensuring maternal-child well-being. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: El embarazo es un período crucial para el desarrollo fisiológico y psicológico del niño. El consumo de alcohol y tabaco durante la gestación es una preocupación de salud pública debido a los posibles daños a la salud materna, al desarrollo fetal y a la salud infantil. Objetivo. Identificar la prevalencia del uso separado y concomitante de alcohol y tabaco durante la gestación y los factores sociodemográficos, obstétricos y clínicos asociados. Objetivo: Estudio transversal cuantitativo realizado con 253 puérperas en una maternidad pública en Brasil. El uso de alcohol y tabaco en el último trimestre del embarazo fue evaluado mediante el Alcohol Smoking and Substance Involvement Screening Test (ASSIST). Se realizaron análisis bivariados y regresiones logísticas multivariadas. Método: Estudio transversal cuantitativo realizado con 253 puérperas en una maternidad pública en Brasil. El uso de alcohol y tabaco en el último trimestre del embarazo fue evaluado mediante el Alcohol Smoking and Substance Involvement Screening Test (ASSIST). Se realizaron análisis bivariados y regresiones logísticas multivariadas. Resultados: La prevalencia del uso de alcohol fue del 17.4%, de tabaco del 7.9%, y del uso combinado del 4.7%. El uso de alcohol se asoció con antecedentes de aborto [Odds ratio ajustado/Razón de momios (aOR) = 3.18] y mayor ingreso familiar. El uso de tabaco se asoció con un mayor número de hijos (aOR = 12.12 para 4 o más hijos). El uso combinado se asoció con la ausencia de pareja (aOR = 4.11) y antecedentes de depresión (aOR = 3.63). Discusión y conclusión: Los resultados destacan la necesidad de implementar programas estratégicos para la prevención y el control del uso de alcohol y tabaco durante la gestación, considerando los factores de riesgo identificados. Es esencial la sensibilización de los profesionales de salud y la creación de políticas públicas orientadas a promover un embarazo saludable y garantizar el bienestar materno-infantil. [ABSTRACT FROM AUTHOR]
Copyright of Salud Mental is the property of Instituto Nacional de Psiquiatria Ramon de la Fuente and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Separate or Concomitant Use of Alcohol and Tobacco during Pregnancy: Prevalence and Associated Factors.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Uso separado o concomitante de alcohol y tabaco durante el embarazo: prevalencia y factores.
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  Data: <searchLink fieldCode="AR" term="%22Camargo+Júnior%2C+Elton+Brás%22">Camargo Júnior, Elton Brás</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> eltonbrasjr@unirv.edu.br</i><br /><searchLink fieldCode="AR" term="%22Santos%2C+Kaiuby+Freire+dos%22">Santos, Kaiuby Freire dos</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Silva%2C+Gilson+Gonçalves%22">Silva, Gilson Gonçalves</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fernandes%2C+Maria+Neyrian+de+Fátima%22">Fernandes, Maria Neyrian de Fátima</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gherardi-Donato%2C+Edilaine+Cristina+da+Silva%22">Gherardi-Donato, Edilaine Cristina da Silva</searchLink><relatesTo>3</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Salud+Mental%22">Salud Mental</searchLink>. Nov/Dec2025, Vol. 48 Issue 6, p283-289. 7p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22PREGNANCY%22">PREGNANCY</searchLink><br /><searchLink fieldCode="DE" term="%22ALCOHOL+drinking%22">ALCOHOL drinking</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+policy%22">HEALTH policy</searchLink><br /><searchLink fieldCode="DE" term="%22SOCIODEMOGRAPHIC+factors%22">SOCIODEMOGRAPHIC factors</searchLink><br /><searchLink fieldCode="DE" term="%22FETAL+development%22">FETAL development</searchLink><br /><searchLink fieldCode="DE" term="%22TOBACCO+use%22">TOBACCO use</searchLink><br /><searchLink fieldCode="DE" term="%22PUBLIC+health%22">PUBLIC health</searchLink><br /><searchLink fieldCode="DE" term="%22MATERNAL+health%22">MATERNAL health</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22BRAZIL%22">BRAZIL</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: Pregnancy is a crucial period for a child's physiological and psychological development. Alcohol and tobacco consumption during gestation is a public health concern due to the potential harm to maternal health, fetal development, and infant health. Objective: To identify the prevalence of separate and