Data from the Ontario Farm Family Health Study were analyzed to determine whether smoking, caffeine, or alcohol use among men and women affect fecundability (the monthly probability of conception). In this retrospective cohort study of farm couples in Ontario, Canada, the farm operator, husband, and wife completed questionnaires during 1991-1992, yielding information on 2,607 planned pregnancies that had occurred over the previous 30 years. Fecundability ratios were calculated using an analog of the Cox proportional hazards model. Cigarette smoking among women and men was associated with decreased fecundability (fecundability ratio = 0.90, 95% confidence interval (CI) 0.82-0.98 and fecundability ratio = 0.88, 95% CI 0.81-0.95, respectively). Caffeine consumption of 100 mg or less versus more than 100 mg in women and men was not associated with fecundability (fecundability ratio = 0.98, 95% CI 0.91-1.07 and fecundability ratio = 1.05, 95% CI 0.97-1.14, respectively). Decreases were observed among women who were coffee drinkers (fecundability ratio = 0.92, 95% CI 0.84-1.00) and men who were heavy tea drinkers (fecundability ratio = 0.85, 95% CI 0.69-1.05), regardless of caffeine content. Alcohol use among women and men was not associated with fecundability. These data are consistent with previous studies of the adverse effect of tobacco on fecundability in female smokers and suggest an effect of smoking among males. Continued evaluation of coffee and tea is warranted to address constituents other than caffeine.

译文

对安大略省农场家庭健康研究的数据进行了分析,以确定男女吸烟,咖啡因或饮酒是否会影响生育能力(每月受孕的可能性)。在这项对加拿大安大略省的农场夫妇的回顾性队列研究中,农场经营者,丈夫和妻子在1991-1992年间完成了问卷调查,得出了过去30年中发生的2607例计划怀孕的信息。使用Cox比例风险模型的类似物计算可动性比率。男女吸烟与生育能力下降有关(生育率= 0.90,95%置信区间(CI)为0.82-0.98,生育率= 0.88,95%CI为0.81-0.95)。男女摄入咖啡因100毫克或更少与100毫克或100毫克以上与生育力无关(生育力比= 0.98,95%CI 0.91-1.07和生育力比= 1.05,95%CI 0.97-1.14)。不论咖啡因含量如何,喝咖啡的妇女(可受孕率= 0.92,95%CI 0.84-1.00)和喝茶的妇女(受孕率= 0.85,95%CI 0.69-1.05)均下降。男女之间的饮酒与生育能力无关。这些数据与先前关于烟草对女性吸烟者生育能力的不利影响的研究一致,并表明男性吸烟对吸烟的影响。有必要对咖啡和茶进行持续评估,以解决咖啡因以外的其他成分。

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