A survey of pregnant smokers’ interest in different types of smoking cessation support

Ussher, Michael; West, Robert; Hibbs, Nicola

doi:10.1016/s0738-3991(03)00197-6

Cited by 51 publications

(46 citation statements)

References 35 publications

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“…Ussher, West, and Hibbs (2004) found that preference for format and approach of a smoking cessation intervention varies by racial group and socioeconomic status among a sample of pregnant women who smoke. Ethnic minority groups reported greater preference for behavioral support, whereas low socioeconomic groups of women reported preference for "buddying" approaches.…”

Section: Tailoring Approaches For Diverse Womenmentioning

confidence: 99%

Tobacco Cessation Interventions for Underserved Women

Hemsing

Greaves

Poole

2015

Journal of Social Work Practice in the Addictions

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Despite high rates of smoking among some subgroups of women, there is a lack of tailored interventions to address smoking cessation among women. We identify components of a women-centered approach to tobacco cessation by analyzing 3 bodies of literature: sex and gender influences in tobacco use and addiction; evidence-based tobacco cessation guidelines; and best practices in delivery of women-centered care. Programming for underserved women should be tailored, build confidence and increase motivation, integrate social justice issues and address inequities, and be holistic and comprehensive. Addressing the complexity of women's smoking and tailoring appropriately could help address smoking among subpopulations of women. KEYWORDS smoking cessation, tobacco dependence treatment, underserved women, women-centered careReceived February 3, 2015; revised April 9, 2015; accepted May 14, 2015. © Natalie Hemsing, Lorraine Greaves, and Nancy Poole. This is an Open Access article. Non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly attributed, cited, and is not altered, transformed, or built upon in any way, is permitted. The moral rights of the named author(s) have been asserted.Address (Husky, Paliwal, Mazure, & McKee, 2007). In a substance use treatment center for women in Vancouver, Canada, in 2003, 79% of residential participants and 71% of day program participants reported being current smokers (Malmo, 2007).Findings from several studies that examined gender differences in tobacco dependence and treatment suggest that some subpopulations of women might encounter more challenges in quitting than women in general or men. A study examining cessation rates and treatment response among 2,850 participants found that women, Blacks, and smokers with lower levels of education were less likely to successfully quit smoking, compared to men, Whites, and smokers with high levels of education (Piper et al., 2010). Husky and colleagues found that women with substance use disorders were significantly more likely to smoke than men (Husky et al., 2007). An evaluation of a tobacco cessation intervention for patients with serious mental illness showed a significant difference in treatment effectiveness by gender, with men achieving a higher cessation rate compared to women (69% vs. 31%) (Currie et al., 2008). RESPONSES IN TOBACCO CONTROLEvidence such as this raises important questions about effective smoking cessation treatment for women and girls, and subpopulations of women who are vulnerable to tobacco use. The prevalence of smoking among specific subgroups of women suggests that cessation approaches currently available are (Graham, 2009), and is also a means of managing difficult emotions and facilitating social cohesion (Greaves, 1996). Yet, tobacco cessation treatment interventions have failed to address the full context of women's smoking and social and economic determinants of women's health.Generally, tobacco control efforts have focused on comprehensive approaches aimed ...

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Section: Tailoring Approaches For Diverse Womenmentioning

confidence: 99%

Tobacco Cessation Interventions for Underserved Women

Hemsing

Greaves

Poole

2015

Journal of Social Work Practice in the Addictions

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“…This population is often reluctant to use nicotine replacement therapy (Ussher & West, 2003) and for which there is no evidence of benefit (Coleman, Chamberlain, Davey, Cooper, & Leonardi-Bee, 2012), but has expressed high levels of interest in using exercise to aid smoking cessation (Ussher, West, & Hibbs, 2004). Pregnancy is often considered an ideal opportunity for behavioural change because women are more likely to stop smoking during pregnancy than at any other time in their lives (McBride, 2003).…”

Section: Introductionmentioning

confidence: 99%

The effects of acute exercise on tobacco cravings and withdrawal symptoms in temporary abstinent pregnant smokers

Prapavessis

Jesus

Harper

et al. 2014

Addictive Behaviors

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Introduction-Smoking during pregnancy is common, and quitting at any point during pregnancy can yield benefits to both the fetus and mother. Smoking cessation is typically followed by withdrawal symptoms and a strong desire to smoke, both of which are likely to contribute to relapse. Research has shown that a bout of exercise minimizes cravings and tobacco withdrawal symptoms (TWS) after temporary abstinence in smokers, but these findings have not been replicated in pregnant smokers. This study examined the effect of 20 min of exercise on cravings (primary outcome) and TWS (secondary outcomes) among temporary abstinent, inactive pregnant smokers.Methods-Thirty female smokers (Mean(M) age = 25.7 years, Standard Deviation(SD) = 5.5; M weeks pregnant = 18.2, SD = 5.3; Fagerstrom Test for Cigarette Dependence = 3.3, SD = 2.2; M 9.3 cigarettes/day, SD = 4.7; M hours abstained = 17.2, SD = 2.8) were randomized to 20 min of mild-to-moderate intensity exercise (EC; n = 14) or passive (PC; n = 16) condition. Cravings and TWS were assessed immediately before, during (at 10 min), immediately post, and at 10, 20, and 30 min post-condition.Results-A 2 (condition) × 6 (time) repeated measures ANOVA revealed that the EC significantly (p < 0.05) reduced cravings (ή 2 = 0.46) compared with the PC, across time. Nonsignificant, but nevertheless, large effects were evident favouring the EC over time for TWS ☆ Editorial board for Addictive Behaviors. *Corresponding author at: University of Western Ontario, Faculty of Health Sciences, School of Kinesiology, Thames Hall/3M Centre, London, Ontario, Canada, N6A 3K7. Tel.: +1 519 661 2111x80173. hprapave@uwo.ca (H. Prapavessis). Contributors HP, GF, PS, MM, and MU conceived the study. SDJ, AC, TH and LF recruited participants and conducted the study in London, ON. MU recruited participants and collected the study in London, England. HP and SDJ ran the statistical analyses and prepared the first draft of the manuscript, which were jointly interpreted and edited by the authors, respectively. All authors contributed to and approved the final version of the manuscript. Conflict of interestMy coauthors and I do not have any personal or financial conflicts of interest related to the research, nor do the authors have other relationships with other people or organizations within three years of beginning the submitted work that could inappropriately influence, or be perceived to influence, this work. CIHR Author ManuscriptCIHR Author Manuscript CIHR Author Manuscript restlessness (ή 2 = 0.34), stress (ή 2 = 0.24), irritability (ή 2 = 0.21), tension (ή 2 = 0.15), and depression (ή 2 = 0.14).Conclusions-Consistent with previous research, this study reveals that in pregnant smokers, a bout of exercise is associated with a reduction in cravings and similar patterns exist for TWS. Therefore, exercise may have the potential to assist in the initial stages of smoking cessation attempts during pregnancy.

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“…However, while pregnant smokers appear to be receptive to smoking cessation interventions in principle (Ussher et al, 2004), only about 5% of pregnant smokers actually use smoking cessation courses available through the NHS (Taylor and Hajek, 2001). One explanation for the poor uptake of smoking cessation interventions amongst pregnant women is a low level of perceived effectiveness associated with available services.…”

Section: Introductionmentioning

confidence: 99%