scholarly journals Interest in and Use of Smoking Cessation Support Across Pregnancy and Postpartum

2019 ◽  
Vol 22 (7) ◽  
pp. 1178-1186 ◽  
Author(s):  
Felix Naughton ◽  
Luis Reeves Vaz ◽  
Tim Coleman ◽  
Sophie Orton ◽  
Katharine Bowker ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Health Professional ◽  
Late Pregnancy ◽  
Cross Sectional ◽  
Quit Attempt ◽  
Pregnant Smokers ◽  
Pregnancy And Postpartum ◽  
Health Practitioners ◽  
Stop Smoking Services ◽  
And Behavior

Abstract Background Limited research exists on interest in and use of smoking cessation support in pregnancy and postpartum. Methods A longitudinal cohort of pregnant smokers and recent ex-smokers were recruited in Nottinghamshire, United Kingdom (N = 850). Data were collected at 8–26 weeks gestation, 34–36 weeks gestation, and 3 months postpartum and used as three cross-sectional surveys. Interest and use of cessation support and belief and behavior measures were collected at all waves. Key data were adjusted for nonresponse and analyzed descriptively, and multiple regression was used to identify associations. Results In early and late pregnancy, 44% (95% CI 40% to 48%) and 43% (95% CI 37% to 49%) of smokers, respectively, were interested in cessation support with 33% (95% CI 27% to 39%) interested postpartum. In early pregnancy, 43% of smokers reported discussing cessation with a midwife and, in late pregnancy, 27% did so. Over one-third (38%) did not report discussing quitting with a health professional during pregnancy. Twenty-seven percent of smokers reported using any National Health Service (NHS) cessation support and 12% accessed NHS Stop Smoking Services during pregnancy. Lower quitting confidence (self-efficacy), higher confidence in stopping with support, higher quitting motivation, and higher age were associated with higher interest in support (ps ≤ .001). A recent quit attempt and greater interest in support was associated with speaking to a health professional about quitting and use of NHS cessation support (ps ≤ .001). Conclusions When asked in early or late pregnancy, about half of pregnant smokers were interested in cessation support, though most did not engage. Cessation support should be offered throughout pregnancy and after delivery. Implications There is relatively high interest in cessation support in early and late pregnancy and postpartum among smokers; however, a much smaller proportion of pregnant or postpartum women access any cessation support, highlighting a gap between interest and engagement. Reflecting women’s interest, offers of cessation support should be provided throughout pregnancy and after delivery. Increasing motivation to quit and confidence in quitting with assistance may enhance interest in support, and promoting the discussion of stopping smoking between women and health practitioners may contribute to higher support engagement rates.

scholarly journals Impact of a Smoking Cessation Quitline in Vietnam: Evidence Base and Future Directions

2019 ◽  
Vol 16 (14) ◽  
pp. 2538
Author(s):  
Chau Quy Ngo ◽  
Phuong Thu Phan ◽  
Giap Van Vu ◽  
Quyen Thi Le Pham ◽  
Hanh Thi Chu ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Tobacco Consumption ◽  
Evidence Base ◽  
Health Concern ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quit Attempt ◽  
Early Action ◽  
The Impact

Smoking is considered the most critical modifiable factor with regard to lung cancer and remains a public health concern in many countries, including Vietnam, which is among those countries with the highest tobacco consumption rates in the world. This study has examined the impact of national telephone counselling for smoking cessation and has identified the factors associated with the impact of the quitline among male callers in Vietnam. A randomized cross-sectional survey of 469 smokers who sought smoking cessation services via the national quitline was performed from September 2015 to May 2016. The primary outcomes were measured by a self-reported quit rate at the time of assessment, 7 day point prevalence abstinence (PA), 6 month prolonged PA, service satisfaction, and level of motivation. Among the participants, 31.6% were abstinent, and 5.1% of participants successfully stopped smoking and did not need to seek quitline support. Most of the clients were satisfied with the quality of service (88.5%), felt more confident about quitting (74.3%), and took early action via their first quit attempt (81.7%); 18.3% reported a more than 7 day abstinence period at the time of survey. The primary reasons for smoking relapse were surrounding smoking environments (51.6%) and craving symptoms (44.1%). Future smoking cessation efforts should focus on improving the quality of quitline services, client satisfaction, and developing a tailored program and counseling targeting smokers with specific characteristics, especially ones experiencing chronic diseases.

