scholarly journals Perceptions, behaviours and attitudes towards smoking held by the male partners of Chinese pregnant women: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wei Xia ◽  
Ho Cheung William Li ◽  
Peige Song ◽  
Ka Yan Ho ◽  
Yuanhui Luo ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Pregnant Women ◽  
Smoking Behaviour ◽  
Male Partners ◽  
Tobacco Exposure ◽  
Structured Interviews ◽  
Potential Health ◽  
Link Type ◽  
Expectant Fathers ◽  
The Impact

Abstract Background Direct associations of tobacco exposure during pregnancy with pregnancy complications and adverse birth outcomes have been proven. Previous studies suggest that expecting a child provides a valuable opportunity to promote behavioural changes, such as smoking cessation, among the male partners of pregnant women. Thorough understandings of Chinese expectant fathers’ smoking behaviour during the transition to fatherhood is a prerequisite to the development of appropriate interventions to facilitate smoking cessation. This study aimed to explore the perceptions, behaviours and attitudes related to smoking among male partners of pregnant women in China. Methods A descriptive phenomenological approach was adopted. A purposive sample of expectant fathers aged 18 years or older who had a tobacco use history within the past year were recruited at obstetrics and gynaecology clinics and invited to participate in one-to-one, 20–30-min semi-structured interviews. The data analysis followed Colaizzi’s descriptive phenomenological method. Results Twenty-five expectant fathers were interviewed. Four themes were generated: 1) the benefits of smoking and respondents’ misperceptions of the impact of smoking and SHS and neglectful attitude of the impact of smoking, which were given as the major reasons for continuing to smoke; 2) factors contributing to smoking cessation, including concern for the potential health impact of continued smoking on the pregnant partner and baby, the role of being father, and the encouragement to quit from family members; and 3) perceived barriers to smoking cessation, including withdrawal symptoms or cigarette cravings, absence of smoking cessation support, and increasing stress. Conclusion This study provides a comprehensive understanding of the perception, behaviours, and attitudes related to smoking among Chinese expectant fathers. The findings of this study can guide healthcare professionals and policymakers in combining the distribution of educational information about the hazards of SHS for maternal and neonatal health with smoking cessation assistance for expectant fathers through policy initiatives and other types of incentives and programmes targeted to enhance smoking cessation among this population. Trial registration Prospectively registered at clinicaltrial.org (NCT03401021) on 8 Jan 2018.

scholarly journals Perceptions, behaviours and attitudes towards smoking held by the male partners of Chinese pregnant women: A qualitative study

2021 ◽  
Author(s):  
Wei XIA ◽  
Ho cheung William Li ◽  
Peige Song ◽  
Ka Yan Ho ◽  
Yuanhui Luo ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Pregnant Women ◽  
Negative Impact ◽  
Negative Attitude ◽  
Phenomenological Approach ◽  
Smoking Behaviour ◽  
Male Partners ◽  
Tobacco Exposure ◽  
Structured Interviews ◽  
Expectant Fathers

Abstract Background: Direct associations of tobacco exposure during pregnancy with pregnancy complications and adverse birth outcomes have been proven. Previous studies suggest that expecting a child provides a teachable moment to promote behavioural changes, such as smoking cessation, among the male partners of pregnant women. Thorough understandings of Chinese expectant fathers smoking behaviour during the transition to fatherhood is an essential prerequisite to the development of appropriate interventions to facilitate smoking cessation. This study aimed to explore the perceptions, behaviours and attitudes related to smoking among male partners of pregnant women in China.Methods: A descriptive phenomenological approach was adopted. A purposive sample of expectant fathers aged 18 years or older who had a tobacco use history within the past year were recruited at obstetrics and gynaecology clinics and invited to participate in one-to-one 20-30-minute semi-structured interviews. The data analysis followed Colaizzi’s descriptive phenomenological method. Results: Twenty-five expectant fathers were interviewed. Four themes were generated: 1) the social interaction benefits of smoking and the misperceptions of the smoking hazards were the major reasons for continuing smoking; 2) associations between the perceptions of health and smoking, included negative impact of smoking on their own health develops slowly and can be ignored, and secondhand smoke will not affect the health of foetuses; 3) factors contributing to smoking cessation, including concerns about the health of the pregnant partner and baby, the role of father, partners’ pregnancy as a good excuse, and encouragement of family members and recognition of efforts to quit smoking;, and 4) perceived barriers to smoking cessation, including difficulties in overcoming withdrawal symptoms or cigarette cravings, negative attitude toward seeking assistance with smoking cessation, unawareness of and difficulty in accessing smoking cessation support, and Lack of coping strategies for releasing increased stress..Conclusion: This study provides a comprehensive understanding of the perceptions, behaviours and attitudes held by Chinese expectant fathers regarding smoking and identified the facilitators and barriers to cessation. The findings from this study could direct healthcare professionals to develop and evaluate appropriate smoking cessation interventions targeted for Chinese expectant fathers. Trial registration: Registered at clinicaltrial.org (NCT03401021) on 8 Jan 2018.

