Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay.
Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay.
复制标题
阿根廷和乌拉圭孕妇的吸烟模式和戒烟服务接受情况。
DOI:
10.1093/ntr/ntv145
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发表时间:
2016
期刊:
影响因子:
--
通讯作者:
Belizán,Jos
中科院分区:
文献类型:
--
作者:
Berrueta,Mabel;Morello,Paola;Alemán,Alicia;Tong,VanT;Johnson,Carolyn;Dietz,PatriciaM;Farr,SherryL;Mazzoni,Agustina;Colomar,Mercedes;Ciganda,Alvaro;Llambi,Laura;Becú,Ana;Gibbons,Luz;Smith,RubenA;Buekens,Pierre;Belizán,Jos
IntroductionThe 5A’s (Ask, Advise, Assess, Assist, and Arrange) strategy, a best-practice approach for cessation counseling, has been widely implemented in high-income countries for pregnant women; however, no studies have evaluated implementation in middle-income countries. The study objectives were to assess smoking patterns and receipt of 5A’s among pregnant women in Buenos Aires, Argentina and Montevideo, Uruguay.MethodsData were collected through administered questionnaires to women at delivery hospitalizations during October 2011–May 2012. Eligible women attended one of 12 maternity hospitals or 21 associated prenatal care clinics. The questionnaire included demographic data, tobacco use/cessation behaviors, and receipt of the 5A’s. Self-reported cessation was verified with saliva cotinine.ResultsOverall, of 3400 pregnant women, 32.8% smoked at the beginning of pregnancy; 11.9% quit upon learning they were pregnant or later during pregnancy, and 20.9% smoked throughout pregnancy. Smoking prevalence varied by country with 16.1% and 26.7% who smoked throughout pregnancy in Argentina and Uruguay, respectively. Among pregnant smokers in Argentina, 23.8% reported that a provider asked them about smoking at more than one prenatal care visit; 18.5% were advised to quit; 5.3% were assessed for readiness to quit, 4.7% were provided assistance, and 0.7% reported follow-up was arranged. In Uruguay, those percentages were 36.3%, 27.9%, 5.4%, 5.6%, and 0.2%, respectively.ConclusionsApproximately, one in six pregnant women smoked throughout pregnancy in Buenos Aires and one in four in Montevideo. However, a low percentage of smokers received any cessation assistance in both countries. Healthcare providers are not fully implementing the recommended 5A’s intervention to help pregnant women quit smoking.
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影响因子:
2.5
作者:
Perlen, Susan;Brown, Stephanie J.;Yelland, Jane
通讯作者:
Yelland, Jane
DOI:
10.1016/j.jval.2011.05.010
发表时间:
2011
期刊:
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
影响因子:
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作者:
A. Pichón;F. Augustovski;Ariel Esteban Bardach;Lisandro D. Colantonio
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Lisandro D. Colantonio
DOI:
10.1186/1748-5908-7-36
发表时间:
2012-04-24
期刊:
Implementation science : IS
影响因子:
--
作者:
Beenstock J;Sniehotta FF;White M;Bell R;Milne EM;Araujo-Soares V
通讯作者:
Araujo-Soares V
DOI:
--
发表时间:
2013
期刊:
影响因子:
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作者:
E. Gigliotti;F. Ferrero;C. Castaños;María Teresa Blengini;P. Durán;L. Moreno
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影响因子:
8
作者:
Singapore Psychological
通讯作者:
Singapore Psychological