Passey Megan E, Sanson-Fisher Robert W
University Centre for Rural Health-North Coast, School of Public Health, University of Sydney, Lismore, Australia;
School of Medicine and Public Health, Faculty of Health, University of Newcastle, Newcastle, Australia.
Nicotine Tob Res. 2015 Jun;17(6):746-9. doi: 10.1093/ntr/ntv019. Epub 2015 Jan 29.
Guidelines recommend assessment of smoking status, with advice and support for smoking cessation, as a routine and integral part of antenatal care. Approximately 50% of pregnant Australian Aboriginal and Torres Strait Islander women smoke through pregnancy, 3 times the rate of other pregnant Australian women. This study describes smoking cessation assessment and support reported by pregnant Aboriginal and Torres Strait Islander women.
Surveys of 261 pregnant Aboriginal and Torres Strait Islander women in New South Wales and the Northern Territory, Australia assessed women's reports of assessment, advice and support for smoking cessation from antenatal providers.
The majority of women (90%, 95% CI = 85, 93) reported being asked their smoking status; 81% (95% CI = 73, 87) of smokers reported being advised to stop smoking and 62% (95% CI = 53, 71) of smokers reported being offered support to quit.
Despite most pregnant women who smoke reporting advice and support to quit, the persisting high prevalence of smoking suggests that this support is insufficient to overcome the many factors pushing women to smoke. Improving the support provided to women will require empowering the antenatal providers with adequate skills, appropriate resources and effective interventions. Current guidelines are based on research from non-Indigenous populations, as there are no published effective interventions for Indigenous pregnant women. Trials of interventions designed specifically for pregnant Aboriginal and Torres Strait Islander women are urgently needed, as are approaches aimed at reducing uptake of smoking.
指南建议将评估吸烟状况并提供戒烟建议与支持作为产前护理的常规且不可或缺的一部分。约50%的澳大利亚原住民和托雷斯海峡岛民孕妇在孕期吸烟，这一比例是其他澳大利亚孕妇的3倍。本研究描述了原住民和托雷斯海峡岛民孕妇报告的戒烟评估与支持情况。
对澳大利亚新南威尔士州和北领地的261名原住民和托雷斯海峡岛民孕妇进行调查，评估她们关于产前护理提供者对其吸烟评估、建议和支持的报告。
大多数女性（90%，95%置信区间 = 85, 93）报告被询问吸烟状况；81%（95%置信区间 = 73, 87）的吸烟者报告被建议戒烟，62%（95%置信区间 = 53, 71）的吸烟者报告得到了戒烟支持。
尽管大多数吸烟孕妇报告得到了戒烟建议和支持，但持续的高吸烟率表明这种支持不足以克服促使女性吸烟的诸多因素。要改善对女性的支持，需要使产前护理提供者具备足够的技能、适当的资源和有效的干预措施。当前指南基于非原住民人群的研究，因为尚无针对原住民孕妇的已发表有效干预措施。迫切需要专门为原住民和托雷斯海峡岛民孕妇设计的干预措施试验，以及旨在减少吸烟行为的方法。
