Brinzaniuc Alexandra, Strilciuc Andreea, Blaga Oana M, Chereches Razvan M, Meghea Cristian I
Department of Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University, Cluj-Napoca, Romania.
Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University, Cluj-Napoca, Romania.
Tob Prev Cessat. 2018 Mar;4. doi: 10.18332/tpc/86161.
Smoking during pregnancy has negative effects on the mother and the unborn infant. Barriers to and facilitators of smoking cessation during pregnancy are context-dependent and multifaceted. This qualitative research explored pregnant women's experiences with smoking and cessation in Romania, and informed the development of a couple-focused smoking cessation intervention.
Semi-structured, in-depth interviews were conducted via telephone, with 15 pregnant women who smoked during pregnancy or had quit smoking upon learning about the pregnancy or shortly before. A hybrid inductive-deductive approach to thematic analysis was used, to identify patterns in the data and explore women's narratives, in relation to smoking and smoking cessation.
Three main themes emerged from the data, which shaped the socio-cultural adaptation of the intervention to the local context: 1) Access to and mixed messages from the healthcare system that describe an inconsistent discourse from the healthcare system regarding smoking during pregnancy with some physicians not emphasizing the need for cessation, 2) Cessation as individual or team effort with variations in partner dynamics and difficulty in quitting that have important roles in perceptions about team efforts, and 3) Transition to motherhood and motivation to quit for the health of the pregnancy and infant, although in isolated cases women felt less connected with the pregnancy and such motivators.
Pregnant women in Romania face systemic, interpersonal, and individual-level barriers that can be responsively integrated in smoking cessation interventions, by culturally adapting them to the local context.
孕期吸烟会对母亲和未出生的婴儿产生负面影响。孕期戒烟的障碍和促进因素因具体情况而异，且是多方面的。这项定性研究探讨了罗马尼亚孕妇吸烟和戒烟的经历，并为一项以夫妻为重点的戒烟干预措施的制定提供了信息。
通过电话对15名在孕期吸烟或在得知怀孕后或临产前戒烟的孕妇进行了半结构化的深入访谈。采用了一种归纳 - 演绎相结合的主题分析方法，以识别数据中的模式并探讨女性关于吸烟和戒烟的叙述。
数据中出现了三个主要主题，这些主题塑造了干预措施在当地背景下的社会文化适应性：1）从医疗保健系统获取的信息繁杂，该系统对于孕期吸烟的论述不一致，一些医生没有强调戒烟的必要性；2）戒烟是个人或团队的努力，伴侣关系动态各异，戒烟困难，这些在对团队努力的认知中起着重要作用；3）向母亲角色的转变以及为了胎儿和婴儿健康而戒烟的动机，尽管在个别情况下，女性与怀孕的联系较少，此类动机也较弱。
罗马尼亚的孕妇面临系统性、人际性和个人层面的障碍，通过根据当地情况进行文化调适，可以将这些障碍灵活地纳入戒烟干预措施中。
