Smoking Behavior of Women Before, During, and after Pregnancy: Indicators of Smoking, Quitting, and Relapse

Schayck, Tessa Scheffers-van; Tuithof, Marlous; Otten, Roy; Engels, Rutger C. M. E.; Kleinjan, Marloes

doi:10.1159/000498988

Cited by 48 publications

(46 citation statements)

References 51 publications

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“…In line with prior research on the role of demographic characteristics on maternal consumption in pregnancy 11,23,25,40 , the current study suggests that mid-age women (older than 25 years-old), probably due to individual life circumstances and higher understanding of harms related to smoking, are less likely to smoke. Other relevant predictors of smoking among pregnant women identified in previous studies include parity 11,24 , and alcohol consumption 13,23 . Nevertheless, in our study, after adjustment for significant variables, there was no significant association between parity or alcohol use and smoking status.…”

Section: Discussionsupporting

confidence: 86%

“…Information on income has not been collected but many studies have shown that this indicator is closely related to education and occupation 52 . In opposition, we have no proxy variable for smoking status of partners, which is known to have a significant influence on continuation 23,24 and smoking cessation behaviors 23 . In addition, information whether the participants were asked by their health care provider, about advice and/or support on non-pharmacological strategies or pharmacological interventions, or both, to quit smoking should be collected in future epidemiological studies.…”

Section: Discussionmentioning

confidence: 99%

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The importance of socioeconomic position in smoking, cessation and environmental tobacco smoke exposure during pregnancy

Madureira

Camelo

Silva

et al. 2020

Sci Rep

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Tobacco is still a leading cause of premature death and morbidity. Particular attention has been given to pregnant women due to the scientific evidence on the importance of early life exposures for disease onset later in life. The purpose of this study was to assess smoking prevalence, smoking cessation rate and environmental tobacco smoke (ETS) exposure, and the role of socioeconomic position (SEP) on these behaviors among pregnant women. Cross-sectional data of 619 pregnant women, aged between 18 and 46 years, from Porto Metropolitan Area, Portugal, on current smoking, ETS exposure and SEP indicators was collected, face-to-face, using a questionnaire filled in during a personal interview at the postpartum hospital stay. The smoking prevalence, and ETS exposure among non-smokers before pregnancy was 27.6% and 57.4%, respectively. 4.1% of the participants reported to have stopped smoking before pregnancy, whereas about 41% quitted along pregnancy, resulting in a smoking prevalence at birth of 14.6%. Exposure to ETS also decreased throughout pregnancy to 49.8% at birth. Lower educational level was significantly associated with both higher smoking prevalence and exposure to ETS and lower smoking cessation. This study demonstrates that smoking and ETS exposure during pregnancy remains high, and that there are still significant socioeconomic inequalities in smoking; thus tobacco-focused preventive interventions need to be reinforced.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

The importance of socioeconomic position in smoking, cessation and environmental tobacco smoke exposure during pregnancy

Madureira

Camelo

Silva

et al. 2020

Sci Rep

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“…Risk factors for continuation of alcohol use during pregnancy include a low educational level, a young maternal age, frequent alcohol use before pregnancy and having a depression [16][17][18] . Importantly, smoking and alcohol use during pregnancy often co-occur resulting in cumulating health risks 18,19 .…”

Section: Introductionmentioning

confidence: 99%

Smoke and Alcohol Free with EHealth and Rewards (SAFER) pregnancy study: a before−after study protocol

Breunis

Kroon

Laureij

et al. 2020

npj Prim. Care Respir. Med.

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Despite existing interventions, tobacco smoking and alcohol consumption during pregnancy are common. The Smoke and Alcohol Free with EHealth and Rewards (SAFER) pregnancy intervention combines monthly group sessions, access to a web-based platform and incentives upon biochemically validated cessation for a maximum duration of 6 months to promote cessation of smoking and alcohol use before and during pregnancy. To inform development of the SAFER pregnancy intervention, two focus groups with the target population were held beforehand, with results reported here alongside the final SAFER pregnancy study protocol. In a before−after study we aim to include 66 women who are pregnant or have a wish to become pregnant and who smoke and/or consume alcohol (i.e. target population of the SAFER pregnancy intervention). The primary outcome measure is cessation of smoking and/or alcohol use at 34−38 weeks of gestation, or after six group sessions if women did not become pregnant during the study period. Secondary outcomes focus on the barriers and facilitators for implementation of the SAFER pregnancy intervention.

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“…While many (future) parents quit smoking before pregnancy or in the early stage of pregnancy, smoking among (future) parents is still prevalent in many countries [ 11 ]. In the Netherlands, 7.4% of pregnant women smoke during pregnancy [ 13 ]. Smoking during pregnancy is particularly common among women with a low socioeconomic status (SES) [ 14 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…In the Netherlands, 7.4% of pregnant women smoke during pregnancy [ 13 ]. Smoking during pregnancy is particularly common among women with a low socioeconomic status (SES) [ 14 – 18 ]. In the Netherlands, 16% of low SES pregnant women smoke during pregnancy, while 12% of middle-educated and 3% of highly educated women do [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Stepped-wedge cluster randomised trial of a smoking cessation counselling training programme for midwives treating women with functional health illiteracy and low socioeconomic status (PROMISE): a study protocol

Bommelé

Springvloet

Abouri³

et al. 2020

Trials

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Background In the Netherlands, midwives are required to use the ‘V-MIS’ (Minimal Intervention Strategy for Midwives) smoking cessation counselling protocol to help pregnant women quit smoking. This counselling protocol is often poorly implemented in midwifery practices. It may also be less suitable for pregnant woman with low socioeconomic status or functional health illiteracy. We created an adapted version of the V-MIS protocol that is intended to facilitate implementation in midwifery practices: PROMISE (PROtocol for growing up smokefree using a Minimal smoking cessation Intervention Strategy in the Early stages of life). For this adapted protocol, midwives use carbon monoxide meters, storyboard leaflets, and specific communication techniques for women with functional health illiteracy. They will receive a face-to-face training in using these materials and communication techniques. Methods The effectiveness and implementation of PROMISE will be tested in a stepped-wedge cluster randomised controlled trial. We will randomise clusters of midwifery practices and departments in hospitals. We will then train them, subsequently, at regular intervals (‘steps’). At each step, practices that will receive training cross over from the control condition to the experimental condition. We will measure how well the PROMISE protocol has been implemented by assessing the rate of pregnant women that received detailed smoking cessation counselling from their midwives (primary outcome). Our secondary target group is pregnant women with functional health illiteracy and low socioeconomic status. Among them, we will assess smoking status and health-related outcome before and after pregnancy. Discussion The PROMISE smoking cessation counselling protocol is intended to help midwives, OB-GYNs, and other obstetrics professionals to support pregnant women with smoking cessation. Trial registration Dutch Trial Registry: NTR 6305/NL6158 . Registered on 20 December 2016.

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Smoking Behavior of Women Before, During, and after Pregnancy: Indicators of Smoking, Quitting, and Relapse

Cited by 48 publications

References 51 publications

The importance of socioeconomic position in smoking, cessation and environmental tobacco smoke exposure during pregnancy

The importance of socioeconomic position in smoking, cessation and environmental tobacco smoke exposure during pregnancy

Smoke and Alcohol Free with EHealth and Rewards (SAFER) pregnancy study: a before−after study protocol

Stepped-wedge cluster randomised trial of a smoking cessation counselling training programme for midwives treating women with functional health illiteracy and low socioeconomic status (PROMISE): a study protocol

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