Perspectives about Environmental Tobacco Smoke Exposure from Mothers of Premature Infants.

Perspectives about Environmental Tobacco Smoke Exposure from Mothers of Premature Infants.
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DOI:
10.1055/s-0041-1732420
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发表时间:
2023-06
影响因子:
2
通讯作者:
Colson, Eve R.
Colson, Eve R.
中科院分区:
医学4区
文献类型:
--
作者:
Colvin, Bryanne N.;Parker, Margaret G.;Hwang, Sunah S.;Forbes, Emma S.;Brown, Kyria;Colson, Eve R.

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采用定性方法更好地了解早产儿母亲对吸烟行为和环境烟草烟雾(ETS)暴露的看法。使用扎根理论的方法,我们进行了深入的,半结构化的采访早产儿的母亲,吸烟者和非吸烟者。使用计划行为理论(TPB)作为我们问题的概念框架,我们进行和分析访谈,直到达到理论饱和。分析包括一个迭代编码过程,导致主题开发。我们的关键主题与TPB的态度,感知控制和社会规范领域保持一致。关于态度,母亲们表示,吸烟对婴儿有害,早产儿比足月儿更容易受到伤害。关于感知控制,母亲们评论了他们感知的避免ETS暴露的能力,包括用于减轻ETS暴露风险的策略。一些母亲表示难以避免ETS暴露,例如,当居住在高密度住房时。在社会规范方面,家人和朋友不吸烟的母亲表示更容易避免ETS,而家人和朋友吸烟的母亲表示更难避免ETS。母亲在TPB的范围内使用各种行为,以减少早产儿的ETS暴露,这可以为未来基于NICU的干预策略提供信息。
To better understand the perceptions of mothers of preterm infants regarding smoking behaviors and environmental tobacco smoke (ETS) exposure using qualitative methodology. Using a grounded theory approach, we conducted in-depth, semi-structured interviews with mothers of preterm infants, both smokers and non-smokers. Using the Theory of Planned Behavior (TPB) as a conceptual framework for our questions, we conducted and analyzed interviews until theoretical saturation was reached. Analysis included an iterative coding process resulting in theme development. Our key themes aligned with the TPB domains of attitudes, perceived control, and social norms. Regarding attitudes, mothers expressed that smoking was bad for their infants and that preterm infants were more vulnerable than term infants. Regarding perceived control, mothers commented on their perceived ability to avoid ETS exposure with subthemes including strategies utilized to mitigate ETS exposure risk. Some mothers expressed difficulty avoiding ETS exposure, for example, when residing in high-density housing. Regarding perceived social norms, mothers whose family and friends were non-smokers expressed ease avoiding ETS while mothers whose family and friends were smokers expressed more difficulty avoiding ETS. Mothers used a variety of behaviors within the domains of the TPB in order to reduce ETS exposures in their preterm infants which can inform future NICU-based interventional strategies.
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