scholarly journals Impact of the “Stoptober” Smoking Cessation Campaign in England From 2012 to 2017: A Quasiexperimental Repeat Cross-Sectional Study

2019 ◽  
Vol 22 (9) ◽  
pp. 1453-1459 ◽  
Author(s):  
Mirte A G Kuipers ◽  
Robert West ◽  
Emma V Beard ◽  
Jamie Brown
Keyword(s):  
Smoking Cessation ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Future Research ◽  
Cross Sectional ◽  
Quit Attempt ◽  
Quit Attempts ◽  
The Difference ◽  
Adjusted Logistic Regression

Abstract Introduction Since 2012, England has an annual “Stoptober” campaign for collective smoking cessation. Our aim was to assess (1) overall impact of the Stoptober campaign on quit attempts over its first 6 years, (2) consistency of impact over the campaign years, and (3) the role of the campaign budget. Methods We used data of 51 399 adult smokers and ex-smokers in 132 repeat cross-sectional monthly surveys in England, 2007–2017. In a quasiexperimental design, adjusted logistic regression analyses compared past-month quit attempt rate between (1) October and other months in the year, between 2007–2011 and 2012–2017; (2) October and other months, across years 2012–2017; and (3) October and other months, between high-budget (2012–2015) and low-budget Stoptober campaigns (2016–2017). Bayes factors (BF) differentiated insensitive data and absence of an effect. Results (1) In 2012–2017, quit attempts were more prevalent in October versus other months (odds ratio [OR]: 1.24, 95% confidence interval [CI]: 1.00 to 1.53), whereas similar in 2007–2011 (OR: 0.95, 95% CI: 0.76 to 1.18; BF = 0.2); data were somewhat insensitive but supported this difference (OR: 1.30, 95% CI: 0.97 to 1.75; BF = 2.1). (2) In 2012–2017, quit attempt prevalence ranged from 3.1% to 8.5% in October and 5.0% to 7.3% in other months. The difference between October and other months was large in 2012 (absolute unadjusted difference of 3.3%; OR: 1.92, 95% CI: 1.23 to 2.98) and 2015 (3.1%; OR: 1.84, 95% CI: 1.14 to 2.95), but small in 2013–2014 and 2016–2017 (0.36 < BF < 1.02). (3) Data were somewhat insensitive but supported interaction with campaign budget (OR: 1.50, 95% CI: 0.92 to 2.44; BF = 2.2). Discussion In 2012–2017, there appears to have been an increase in past-month quit attempts during October in England. The increase was inconsistent across Stoptober campaigns and appears to have been greater when the campaign budget was higher. Implications Over the first 6 years of Stoptober campaigns, there appears to have been an overall increase in past-month quit attempts during October in England, and the data imply that a sufficiently high budget contributes to greater impact of the Stoptober campaign. These findings encourage the further spread of the Stoptober campaign to other countries. Future research should clarify how increased quit attempts as a consequence of Stoptober translate into quit success and which of Stoptober’s ingredients were most important in increasing quit attempts, especially among vulnerable groups.

scholarly journals Smoking During Pregnancy and Smoking Cessation Services

2009 ◽  
Vol 4 (S1) ◽  
pp. 2-5 ◽  
Author(s):  
Linda Bauld
Keyword(s):  
Smoking Cessation ◽  
Smoking During Pregnancy ◽  
Smoking In Pregnancy ◽  
Pregnant Smokers ◽  
Specialist Services ◽  
Quit Attempts ◽  
Stop Smoking Services ◽  
Poster Presentations ◽  
New Evidence ◽  
Improve Access

