Passey Megan E, Sanson-Fisher Rob W, Stirling Janelle M
University of Sydney, Lismore, NSW, Australia,
Matern Child Health J. 2014 Dec;18(10):2293-9. doi: 10.1007/s10995-013-1373-z.
To assess support for 12 potential smoking cessation strategies among pregnant Australian Indigenous women and their antenatal care providers. Cross-sectional surveys of staff and women in antenatal services providing care for Indigenous women in the Northern Territory and New South Wales, Australia. Respondents were asked to indicate the extent to which each of a list of possible strategies would be helpful in supporting pregnant Indigenous women to quit smoking. Current smokers (n = 121) were less positive about the potential effectiveness of most of the 12 strategies than the providers (n = 127). For example, family support was considered helpful by 64 % of smokers and 91 % of providers; between 56 and 62 % of smokers considered advice and support from midwives, doctors or Aboriginal Health Workers likely to be helpful, compared to 85-90 % of providers. Rewards for quitting were considered helpful by 63 % of smokers and 56 % of providers, with smokers rating them more highly and providers rating them lower, than most other strategies. Quitline was least popular for both. This study is the first to explore views of pregnant Australian Indigenous women and their antenatal care providers on strategies to support smoking cessation. It has identified strategies which are acceptable to both providers and Indigenous women, and therefore have potential for implementation in routine care. Further research to explore their feasibility in real world settings, uptake by pregnant women and actual impact on smoking outcomes is urgently needed given the high prevalence of smoking among pregnant Indigenous women.
评估澳大利亚孕期原住民妇女及其产前护理提供者对12种潜在戒烟策略的支持情况。对澳大利亚北领地和新南威尔士州为原住民妇女提供护理的产前服务机构中的工作人员和妇女进行横断面调查。受访者被要求指出一系列可能的策略中每一项对支持孕期原住民妇女戒烟有多大帮助。当前吸烟者（n = 121）对12种策略中大多数策略的潜在效果不如提供者（n = 127）积极。例如，64%的吸烟者和91%的提供者认为家庭支持有帮助；56%至62%的吸烟者认为助产士、医生或原住民健康工作者的建议和支持可能有帮助，而提供者的这一比例为85%至90%。63%的吸烟者和56%的提供者认为戒烟奖励有帮助，吸烟者对其评价高于大多数其他策略，而提供者的评价则较低。戒烟热线对两者来说都是最不受欢迎的。本研究首次探讨了澳大利亚孕期原住民妇女及其产前护理提供者对支持戒烟策略的看法。它确定了提供者和原住民妇女都认可的策略，因此有可能在常规护理中实施。鉴于孕期原住民妇女吸烟率很高，迫切需要进一步研究以探索这些策略在现实环境中的可行性、孕妇的接受程度以及对吸烟结果的实际影响。
