Johnston Emily Jade, Campbell Katarzyna, Coleman Tim, Lewis Sarah, Orton Sophie, Cooper Sue
Division of Primary Care, School of Medicine, University of Nottingham, Nottingham, United Kingdom.
Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, United Kingdom.
J Med Internet Res. 2019 Aug 12;21(8):e11506. doi: 10.2196/11506.
Electronic cigarettes (e-cigs) are an increasingly popular alternative to smoking, helping to prevent relapse in those trying to quit and with the potential to reduce harm as they are likely to be safer than standard cigarettes. Many women return to smoking in the postpartum period having stopped during pregnancy, and while this can affect their decisions about breastfeeding, little is known about women's opinions on using e-cigs during this period.
The aim of this study is to explore online forum users' current attitudes, motivations, and barriers to postpartum e-cig use, particularly as a breastfeeding mother.
Data were collected via publicly accessible (identified by Google search) online forum discussions, and a priori codes identified. All transcripts were entered into NVivo for analysis, with a template approach to thematic analysis being used to code all transcripts from which themes were derived.
Four themes were identified: use, perceived risk, social support and evidence, with a number of subthemes identified within these. Women were using e-cigs to prevent postpartum return to smoking, but opinions on their safety were conflicting. They were concerned about possible transfer of harmful products from e-cigs via breastmilk and secondhand exposure, so they were actively seeking and sharing information on e-cigs from a variety of sources. Although some women were supportive of e-cig use, others provided harsh judgement for mothers who used them.
E-cigs have the potential to reduce the number of women who return to smoking in the postpartum period and potentially improve breastfeeding rates, if breastfeeding mothers have access to relevant and reliable information. Health care providers should consider discussing e-cigs with mothers at risk of returning to smoking in the postpartum period.
电子烟正日益成为一种流行的吸烟替代品，有助于防止试图戒烟者复吸，并且由于其可能比传统香烟更安全，因而具有降低危害的潜力。许多女性在孕期戒烟，但产后又重新开始吸烟，这可能会影响她们关于母乳喂养的决定，然而对于女性在这一时期使用电子烟的看法却知之甚少。
本研究旨在探讨在线论坛用户对产后使用电子烟的当前态度、动机和障碍，尤其是作为哺乳期母亲的态度、动机和障碍。
通过公开可访问的（通过谷歌搜索识别）在线论坛讨论收集数据，并确定先验编码。所有抄本都输入NVivo进行分析，采用模板式主题分析法对所有抄本进行编码，从中得出主题。
确定了四个主题：使用、感知风险、社会支持和证据，在这些主题中又确定了一些子主题。女性使用电子烟是为了防止产后复吸，但对其安全性的看法存在冲突。她们担心电子烟中的有害产品可能通过母乳和二手暴露进行传播，因此她们积极从各种来源寻找和分享有关电子烟的信息。尽管一些女性支持使用电子烟，但另一些人对使用电子烟的母亲进行了严厉批评。
如果哺乳期母亲能够获得相关可靠信息，电子烟有可能减少产后复吸的女性数量，并有可能提高母乳喂养率。医疗保健提供者应考虑与有产后复吸风险的母亲讨论电子烟问题。