AbstractThe 2008 UK National Smoking Cessation Conference (UKNSSC) included a number of oral and poster presentations on the theme of smoking during pregnancy. This is a challenging area of research and practice and one in which new evidence — both about the effects of smoking in pregnancy and about smoking cessation interventions — is regularly emerging. Papers at UKNSCC explored why few women access support to stop (Felix Naughton), how best to refer women to specialist services (Joan Braithwaite), social marketing approaches (Deborah Richardson and Wendy Dudley) and physical activity for smoking cessation during pregnancy (Michael Ussher). The conference opened with a plenary presentation that explored the extent of smoking during pregnancy and women's accounts of quit attempts, cessation and relapse. It also examined what more could be done to improve access to stop smoking services for pregnant women and increase the proportion of women who quit. This article reviews some of the evidence presented at UKNSSC, focusing in particular on the need for improved identification, referral, engagement and treatment of pregnant smokers.

scholarly journals PERBEDAAN ANTARA KUALITAS HIDUP IBU PADA PERIODE KEHAMILAN AKHIR DAN NIFAS AWAL DI KOTA YOGYAKARTA

2021 ◽  
Vol 12 (1) ◽  
pp. 65-76
Author(s):  
Fitra Duhita ◽  
Tifa Pascariyanti Sujarwanta ◽  
Indriana Widya Puspitasari
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Late Pregnancy ◽  
Cross Sectional ◽  
Maternal Characteristics ◽  
Pregnancy And Postpartum ◽  
The Difference ◽  
Postpartum Mothers ◽  
One Way Anova

Abstract   Background: The success in providing care to the mother during pregnancy and postpartum period is determined by the ability to provide comprehensive care. The pregnancy and postpartum comprehensive care’s needs can be seen through the measurement of quality of life. Objective: To find out the differences quality of life of between mother in late pregnancy and early puerperium, in terms of analysis of maternal characteristics and mean scores from each domain of quality of life. Method: This study uses a cross-sectional design to the 120 pregnant women and 102 postpartum mothers. The data was collected in September until November 2019, at three Puskesmas Rawat Inap in Kota Yogyakarta. The data collection tool used the Indonesian version of the WHOQOL BREF questionnaire, and analyzed with the One Way Anova test and the Manova test. Results: The results showed that the characteristics associated with quality of life were the level of education of pregnant women (to all domains of quality of life) and parity of pregnant women (to the domain of physical). The quality of life scores of postpartum mothers compared with pregnant women in all domains, consistently showed that had lower mean scores, but the difference was not statistically significant. Conclusion: The quality of life between mother in late pregnancy and early puerperium was relatively equal, with lower tendency in early puerperium mother.   Keywords: quality of life, pregnancy, childbirth   Abstrak   Latar belakang: Keberhasilan dalam memberikan asuhan kepada ibu pada periode kehamilan dan nifas ditentukan dari kemampuan memberikan asuhan pasien/klien secara komprehensif. Penilaian kebutuhan ibu hamil dan nifas terhadap asuhan yang komprehensif dapat dilihat melalui hasil pengukuran kualitas hidup. Tujuan: Mengetahui perbedaan kualitas hidup ibu hamil dan nifas, ditinjau dari analisis karakteristik ibu dan rerata skor dari masing-masing domain kualitas hidup. Metode: Penelitian ini menggunakan desain potong lintang. Sampel pada penelitian ini adalah 120 ibu hamil dan 102 ibu nifas. Pengambilan data dilakukan pada bulan September hingga November 2019, pada tiga Puskesmas Rawat Inap di Kota Yogyakarta. Alat pengumpulan data menggunakan kuisioner WHOQOL BREF versi Indonesia. Data yang telah diperoleh dianalisis dengan uji one way Anova dan uji Manova. Hasil: Hasil penelitian menunjukkan bahwa karakteristik yang berhubungan dengan kualitas hidup adalah tingkat pendidikan ibu hamil (terhadap seluruh domain kualitas hidup) dan paritas ibu hamil (terhadap domain kesehatan fisik). Rerata skor kualitas hidup pada ibu nifas dibandingkan dengan kualitas hidup ibu hamil secara konsisten pada seluruh domain menunjukkan nilai yang lebih rendah, namun perbedaan tersebut tidak bermakna secara statistik. Kesimpulan: Kualitas hidup ibu hamil dan ibu nifas relatif sama dengan kecenderungan lebih rendah pada kualitas hidup ibu nifas   Kata kunci: kualitas hidup, hamil, nifas

scholarly journals A Cross-sectional Study Exploring Sex Differences in the Relationship Between Sex Partner Attitudes and Current Quit Attempt Among a Sample of Smokers in Baltimore, MD, USA.