scholarly journals 104 House Rules and Clean Kids: The down-low on Tobacco

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e43-e43
Author(s):  
Caseng Zhang ◽  
Alex Hicks ◽  
Alvaro Osornio-Vargas ◽  
Lesley Brennan ◽  
Matt Hicks ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Tobacco Smoke ◽  
Smoking Ban ◽  
Tobacco Exposure ◽  
Potential Health ◽  
Reduction Strategy ◽  
Harm Reduction Strategy ◽  
Urine Cotinine ◽  
The Impact ◽  
Indoor Smoking

Abstract Background Despite multiple published guidelines outlining the potential health risks caused by tobacco smoke, young children continue to be exposed to the detrimental effects of household smoking. Environmental factors also have the potential to influence levels of tobacco exposure in children. Many factors such as comfort can influence the decisions of smoking parents to smoke indoors, increasing potential harm for children. Understanding the correlation between various locations within the household and tobacco exposure is helpful in informing a harm reduction strategy for smokers. This project compared the location of reported tobacco use to detection of the nicotine byproduct cotinine in children’s urine samples. Objectives To determine the impact of smoking location on unintentional tobacco exposure in children. Design/Methods This prospective cross-sectional study focused on children under age ten, since 13% of Canadian children in grades 6 and up have tried a cigarette at least once. Of 286 parents approached during a pediatrician visit, 231 agreed to complete an exposure questionnaire and 132 children were able to provide a urine sample during the visit. A standard ELISA assay was used to measure urine cotinine. Results About half of the 31% of households that reported smoking had an indoor smoking ban. Some indoor smokers isolated their activity to the garage (56%). Of the 84 children with detectable urine cotinine, 62 lived in homes that reported smoking. This suggests that some children were exposed to tobacco smoke through other sources or the underestimation of potential tobacco exposure. Fifteen percent of children from smoking homes had cotinine levels similar to nonsmoking homes. Children of indoor smokers were more likely to have detectable cotinine than those of outdoor smokers. Conclusion Roughly 50% of smokers with children have an indoor smoking ban as a harm reduction strategy. In our study, children of smokers with an indoor smoking ban were less likely to have detectable urine cotinine. Although not smoking is the best strategy, limiting smoking to outside is an optimal harm mitigation strategy. For families with indoor smokers, encouraging them to isolate smoking to a single space like the garage may decrease unintentional pediatric exposure.

Dissemination of an Efficacious Antenatal Smoking Cessation Program in Public Hospitals in Australia: A Randomized Controlled Trial

2002 ◽  
Vol 29 (5) ◽  
pp. 608-619 ◽  
Author(s):  
John B. Lowe ◽  
Kevin P. Balanda ◽  
Warren R. Stanton ◽  
Chris Del Mar ◽  
Vivienne O’Connor
Keyword(s):  
Smoking Cessation ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Intervention Group ◽  
Public Hospitals ◽  
Smoking Cessation Program ◽  
Publicly Funded ◽  
Randomized Controlled ◽  
Group Success ◽  
The Impact

