<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0185-3325</journal-id>
<journal-title><![CDATA[Salud mental]]></journal-title>
<abbrev-journal-title><![CDATA[Salud Ment]]></abbrev-journal-title>
<issn>0185-3325</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0185-33252025000600283</article-id>
<article-id pub-id-type="doi">10.17711/sm.0185-3325.2025.033</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Separate or Concomitant Use of Alcohol and Tobacco during Pregnancy: Prevalence and Associated Factors]]></article-title>
<article-title xml:lang="es"><![CDATA[Uso separado o concomitante de alcohol y tabaco durante el embarazo: prevalencia y factores]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camargo Júnior]]></surname>
<given-names><![CDATA[Elton Brás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Kaiuby Freire dos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Gilson Gonçalves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[Maria Neyrian de Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gherardi-Donato]]></surname>
<given-names><![CDATA[Edilaine Cristina da Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade de Rio Verde  ]]></institution>
<addr-line><![CDATA[Rio Verde ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal do Maranhão  ]]></institution>
<addr-line><![CDATA[ Maranhão]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de São Paulo Escola de Enfermagem de Ribeirão Preto ]]></institution>
<addr-line><![CDATA[São Paulo São Paulo]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>48</volume>
<numero>6</numero>
<fpage>283</fpage>
<lpage>289</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0185-33252025000600283&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0185-33252025000600283&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0185-33252025000600283&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction Pregnancy is a crucial period for a child&#8217;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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  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.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Alcohol consumption]]></kwd>
<kwd lng="en"><![CDATA[tobacco use]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="en"><![CDATA[prenatal care]]></kwd>
<kwd lng="es"><![CDATA[Consumo de alcohol]]></kwd>
<kwd lng="es"><![CDATA[uso de tabaco]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[atención prenatal]]></kwd>
</kwd-group>
</article-meta>
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