Addressing and Overcoming Barriers to E-Cigarette Use for Smoking Cessation in Pregnancy: A Qualitative Study
Addressing and Overcoming Barriers to E-Cigarette Use for Smoking Cessation in Pregnancy: A Qualitative Study
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DOI：
10.3390/ijerph17134823
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发表时间：
2020-07-01
影响因子：
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通讯作者：
Campbell, Katarzyna Anna
中科院分区：
文献类型：
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作者：
Bowker, Katharine;Ussher, Michael;Campbell, Katarzyna Anna
电子烟可能在支持孕妇戒烟方面发挥作用。该研究旨在了解孕妇的vaping经历，特别是如何促进vaping戒烟以及如何克服障碍。我们对在怀孕期间吸电子烟的孕妇或产后妇女进行了半结构化的电话采访（n= 15），无论是专门的（n= 10）还是两用的（n= 5）（吸烟和吸电子烟）。采用主题分析法对访谈进行分析。出现了两个主题。首先，“促进信念”：帮助女性克服电子烟障碍的固有信念。这些包括了解与吸烟和怀孕相比，电子烟的相对安全性和经济收益是戒烟的动力。第二，“成为一个自信的vaper”：积累足够的技能和信心来舒适地vape。这包括使用电子烟进行实验，以确保满足尼古丁依赖和感官需求。寻求社会支持和采用战略来解决社会成见问题也很重要。关于vaping和精通vaping的积极信念被视为克服vaping障碍的方法。理论领域框架为干预建议提供了信息，以帮助那些尝试过但无法戒烟的怀孕吸烟者转向vaping。
E-cigarettes may have a role in supporting pregnant women who would otherwise smoke to stop smoking. The study aimed to understand pregnant women's vaping experiences, in particular how vaping to stop smoking is facilitated and how barriers to this are overcome. We conducted semi structured telephone interviews (n= 15) with pregnant or postpartum women who vaped during pregnancy, either exclusively (n= 10) or dual-used (n= 5) (smoked and vaped). Thematic analysis was used to analyse the interviews. Two themes emerged. First, 'facilitating beliefs': inherent beliefs that helped women overcome barriers to vaping. These included understanding the relative safety of vaping and economic gains compared with smoking and pregnancy being a motivator to stop smoking. Second, 'becoming a confident vaper': accumulating sufficient skill and confidence to comfortably vape. This included experimentation with e-cigarettes to ensure nicotine dependence and sensory needs were met. Seeking social support and employing strategies to address social stigma were also important. Positive beliefs about vaping and becoming proficient at vaping were viewed as ways to overcome barriers to vaping. The theoretical domain framework informed intervention recommendations to assist pregnant smokers who have tried but cannot stop smoking to switch to vaping.