2020 ◽  
Author(s):  
Davey-Rothwell Melissa A. ◽  
Norah Crossnohere ◽  
Paige Hammond ◽  
Tuo-Yen Tseng ◽  
Marlesha Whittington ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Sex Differences ◽  
Cross Sectional Study ◽  
Partner Support ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quit Attempt ◽  
Quit Smoking ◽  
The Relationship ◽  
Sex Partner

Abstract Background: Limited research has explored sex differences in the relationship between partner behavior and attitudes and smoking cessation. Methods: The study examined sex partner attitudes about smoking among men and women who are currently trying to quit smoking cigarettes. Data were collected as part of the Tobacco Use in Drug Environment (TIDE) study, a cross-sectional study conducted in Baltimore, MD, USA from September 2013-May 2015. Interviews were administered with current smokers. The sample size for the current analysis was 134 men and 86 women. Results: Approximately thirty-three percent of male participants (n=45) reported currently trying to quit smoking cigarettes. Twenty-nine percent of women were currently trying to quit. Having a sex partner who did not mind the participant’s smoking was associated with decreased odds of trying to quit among men (AOR=0.35, p=0.03, 95% CI: 0.13, 0.91). Having a sex partner who expressed concern about the participant’s smoking (AOR=12.9, p<0.01, 95% CI: 3.49, 47.0) and having a sex partner who encouraged the participant to quit smoking was significantly associated current quit attempt. Conclusions: The relationship between partner support for cessation and current quit attempt was stronger for women than men in this population. Understanding sex-partner attitudes regarding smoking and their relationship to smoking cessation activities may provide insights for future tailored cessation interventions.

scholarly journals Incentives for smoking cessation in pregnancy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Tappin ◽  
L Bauld
Keyword(s):  
Health Care ◽  
Smoking Cessation ◽  
Health Care Workers ◽  
Financial Incentives ◽  
Financial Incentive ◽  
Late Pregnancy ◽  
Incentive Payment ◽  
Smoking During Pregnancy ◽  
Pregnant Smokers ◽  
Care Workers

Abstract Issue/problem Most pregnant smokers reply ‘Yes' when asked ‘Do you want to stop smoking?'. This is usually an honest answer but often without intention. About 10% who intend to quit are likely to attend smoking cessation services. Even with good quality counselling and the offer of nicotine replacement therapy only about 3-5% quit. How can the other 90% be reached? There are two approaches: Redirect counselling away from specialist cessation practitioners and build capacity among all health care workers. This is attractive spreading counselling to health care workers who meet pregnant smokers during routine consultations requiring little resource after training for example General Practitioners, Midwives and Obstetricians. However limited time for training and subsequent counselling endangers the quality and quantity of counselling delivered.Increase the proportion of women who intend to quit smoking during pregnancy by providing a financial incentive payment for engaging with specialist cessation practitioners and quitting. This policy allows counselling to be delivered by specialists and potentially draws in a larger proportion of pregnant smokers, as many as 50%. Results Financial incentives have increased the proportion of smokers who quit by late pregnancy in two large randomised controlled trials. The proportion increased by more than 100%. Local service pilots of financial incentives have seen marked increases in smokers who attend and quit. Lessons There are a number of ways to increase smoking cessation among pregnant women. Research evidence should be translated into effective service models to decide which strategy is most cost-effective. Key messages Counselling is important; however, it has to be sufficient and of good quality. Drawing more pregnant smokers into cessation services will increase the proportion who intend and manage to quit. This may work better than expecting all health care workers to give effective counselling.

scholarly journals The Roy Castle Fag Ends Stop Smoking Service: A Successful Client-Led Approach to Smoking Cessation

2006 ◽  
Vol 1 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Christine Owens ◽  
Jane Springett
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Smoking Cessation Service ◽  
Cessation Rate ◽  
Quit Attempt ◽  
Community Approach ◽  
Stop Smoking ◽  
Stop Smoking Services ◽  
Patient Barriers ◽  
Stop Smoking Service

