TY - JOUR
T1 - Attitudes to E-cigarettes and cessation support for pregnant women from english stop smoking services: A mixed methods study
AU - Cooper, Sue
AU - Orton, Sophie
AU - Campbell, Katarzyna A.
AU - Ussher, Michael
AU - Coleman-Haynes, Naomi
AU - Whitemore, Rachel
AU - Dickinson, Anne
AU - McEwen, Andy
AU - Lewis, Sarah
AU - Naughton, Felix
AU - Bowker, Katharine
AU - Sinclair, Lesley
AU - Bauld, Linda
AU - Coleman, Tim
PY - 2019/1/3
Y1 - 2019/1/3
N2 - Smoking in pregnancy remains a public health problem. In the UK e-cigarettes are the most popular aid to quitting smoking outside of pregnancy, but we don’t know the extent of e-cigarette use in pregnancy or how English Stop Smoking Services (SSS) respond to pregnant women who vape. In 2015 we surveyed SSS managers about cessation support for pregnant women and responses to clients who vaped. Subsequently we interviewed a sub-sample of managers to seek explanations for the SSS’ position on e-cigarettes; interviews were thematically analysed. Survey response rate was 67.8% (72/106); overall managers reported 2.2% (range 1.4–4.3%) of pregnant clients were using e-cigarettes. Most SSS reported supporting pregnant women who already vaped, but would not recommend e-cigarette use; for women that were still smoking and not using e-cigarettes, 8.3% of SSS were likely/very likely to advise using e-cigarettes, with 56.9% of SSS unlikely/very unlikely to advise using them. Fifteen respondents were interviewed; interviewees were generally positive about the potential of e-cigarettes for cessation in pregnancy although concerns about perceived lack of evidence for safety were expressed and most wanted research on this. Clear guidance on e-cigarette use informed by pregnancy specific research will assist SSS to provide consistent evidence-based support.
AB - Smoking in pregnancy remains a public health problem. In the UK e-cigarettes are the most popular aid to quitting smoking outside of pregnancy, but we don’t know the extent of e-cigarette use in pregnancy or how English Stop Smoking Services (SSS) respond to pregnant women who vape. In 2015 we surveyed SSS managers about cessation support for pregnant women and responses to clients who vaped. Subsequently we interviewed a sub-sample of managers to seek explanations for the SSS’ position on e-cigarettes; interviews were thematically analysed. Survey response rate was 67.8% (72/106); overall managers reported 2.2% (range 1.4–4.3%) of pregnant clients were using e-cigarettes. Most SSS reported supporting pregnant women who already vaped, but would not recommend e-cigarette use; for women that were still smoking and not using e-cigarettes, 8.3% of SSS were likely/very likely to advise using e-cigarettes, with 56.9% of SSS unlikely/very unlikely to advise using them. Fifteen respondents were interviewed; interviewees were generally positive about the potential of e-cigarettes for cessation in pregnancy although concerns about perceived lack of evidence for safety were expressed and most wanted research on this. Clear guidance on e-cigarette use informed by pregnancy specific research will assist SSS to provide consistent evidence-based support.
KW - E-cigarettes
KW - Electronic cigarettes
KW - Interviews
KW - Mixed methods
KW - Pregnancy
KW - Smoking
KW - Smoking cessation
KW - Stop smoking services
KW - Survey
UR - http://www.scopus.com/inward/record.url?scp=85059501317&partnerID=8YFLogxK
U2 - 10.3390/ijerph16010110
DO - 10.3390/ijerph16010110
M3 - Article
C2 - 30609823
AN - SCOPUS:85059501317
SN - 1661-7827
VL - 16
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 1
M1 - 110
ER -