Acceptance of smoking cessation support and quitting behaviours of women attending Aboriginal Maternal and Infant Health Services for antenatal care

Abstract Background Acceptance of smoking cessation support during antenatal care and associated quitting behaviours of pregnant Aboriginal women or women having an Aboriginal baby has not been investigated. This study aimed to determine, among pregnant women who smoke and attended AMIHS for their a...

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Main Authors: Justine B. Daly, Sarah Dowe, Belinda Tully, Flora Tzelepis, Christophe Lecathelinais, Karen Gillham
Format: Article
Language:English
Published: BMC 2021-01-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-021-03569-z
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author Justine B. Daly
Sarah Dowe
Belinda Tully
Flora Tzelepis
Christophe Lecathelinais
Karen Gillham
author_facet Justine B. Daly
Sarah Dowe
Belinda Tully
Flora Tzelepis
Christophe Lecathelinais
Karen Gillham
author_sort Justine B. Daly
collection DOAJ
description Abstract Background Acceptance of smoking cessation support during antenatal care and associated quitting behaviours of pregnant Aboriginal women or women having an Aboriginal baby has not been investigated. This study aimed to determine, among pregnant women who smoke and attended AMIHS for their antenatal care: 1. The acceptance of smoking cessation support, factors associated with acceptance and barriers to acceptance; 2. The prevalence of quitting behaviours and factors associated with quitting behaviours. Methods A cross-sectional telephone survey of women who attended 11 AMIHSs for their antenatal care during a 12 month period in the Hunter New England Local Health District of New South Wales. Results One hundred women contacted consented to complete the survey (76%). Of those offered cessation support, 68% accepted NRT, 56% accepted follow-up support and 35% accepted a Quitline referral. Participants accepting NRT had greater odds of quitting smoking at least twice during the antenatal period [OR = 6.90 (CI: 1.59–29.7)] and those reporting using NRT for greater than eight weeks had six times the odds of quitting smoking for one day or more [OR = 6.07 (CI: 1.14–32.4)]. Conclusions Aboriginal women or women having an Aboriginal baby who smoke make multiple attempts to quit during pregnancy and most women accept smoking cessation support when offered by their antenatal care providers. Acceptance of care and quitting success may be improved with increased focus on culturally appropriate care and enhanced training of antenatal care providers to increase skills in treating nicotine addiction and supporting women to use NRT as recommended by treatment guidelines.
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spelling doaj.art-0cfde374c00948bbae59ae362a880f1e2022-12-21T23:26:52ZengBMCBMC Pregnancy and Childbirth1471-23932021-01-012111810.1186/s12884-021-03569-zAcceptance of smoking cessation support and quitting behaviours of women attending Aboriginal Maternal and Infant Health Services for antenatal careJustine B. Daly0Sarah Dowe1Belinda Tully2Flora Tzelepis3Christophe Lecathelinais4Karen Gillham5Hunter New England Population Health, Hunter New England Local Health DistrictNSW Rural Doctors NetworkHunter New England Population Health, Hunter New England Local Health DistrictHunter New England Population Health, Hunter New England Local Health DistrictHunter New England Population Health, Hunter New England Local Health DistrictHunter New England Population Health, Hunter New England Local Health DistrictAbstract Background Acceptance of smoking cessation support during antenatal care and associated quitting behaviours of pregnant Aboriginal women or women having an Aboriginal baby has not been investigated. This study aimed to determine, among pregnant women who smoke and attended AMIHS for their antenatal care: 1. The acceptance of smoking cessation support, factors associated with acceptance and barriers to acceptance; 2. The prevalence of quitting behaviours and factors associated with quitting behaviours. Methods A cross-sectional telephone survey of women who attended 11 AMIHSs for their antenatal care during a 12 month period in the Hunter New England Local Health District of New South Wales. Results One hundred women contacted consented to complete the survey (76%). Of those offered cessation support, 68% accepted NRT, 56% accepted follow-up support and 35% accepted a Quitline referral. Participants accepting NRT had greater odds of quitting smoking at least twice during the antenatal period [OR = 6.90 (CI: 1.59–29.7)] and those reporting using NRT for greater than eight weeks had six times the odds of quitting smoking for one day or more [OR = 6.07 (CI: 1.14–32.4)]. Conclusions Aboriginal women or women having an Aboriginal baby who smoke make multiple attempts to quit during pregnancy and most women accept smoking cessation support when offered by their antenatal care providers. Acceptance of care and quitting success may be improved with increased focus on culturally appropriate care and enhanced training of antenatal care providers to increase skills in treating nicotine addiction and supporting women to use NRT as recommended by treatment guidelines.https://doi.org/10.1186/s12884-021-03569-zSmoking cessationPregnancyAntenatal careAboriginal
spellingShingle Justine B. Daly
Sarah Dowe
Belinda Tully
Flora Tzelepis
Christophe Lecathelinais
Karen Gillham
Acceptance of smoking cessation support and quitting behaviours of women attending Aboriginal Maternal and Infant Health Services for antenatal care
BMC Pregnancy and Childbirth
Smoking cessation
Pregnancy
Antenatal care
Aboriginal
title Acceptance of smoking cessation support and quitting behaviours of women attending Aboriginal Maternal and Infant Health Services for antenatal care
title_full Acceptance of smoking cessation support and quitting behaviours of women attending Aboriginal Maternal and Infant Health Services for antenatal care
title_fullStr Acceptance of smoking cessation support and quitting behaviours of women attending Aboriginal Maternal and Infant Health Services for antenatal care
title_full_unstemmed Acceptance of smoking cessation support and quitting behaviours of women attending Aboriginal Maternal and Infant Health Services for antenatal care
title_short Acceptance of smoking cessation support and quitting behaviours of women attending Aboriginal Maternal and Infant Health Services for antenatal care
title_sort acceptance of smoking cessation support and quitting behaviours of women attending aboriginal maternal and infant health services for antenatal care
topic Smoking cessation
Pregnancy
Antenatal care
Aboriginal
url https://doi.org/10.1186/s12884-021-03569-z
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