AbstractThe Roy Castle Fag Ends Community Stop Smoking Service (RCFE) is commissioned by three primary care trusts (PCTs) to provide the adult smoking-cessation service across Liverpool. The service is not theoretically driven but there are several principles governing RCFE, which maintain the client-led, person-centred philosophy. Unique aspects are that the service is provided by trained lay advisors with a nonmedical background and there is no waiting list — clients can self-refer by calling a helpline or walking into a meeting. At RCFE, clients control their own quit attempt as well as self-regulating attendance at meetings and discharge from the service. Relapsed clients are also welcomed back without fear of criticism or the need for an appointment. Possible reasons for the success of RCFE include the client-led methodology, the community approach that removes doctor–patient barriers that may exist, and the nature of the group meetings, which allows interaction between clients who are at different stages of the quit process. Introducing some of the RCFE principles into other stop-smoking services may help to increase the overall smoking-cessation rate in England.

scholarly journals Practitioners’ Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study

2019 ◽  
Vol 16 (23) ◽  
pp. 4791
Author(s):  
Ross Thomson ◽  
Lisa McDaid ◽  
Joanne Emery ◽  
Lucy Phillips ◽  
Felix Naughton ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Harm Reduction ◽  
Replacement Therapy ◽  
Nicotine Replacement Therapy ◽  
Policy And Practice ◽  
Nicotine Replacement ◽  
Social Ecological ◽  
Pregnant Smokers ◽  
Stop Smoking Services ◽  
The Uk

Many countries, including the UK, recommend nicotine replacement therapy (NRT) for smoking cessation during pregnancy. However, adherence to NRT is generally low, smoking lapse or relapse is common and using NRT to reduce the harm from the number of cigarettes smoked is only advocated in non-pregnant smokers. Two focus groups were conducted with 13 professionals involved in antenatal stop smoking services (SSS). The data were analysed thematically. Two themes were extracted that describe health professionals’ attitudes towards using NRT either during lapses or to reduce smoking in women who cannot quit (harm reduction). These are presented around a social–ecological framework describing three hierarchical levels of influence within smoking cessation support: (1) Organizational: providing NRT during lapses could be expensive for SSS though harm reduction could result in services helping a wider range of clients. (2) Interpersonal: participants felt using NRT for harm reduction was not compatible with cessation-orientated messages practitioners conveyed to clients. (3) Individual: practitioners’ advice regarding using NRT during smoking lapses varied; many were generally uncomfortable about concurrent smoking and NRT use and had strong reservations about recommending NRT when smoking during all but the briefest lapses. Further evidence is required to guide policy and practice.

scholarly journals Factors Associated With Exercise Participation and Attitudes to Exercise Among Pregnant Smokers

2007 ◽  
Vol 2 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Michael Ussher ◽  
Michael Ah-Yoon ◽  
Robert West ◽  
Lianne Straus
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Smoking Cessation ◽  
Self Efficacy ◽  
Psychosocial Aspects ◽  
Perceived Barriers ◽  
Cross Sectional ◽  
Exercise Participation ◽  
Pregnant Smokers ◽  
Exercise Classes

AbstractObjective: We assessed exercise levels and psychosocial aspects of exercise among pregnant smokers. Methods: A cross-sectional telephone survey of 88 pregnant smokers assessed levels of participation in exercise and psychosocial aspects of exercise; namely, self-efficacy, beliefs, perceived social support, perceived barriers, intentions and stage of change. Results: The women reported slightly higher levels of physical activity than for the general population of young women. The vast majority of women interviewed reported that exercise was important in their pregnancy, that they intended exercising regularly during pregnancy and were interested in exercise classes as an aid to smoking cessation. Fatigue was the most commonly reported barrier to physical activity during pregnancy, followed by ‘it takes too much time’, ‘uncomfortable when I exercise’ or ‘not sure what to do’. The vast majority of women expressed very little confidence and social support towards exercising. Conclusion: The results suggest that there is potential for using physical activity as an aid to smoking cessation during pregnancy. However, such interventions would need to be sufficiently intensive to address perceived barriers to exercise, lack of social support, low self-efficacy and be tailored to different stages of pregnancy.

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