A content analysis of self-reported barriers and facilitators to preventing postpartum smoking relapse among a sample of current and former smokers in an underserved population.

A content analysis of self-reported barriers and facilitators to preventing postpartum smoking relapse among a sample of current and former smokers in an underserved population.
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对服务不足人群中当前和以前吸烟者样本中自我报告的预防产后吸烟复吸的障碍和促进因素进行内容分析。

DOI:
10.1093/her/cyu048
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发表时间:
2015
影响因子:
2.4
通讯作者:
Hernandez,Enrique
Hernandez,Enrique
中科院分区:
医学4区
文献类型:
--
作者:
Wen,Kuang-Yi;Miller,SuzanneM;Roussi,Pagona;Belton,TanishaD;Baman,Jayson;Kilby,Linda;Hernandez,Enrique

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为了描述在社会经济服务不足的人群中预防产后复发和保持戒烟的障碍和促进因素,通过费城地区的妇女,婴儿和儿童诊所招募,对30名在过去3年中因一次或多次怀孕而戒烟的妇女进行了面对面访谈,以回顾性地描述她们在产后期间保持戒烟的尝试。响应进行了分析,使用的结构从认知社会健康信息处理模型,它确定了认知,情感和行为因素参与以目标为导向的自我调节行动,在一个弱势群体的妇女。母亲的需求是复发压力的一个重要来源。与伴侣和家庭关系有关的压力也有助于复发。在我们的样本中,许多妇女提到环境中其他吸烟者的存在影响了她们产后保持无烟的能力。参与者报告了帮助他们成功科普产后渴望和复发的四种主要策略,包括告知吸烟风险,保持目标导向的思想,关注他们对婴儿健康的关注以及从家人和朋友那里获得积极的社会支持。研究结果为吸烟复吸干预措施的设计提供了指导,这些干预措施可能会解决产后妇女所报告的独特压力。
To characterize the barriers and facilitators thatprevent postpartum relapse and maintain smoking abstinence among a socioeconomically underserved population, recruited through Philadelphia-area women, infants, and children clinics, in-person interviews were conducted with 30 women who had quit smoking for one or more pregnancies in the past 3 years to retrospectively describe their attempts to remain abstinent during the postpartum period. Responses were analysed using the constructs from the Cognitive-Social Health Information Processing model, which identifies the cognitive, affective and behavioral factors involved in goal-oriented self-regulatory actions, in the context of a vulnerable population of women. Motherhood demands were a significant source of relapse stress. Stresses associated with partner and family relationships also contributed to relapse. The presence of other smokers in the environment was mentioned by many women in our sample as affecting their ability to remain smoke-free postpartum. Participants reported four main strategies that helped them to successfully cope with postpartum cravings and relapses, including being informed of smoking risks, maintaining goal-oriented thoughts, focusing on their concerns about the baby’s health and receiving positive social support from families and friends. Results provide guidance for the design of smoking relapse interventions that may address the unique stressors reported by underserved postpartum women.
DOI: 10.1046/j.1523-536x.1998.00094.x
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影响因子: 2.5
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