This study investigated the impact of a behaviorally based intervention designed to increase the number of hospitals that routinely provide effective smoking cessation programs for pregnant women. In Queensland, Australia, 70 publicly funded hospitals were matched on numbers of births and maternal socioeconomic status and randomly allocated to an awareness-only intervention group or a behaviorally based intervention group. Success was defined as the routine offer of an evidence-based smoking cessation program to at least 80% of the pregnant clients who smoke. At 1 month, 65% of the behaviorally based intervention hospitals agreed to provide materials about smoking cessation programs for their antenatal patients, compared with 3% of the awarenessonly hospitals. After 1 year, 43% of the intervention hospitals still provided the material, compared with 9% of the awareness-only hospitals. These findings showthat a brief intervention to hospitals can encourage antenatal staff to provide smoking cessation materials to pregnant women.

scholarly journals Recommendations to improve smoking cessation outcomes from people with lung conditions who smoke

2016 ◽  
Vol 2 (2) ◽  
pp. 00009-2016 ◽  
Author(s):  
Sarah Masefield ◽  
Pippa Powell ◽  
Carlos Jiménez-Ruiz ◽  
Peter Hajek ◽  
Keir Lewis ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Task Force ◽  
Treatment Options ◽  
Smoking Behaviour ◽  
European Respiratory Society ◽  
Patient Centered ◽  
Cross Sectional ◽  
Professional Networks ◽  
Media Channels ◽  
The Impact

This study aimed to gain insight into the impact of lung conditions on smoking behaviour and smoking cessation, and identify recommendations for smoking cessation and professional-patient communications. The study was led by the European Lung Foundation in collaboration with the European Respiratory Society Task Force on “Statement on smoking cessation on COPD and other pulmonary diseases and in smokers with comorbidities who find it difficult to quit”.A web-based observational cross-sectional questionnaire was developed from a patient-centered literature review. Topics covered were: cohort characteristics; perspectives on smoking cessation; interactions with healthcare professionals; and recommendations to improve cessation outcomes.The questionnaire was disseminatedviaexisting patient and professional networks and social media channels. The survey was available online for a period of 4 months in 16 languages. The data were analysed as a whole, not by country, with thematic analysis of the open responses.Common characteristics were: male (54%); age 40–55 years (39%); 11–20 cigarettes a day (39%); smokes within 30 min of waking (61%); and has made 1–5 cessation attempts in the previous 12 months (54%). 59% had tried cessation treatments, but, of these, 55% had not found any treatments helpful.Recommendations were: earlier intervention; discussion of the patient's smoking beliefs, behaviours and motivation; giving constructive advice; understanding addiction; informed decision-making; and treatment options. Areas for new and further research have been highlighted through exploring the smoking cessation perspectives and recommendations of people with lung conditions in Europe who smoke.

The needs of pregnant women and their significant others regarding professional smoking cessation support

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Weiland ◽  
J C Warmelink ◽  
L L Peters ◽  
M Y Berger ◽  
J J H M Erwich ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Social Network ◽  
Pregnant Women ◽  
Healthcare Professionals ◽  
Structured Interviews ◽  
Smoking During Pregnancy ◽  
The North ◽  
Quit Smoking ◽  
Need Support ◽  
Continue Smoking

Abstract Introduction Despite the health risks of smoking, some women continue smoking during pregnancy. Professional smoking cessation support (SCS) has shown to be effective in increasing the proportion of women who quit smoking during pregnancy. However, few women actually make use of professional SCS. The aim of this study is to investigate the needs of women and their partners for professional SCS. Methods Semi-structured interviews were held with pregnant women and recent mothers who smoked or quit smoking during pregnancy, and their partners, living in the North of the Netherlands. Recruitment was done via Facebook, LinkedIn, food banks, baby stores and healthcare professionals. The interviews were recorded, transcribed and thematically analyzed. Results 28 interviews were conducted, 23 with pregnant women and recent mothers, and five with partners of the women. The following themes were identified: 1) Understanding women's needs, 2) Responsibility without criticism, and 3) Women and their social network. These themes reflect that women need support from an involved and understanding healthcare professional, who holds women responsible for smoking cessation but refrains from criticism. Women also prefer involvement of their social network in the professional support. Conclusions For tailored support, the guideline for professional SCS may need some adaptations, and women and their partners should be involved in the development of future guidelines. Women prefer healthcare professionals to address smoking cessation in a neutral way and to respect their autonomy in the decision to stop smoking.

