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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Addressing and overcoming barriers to e-cigarette use for smoking cessation in pregnancy: A qualitative study
Author(s): Bowker, Katharine
Ussher, Michael
Cooper, Sue
Orton, Sophie
Coleman, Tim
Campbell, Katarzyna Anna
Keywords: pregnancy
electronic cigarettes
smoking cessation
Issue Date: Jul-2020
Citation: Bowker K, Ussher M, Cooper S, Orton S, Coleman T & Campbell KA (2020) Addressing and overcoming barriers to e-cigarette use for smoking cessation in pregnancy: A qualitative study. International Journal of Environmental Research and Public Health, 17 (13), Art. No.: 4823.
Abstract: 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.
DOI Link: 10.3390/ijerph17134823
Rights: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
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