Dunn Caroline L, Pirie Phyllis L, Hellerstedt Wendy L
Division of Epidemiology, 1300 South Second Street, Suite 300, School of Public Health, University of Minnesota, Minneapolis, MN 55454, USA.
Health Educ Res. 2003 Jun;18(3):352-62. doi: 10.1093/her/cyf025.
Disparities in prenatal smoking rates indicate the need for new smoking cessation intervention strategies tailored to low-income pregnant women. Information about natural patterns of advice-giving during pregnancy would facilitate this goal. This study examines the advice-giving role of close female friends and relatives ('confidantes') during pregnancy, and assesses the utility of including them in an intervention. A questionnaire was administered verbally to 225 low-income pregnant women to assess: (1) the prevalence and characteristics of confidantes, (2) the persuasiveness of confidante advice in general and with respect to smoking, specifically, and (3) the permissiveness of confidante smoking advice. Comparisons were made with doctors and partners. Most women (91.4%) identified a confidante, the majority of whom were their own mothers. Doctors were rated most persuasive in their general prenatal advice, followed by confidantes and partners (all differences, P < 0.05). A similar pattern was observed among prenatal smokers in relation to advice given about prenatal smoking. As compared to doctors, confidante advice was significantly more permissive of smoking during pregnancy. While women value their doctors' advice during pregnancy, close female friends and relatives also have an important and unique role. Educational efforts may be effective when directed at these advice-givers.
产前吸烟率的差异表明，需要针对低收入孕妇制定新的戒烟干预策略。了解孕期自然的建议给予模式将有助于实现这一目标。本研究调查了亲密女性朋友和亲属（“知己”）在孕期给予建议的作用，并评估将她们纳入干预措施的效用。通过对225名低收入孕妇进行口头问卷调查，以评估：（1）知己的普遍性和特征；（2）知己建议总体上以及特别是关于吸烟建议的说服力；（3）知己吸烟建议的宽容度。并与医生和伴侣进行了比较。大多数女性（91.4%）都有一位知己，其中大多数是她们自己的母亲。在总体产前建议方面，医生被评为最有说服力，其次是知己和伴侣（所有差异，P<0.05）。在产前吸烟者中，关于产前吸烟的建议也观察到类似模式。与医生相比，知己的建议对孕期吸烟的宽容度明显更高。虽然女性在孕期重视医生的建议，但亲密的女性朋友和亲属也有重要且独特的作用。针对这些建议给予者开展教育工作可能会有效。
