Wigginton Britta, Gartner Coral, Rowlands Ingrid J
School of Public Health, The University of Queensland, Herston, Australia.
School of Public Health, The University of Queensland, Herston, Australia.
Womens Health Issues. 2017 Jan-Feb;27(1):93-99. doi: 10.1016/j.whi.2016.09.008. Epub 2016 Oct 20.
Electronic cigarette (e-cigarette) use, or vaping, is increasing against a backdrop of declining smoking rates. E-cigarettes contain fewer toxicants than cigarettes, but their appearance and mode of use has the potential to satisfy the habitual aspects of smoking. To date, we know little about lay perceptions of the safety of using e-cigarettes in pregnancy.
We conducted a thematic discourse analysis of 13 online discussion forum threads that discussed e-cigarette use during pregnancy. We focused on the major discursive strategies that forum posters used to debate the safety of e-cigarette use during pregnancy.
We identified three distinct ways in which forum posters debated the safety of using e-cigarettes during pregnancy: 1) quitting (nicotine) cold turkey is unsafe, 2) vaping is the lesser of two evils, and 3) vaping is not worth the risk.
Discussions about the safety of e-cigarettes drew on the premise that 1) immediate cessation of nicotine was potentially harmful and unsafe, 2) e-cigarettes were a harm reduction tool, or 3) vaping could be dangerous and should be avoided. Although these arguments are not necessarily specific to pregnancy (beside mentions of fetal-specific risks), this analysis points to the need to educate and support women about harm reduction options.
Health professionals should be aware that some women may be currently using or considering using e-cigarettes in an effort to quit or reduce smoking. It is important that health professionals are equipped to educate women with accurate, up-to-date, and balanced information about the risks and benefits of e-cigarette use during pregnancy.
在吸烟率下降的背景下，电子烟的使用正在增加。电子烟所含的有毒物质比香烟少，但其外观和使用方式有可能满足吸烟的习惯方面。迄今为止，我们对公众对孕期使用电子烟安全性的看法知之甚少。
我们对13个讨论孕期使用电子烟的在线讨论论坛帖子进行了主题话语分析。我们关注论坛发帖者用于辩论孕期使用电子烟安全性的主要话语策略。
我们确定了论坛发帖者辩论孕期使用电子烟安全性的三种不同方式：1）突然戒烟（尼古丁）不安全，2）吸电子烟是两害相权取其轻，3）吸电子烟不值得冒风险。
关于电子烟安全性的讨论基于以下前提：1）立即戒烟（尼古丁）可能有害且不安全，2）电子烟是一种减少危害的工具，或3）吸电子烟可能危险，应避免。尽管这些论点不一定特定于孕期（除了提到特定于胎儿的风险），但该分析指出需要对女性进行关于减少危害选择的教育和支持。
卫生专业人员应意识到，一些女性目前可能正在使用或考虑使用电子烟以戒烟或减少吸烟。卫生专业人员能够为女性提供关于孕期使用电子烟的风险和益处的准确、最新且平衡的信息非常重要。