scholarly journals The implementation of a smoking cessation and alcohol abstinence intervention for people experiencing homelessness

2020 ◽  
Author(s):  
Rebekah Pratt ◽  
Serena Xiong ◽  
Azul Kmiecik ◽  
Cathy Strobel-Ayres ◽  
Anne Joseph ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Implementation Process ◽  
The United States ◽  
Homeless Population ◽  
Homeless Shelters ◽  
Structured Interviews ◽  
Alcohol Abstinence ◽  
Barriers To Implementation ◽  
Study Intervention ◽  
The Impact

Abstract In the United States, eighty percent of the adult homeless population smokes cigarettes compared to 15 percent of the general population. In 2017 Power to Quit 2 (PTQ2), a randomized clinical trial, was implemented in two urban homeless shelters in the Upper Midwest to address concurrent smoking cessation and alcohol treatment among people experiencing homelessness. A subset of this study population were interviewed to assess their experiences of study intervention. The objective of this study was to use participants’ experiences with the intervention to inform future implementation efforts of combined smoking cessation and alcohol abstinence interventions, guided by the Consolidated Framework for Implementation Research (CFIR). Methods: Qualitative semi-structured interviews were conducted with 40 PTQ2 participants between 2016–2017 and analyzed in 2019. Interviews were audio-recorded, transcribed, and analyzed using a socially constructivist approach to grounded theory. Findings: Participants described the PTQ2 intervention in positive terms. Participants valued the opportunity to obtain both counseling and nicotine-replacement therapy products (intervention characteristics) and described forming a bond with the PTQ2 staff and reliance on them for emotional support and encouragement (characteristics of individuals). However, the culture of alcohol use and cigarette smoking around the shelter environment presented a serious challenge (outer setting). The study setting and the multiple competing needs of participants were reported as the most challenging barriers to implementation (implementation process). Conclusion: The CFIR was useful in offering specific insights about the implementation context of the PTQ2 intervention, including the impact of the factors in the inner and outer settings of the shelter environment. Participants described a discord in their personal goals of reduction compared with the study goals of complete abstinence, which may pose a challenge to the ways in which success is defined for people experiencing homelessness.

Smoking Cessation Following Text Message Intervention in Pregnant Women

2018 ◽  
Vol 52 (11) ◽  
pp. 1109-1116 ◽  
Author(s):  
Alicia B. Forinash ◽  
Abigail Yancey ◽  
Danielle Chamness ◽  
Jamie Koerner ◽  
Christina Inteso ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Pregnant Women ◽  
Text Messaging ◽  
Nicotine Patch ◽  
Care Center ◽  
Prospective Trial ◽  
Group Versus ◽  
Drop Out ◽  
Control Group ◽  
The Impact

Background: Smoking during pregnancy has detrimental effects on mother and fetus. Text messaging has been utilized to improve patient care. Objective: To evaluate the impact of text messaging on smoking cessation rates among pregnant women in addition to standard of care (SOC) smoking cessation services. Our SOC includes pharmacist-driven education with or without nicotine patch or bupropion. Methods: This randomized, open-label, prospective trial was conducted at a maternal fetal care center from May 2014 to January 2016. Pregnant patients in the preparation stage of change were randomized to text messaging or SOC. The primary outcome was smoking cessation verified with exhaled carbon monoxide levels (eCO) 2 weeks from quit date. All received clinical pharmacist weekly calls for 3 weeks and biweekly visits until pharmacotherapy completion. The text messaging group also received predetermined motivational messages. Results: Of 49 randomized patients, 13 withdrew, and 6 were lost to follow-up. The remaining included 14 texting and 16 SOC patients. eCO-verified cessation was achieved by 57.1% in the texting group versus 31.3% in the control ( P = 0.153). Overall, 64.3% of the texting group achieved an eCO below 8 ppm at ≥1 visit versus 37.5% in the control group ( P = 0.143). No difference was found in birth outcomes. The study was underpowered because of slow enrollment and high drop-out rates. Conclusions and Relevance: Text messaging had minimal impact on improving smoking cessation rates in the obstetric population. However, further research is warranted because of the underpowered nature of this trial. Given the detrimental effects of smoking in pregnancy, more comprehensive cessation strategies are warranted.

