Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/30353
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dc.contributor.authorNaughton, Felixen_UK
dc.contributor.authorVaz, Luis Reevesen_UK
dc.contributor.authorColeman, Timen_UK
dc.contributor.authorOrton, Sophieen_UK
dc.contributor.authorBowker, Katharineen_UK
dc.contributor.authorLeonardi-Bee, Joen_UK
dc.contributor.authorCooper, Sueen_UK
dc.contributor.authorVanderbloemen, Lauraen_UK
dc.contributor.authorSutton, Stephenen_UK
dc.contributor.authorUssher, Michaelen_UK
dc.date.accessioned2019-10-29T01:04:03Z-
dc.date.available2019-10-29T01:04:03Z-
dc.date.issued2020-07en_UK
dc.identifier.urihttp://hdl.handle.net/1893/30353-
dc.description.abstractBackground Limited research exists on interest in and use of smoking cessation support in pregnancy and postpartum. Methods A longitudinal cohort of pregnant smokers and recent ex-smokers were recruited in Nottinghamshire, United Kingdom (N = 850). Data were collected at 8–26 weeks gestation, 34–36 weeks gestation, and 3 months postpartum and used as three cross-sectional surveys. Interest and use of cessation support and belief and behavior measures were collected at all waves. Key data were adjusted for nonresponse and analyzed descriptively, and multiple regression was used to identify associations. Results In early and late pregnancy, 44% (95% CI 40% to 48%) and 43% (95% CI 37% to 49%) of smokers, respectively, were interested in cessation support with 33% (95% CI 27% to 39%) interested postpartum. In early pregnancy, 43% of smokers reported discussing cessation with a midwife and, in late pregnancy, 27% did so. Over one-third (38%) did not report discussing quitting with a health professional during pregnancy. Twenty-seven percent of smokers reported using any National Health Service (NHS) cessation support and 12% accessed NHS Stop Smoking Services during pregnancy. Lower quitting confidence (self-efficacy), higher confidence in stopping with support, higher quitting motivation, and higher age were associated with higher interest in support (ps ≤ .001). A recent quit attempt and greater interest in support was associated with speaking to a health professional about quitting and use of NHS cessation support (ps ≤ .001). Conclusions When asked in early or late pregnancy, about half of pregnant smokers were interested in cessation support, though most did not engage. Cessation support should be offered throughout pregnancy and after delivery. Implications There is relatively high interest in cessation support in early and late pregnancy and postpartum among smokers; however, a much smaller proportion of pregnant or postpartum women access any cessation support, highlighting a gap between interest and engagement. Reflecting women’s interest, offers of cessation support should be provided throughout pregnancy and after delivery. Increasing motivation to quit and confidence in quitting with assistance may enhance interest in support, and promoting the discussion of stopping smoking between women and health practitioners may contribute to higher support engagement rates.en_UK
dc.language.isoenen_UK
dc.publisherOxford University Press (OUP)en_UK
dc.relationNaughton F, Vaz LR, Coleman T, Orton S, Bowker K, Leonardi-Bee J, Cooper S, Vanderbloemen L, Sutton S & Ussher M (2020) Interest in and Use of Smoking Cessation Support Across Pregnancy and Postpartum. Nicotine and Tobacco Research, 22 (7), p. 1178–1186. https://doi.org/10.1093/ntr/ntz151en_UK
dc.rights© The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Supplementary dataen_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectpregnancyen_UK
dc.subjectsmokingen_UK
dc.subjectsmoking cessationen_UK
dc.subjecthealth personnelen_UK
dc.subjectpostpartum perioden_UK
dc.subjectearly stage of pregnancyen_UK
dc.subjectlate stage of pregnancyen_UK
dc.subjectnational health service (UK)en_UK
dc.subjectsmokersen_UK
dc.titleInterest in and Use of Smoking Cessation Support Across Pregnancy and Postpartumen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1093/ntr/ntz151en_UK
dc.identifier.pmid31570944en_UK
dc.citation.jtitleNicotine and Tobacco Researchen_UK
dc.citation.issn1469-994Xen_UK
dc.citation.issn1462-2203en_UK
dc.citation.volume22en_UK
dc.citation.issue7en_UK
dc.citation.spage1178–1186en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderNational Institute for Health Researchen_UK
dc.citation.date23/08/2019en_UK
dc.contributor.affiliationUniversity of East Angliaen_UK
dc.contributor.affiliationUniversity of Nottinghamen_UK
dc.contributor.affiliationUniversity of Nottinghamen_UK
dc.contributor.affiliationUniversity of Nottinghamen_UK
dc.contributor.affiliationUniversity of Nottinghamen_UK
dc.contributor.affiliationUniversity of Nottinghamen_UK
dc.contributor.affiliationUniversity of Nottinghamen_UK
dc.contributor.affiliationImperial College Londonen_UK
dc.contributor.affiliationUniversity of Cambridgeen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.identifier.isiWOS:000546979200015en_UK
dc.identifier.scopusid2-s2.0-85086523118en_UK
dc.identifier.wtid1470648en_UK
dc.contributor.orcid0000-0002-0995-7955en_UK
dc.date.accepted2019-08-15en_UK
dc.date.filedepositdate2019-10-28en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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