concomitant use of alcohol and tobacco during pregnancy and associated sociodemographic, obstetric, and clinical factors. Method: A quantitative cross-sectional study conducted with 253 postpartum women in a public maternity hospital in Brazil. Alcohol and tobacco use in the last trimester of pregnancy was assessed using the Alcohol Smoking and Substance Involvement Screening Test (ASSIST). Bivariate analyses and multivariate logistic regressions were performed. Results: The prevalence of alcohol use was 17.4%, tobacco use 7.9%, and combined use 4.7%. Alcohol use was associated with a history of abortion [Adjusted Odds Ratio (aOR) = 3.18] and higher family income. Tobacco use was associated with a higher number of children (aOR = 12.12 for four or more children). Combined use was associated with the absence of a partner (aOR = 4.11) and a previous history of depression (aOR = 3.63). Discussion and conclusion: The results highlight the need for implementing strategic programs for the prevention and control of alcohol and tobacco use during pregnancy, considering the identified risk factors. Raising awareness among healthcare professionals and creating targeted public policies are essential for promoting healthy pregnancy and ensuring maternal-child well-being. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: El embarazo es un período crucial para el desarrollo fisiológico y psicológico del niño. El consumo de alcohol y tabaco durante la gestación es una preocupación de salud pública debido a los posibles daños a la salud materna, al desarrollo fetal y a la salud infantil. Objetivo. Identificar la prevalencia del uso separado y concomitante de alcohol y tabaco durante la gestación y los factores sociodemográficos, obstétricos y clínicos asociados. Objetivo: Estudio transversal cuantitativo realizado con 253 puérperas en una maternidad pública en Brasil. El uso de alcohol y tabaco en el último trimestre del embarazo fue evaluado mediante el Alcohol Smoking and Substance Involvement Screening Test (ASSIST). Se realizaron análisis bivariados y regresiones logísticas multivariadas. Método: Estudio transversal cuantitativo realizado con 253 puérperas en una maternidad pública en Brasil. El uso de alcohol y tabaco en el último trimestre del embarazo fue evaluado mediante el Alcohol Smoking and Substance Involvement Screening Test (ASSIST). Se realizaron análisis bivariados y regresiones logísticas multivariadas. Resultados: La prevalencia del uso de alcohol fue del 17.4%, de tabaco del 7.9%, y del uso combinado del 4.7%. El uso de alcohol se asoció con antecedentes de aborto [Odds ratio ajustado/Razón de momios (aOR) = 3.18] y mayor ingreso familiar. El uso de tabaco se asoció con un mayor número de hijos (aOR = 12.12 para 4 o más hijos). El uso combinado se asoció con la ausencia de pareja (aOR = 4.11) y antecedentes de depresión (aOR = 3.63). Discusión y conclusión: Los resultados destacan la necesidad de implementar programas estratégicos para la prevención y el control del uso de alcohol y tabaco durante la gestación, considerando los factores de riesgo identificados. Es esencial la sensibilización de los profesionales de salud y la creación de políticas públicas orientadas a promover un embarazo saludable y garantizar el bienestar materno-infantil. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Salud Mental is the property of Instituto Nacional de Psiquiatria Ramon de la Fuente and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.17711/SM.0185-3325.2025.033
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      – Code: eng
        Text: English
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      – SubjectFull: PREGNANCY
        Type: general
      – SubjectFull: ALCOHOL drinking
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      – SubjectFull: HEALTH policy
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      – SubjectFull: SOCIODEMOGRAPHIC factors
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      – SubjectFull: PUBLIC health
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      – SubjectFull: MATERNAL health
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      – SubjectFull: BRAZIL
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      – TitleFull: Separate or Concomitant Use of Alcohol and Tobacco during Pregnancy: Prevalence and Associated Factors.
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              Text: Nov/Dec2025
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