scholarly journals Barriers to and facilitators of smoking cessation in pregnancy and following childbirth: literature review and qualitative study

2017 ◽  
Vol 21 (36) ◽  
pp. 1-158 ◽  
Author(s):  
Linda Bauld ◽  
Hilary Graham ◽  
Lesley Sinclair ◽  
Kate Flemming ◽  
Felix Naughton ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Pregnant Women ◽  
Smoking Behaviour ◽  
Smoking In Pregnancy ◽  
Social Ecological ◽  
Stop Smoking ◽  
Effective Interventions ◽  
The Social ◽  
In Pregnancy

Background Although many women stop smoking in pregnancy, others continue, causing harm to maternal and child health. Smoking behaviour is influenced by many factors, including the role of women’s significant others (SOs) and support from health-care professionals (HPs). Objectives To enhance understanding of the barriers to, and facilitators of, smoking cessation and the feasibility and acceptability of interventions to reach and support pregnant women to stop smoking. Design Four parts: (1) a description of interventions in the UK for smoking cessation in pregnancy; (2) three systematic reviews (syntheses) of qualitative research of women’s, SOs’ and HPs’ views of smoking in pregnancy using meta-ethnography (interpretative approach for combining findings); (3) semistructured interviews with pregnant women, SOs and HPs, guided by the social–ecological framework (conceptualises behaviour as an outcome of individuals’ interactions with environment); and (4) identification of new/improved interventions for future testing. Setting Studies in reviews conducted in high-income countries. Qualitative research was conducted from October 2013 to December 2014 in two mixed urban/rural study sites: area A (Scotland) and area B (England). Participants Thirty-eight studies (1100 pregnant women) in 42 papers, nine studies (150 partners) in 14 papers and eight studies described in nine papers (190 HPs) included in reviews. Forty-one interviews with pregnant women, 32 interviews with pregnant women’s SOs and 28 individual/group interviews with 48 HPs were conducted. Main outcome measures The perceived barriers to, and facilitators of, smoking cessation in pregnancy and the identification of potential new/modified interventions. Results Syntheses identified smoking-related perceptions and experiences for pregnant women and SOs that were fluid and context dependent with the capacity to help or hinder smoking cessation. Themes were analysed in accordance with the social–ecological framework levels. From the analysis of the interviews, the themes that were central to cessation in pregnancy at an individual level, and that reflected the findings from the reviews, were perception of risk to baby, self-efficacy, influence of close relationships and smoking as a way of coping with stress. Overall, pregnant smokers were faced with more barriers than facilitators. At an interpersonal level, partners’ emotional and practical support, willingness to change smoking behaviour and role of smoking within relationships were important. Across the review and interviews of HPs, education to enhance knowledge and confidence in delivering information about smoking in pregnancy and the centrality of the client relationship, protection of which could be a factor in downplaying risks, were important. HPs acknowledged that they could best assist by providing support and understanding, and access to effective interventions, including an opt-out referral pathway to Stop Smoking Services, routine carbon monoxide screening, behavioural support and access to pharmacotherapy. Additional themes at community, organisational and societal levels were also identified. Limitations Limitations include a design grounded in qualitative studies, difficulties recruiting SOs, and local service configurations and recruitment processes that potentially skewed the sample. Conclusions Perceptions and experiences of barriers to and facilitators of smoking cessation in pregnancy are fluid and context dependent. Effective interventions for smoking cessation in pregnancy should take account of the interplay between the individual, interpersonal and environmental aspects of women’s lives. Future work Research focus: removing barriers to support, improving HPs’ capacity to offer accurate advice, and exploration of weight concerns and relapse prevention. Interventions focus: financial incentives, self-help and social network interventions. Study registration This study is registered as PROSPERO CRD42013004170. Funding The National Institute for Health Research Health Technology Assessment programme.

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