Schilling Laura, Schneider Sven, Maul Holger, Spallek Jacob
Department of Public Health, Brandenburg University of Technology, Senftenberg, Germany.
Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Geburtshilfe Frauenheilkd. 2020 Jan;80(1):66-75. doi: 10.1055/a-1061-7288. Epub 2020 Jan 13.
During pregnancy, the mother's healthy lifestyle is crucial for the health of the fetus. Potential risk factors for maternal and child health should therefore be identified and reduced as early as possible. The consumption of e-cigarettes represents one of these potential risk factors. Exploring risk perceptions about e-cigarette use during pregnancy can provide early indications of possible user motives. Therefore, our mixed methods udy on -cigarettes and regnancy (STEP) aimed to comprehensively analyze risk perceptions about e-cigarette use during pregnancy based on an ntegrated ealth elief odel (IHBM). This paper describes the study design, methods, sample population and limitations of STEP. Our sequential mixed methods study combined qualitative and quantitative approaches. In the qualitative section of the study which preceded the quantitative part of the study, we aimed to characterize risk perceptions about e-cigarette use during pregnancy. We used a netnographic research approach which analyzed discussion threads in online forums dealing with e-cigarette use during pregnancy. The analysis was based on an IHBM. Identified themes were incorporated in the questionnaire which was developed for the quantitative part of the study. The quantitative section aimed to quantify, among other things, perceived threats, barriers and benefits and to explore differences in risk perception according to sociodemographic characteristics and tobacco and e-cigarette usage. In the qualitative section, 1552 posts in 25 online discussion threads dealing, inter alia, with e-cigarette use during pregnancy were identified. The quantitative part looked at the responses in the questionnaires handed in by 575 pregnant women who attended a hospital in Hamburg (Germany) from April 2018 to January 2019 (response rate: 27.5%). Data collection was successful for both the qualitative and quantitative parts of the study. When interpreting the results of STEP, different limitations should be taken into account. The results of STEP provide starting points for the development of tailored preventive measures for pregnant women.
在孕期，母亲的健康生活方式对胎儿健康至关重要。因此，应尽早识别并减少母婴健康的潜在风险因素。电子烟的使用就是其中一个潜在风险因素。探究孕期使用电子烟的风险认知可以为可能的使用者动机提供早期线索。因此，我们关于电子烟与孕期的混合方法研究（STEP）旨在基于综合健康信念模型（IHBM）全面分析孕期使用电子烟的风险认知。本文描述了STEP的研究设计、方法、样本群体和局限性。我们的序贯混合方法研究结合了定性和定量方法。在研究的定性部分（先于定量部分），我们旨在描述孕期使用电子烟的风险认知。我们采用了网络民族志研究方法，分析了在线论坛中关于孕期使用电子烟的讨论帖。该分析基于IHBM。识别出的主题被纳入为研究的定量部分所开发的问卷中。定量部分旨在量化（除其他外）感知到的威胁、障碍和益处，并根据社会人口学特征以及烟草和电子烟使用情况探究风险认知的差异。在定性部分，共识别出25个在线讨论帖中的1552个帖子，这些帖子尤其涉及孕期使用电子烟的情况。定量部分考察了2018年4月至2019年1月期间在德国汉堡一家医院就诊的575名孕妇所提交问卷的回复情况（回复率：27.5%）。研究的定性和定量部分的数据收集均取得成功。在解读STEP的结果时，应考虑到不同的局限性。STEP的结果为制定针对孕妇的定制化预防措施提供了出发点。
