"He Doesn't Listen to My Words at All, So I Don't Tell Him Anything"-A Qualitative Investigation on Exposure to Second Hand Smoke among Pregnant Women, Their Husbands and Family Members from Rural Bangladesh and Urban India.
"He Doesn't Listen to My Words at All, So I Don't Tell Him Anything"-A Qualitative Investigation on Exposure to Second Hand Smoke among Pregnant Women, Their Husbands and Family Members from Rural Bangladesh and Urban India.
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DOI：
10.3390/ijerph13111098
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发表时间：
2016-11-08
影响因子：
--
通讯作者：
Chandra PS
中科院分区：
文献类型：
--
作者：
Jackson C;Huque R;Satyanarayana V;Nasreen S;Kaur M;Barua D;Bhowmik PN;Guha M;Dherani M;Rahman A;Siddiqi K;Chandra PS
孕期接触二手烟(SHS)与不良妊娠和胎儿结局有关。为了设计减少暴露的干预措施，深入了解家庭吸烟行为的社会和文化因素是重要的，特别是在SHS暴露较高的南亚。本研究旨在探讨孕妇、其丈夫及其他家庭成员对家庭SHS暴露的知识、态度及行为。孟加拉国科米拉的33名参与者和印度班加罗尔的31名参与者(36名孕妇、18名丈夫和10名家庭成员)进行了半结构化访谈。使用框架方法对数据进行分析。丈夫们在家里的不同生活区吸烟，通常是在怀孕的妻子在场的情况下。大多数人从未试图在家中戒烟。对风险的了解普遍较差。大多数女性曾多次要求丈夫在户外吸烟，但收效甚微，只有少数家庭成员斥责过丈夫。那些因为孩子和他们的母亲的要求而停止这样做的丈夫们。减少家庭中SHS暴露的潜在策略是教育丈夫有关风险的知识，并支持孕妇谈判。干预还必须争取家庭支持，以提高妇女的自我效能。
Second hand smoke (SHS) exposure during pregnancy is associated with poor pregnancy and fetal outcomes. To design interventions to reduce exposure, an in depth understanding of social and cultural factors of smoking behavior at home is important, especially in South Asia where SHS exposure is high. This study aimed to explore pregnant women’s, their husbands’ and other family members’ knowledge, attitudes and practices regarding home SHS exposure. Semi-structured interviews were conducted with 33 participants in Comilla, Bangladesh and 31 in Bangalore, India (36 pregnant women, 18 husbands, and 10 family members). Data were analyzed using the Framework approach. Husbands smoked in various living areas inside the home, often in the presence of their pregnant wives. Most had never tried to stop smoking at home. Knowledge of the risks was generally poor. Most women had repeatedly asked their husband to smoke outside with little success and only few family members had reprimanded the husbands. Husbands who had stopped did so because of requests from children and their mother. Potential strategies to decrease SHS exposure at home were educating the husband about risks and supporting the pregnant women in negotiation. Interventions must also enlist family support to enhance the woman’s self-efficacy.
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