Division of Primary Care, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK.
Population Health Research Institute, St George's, University of London, London SW17 0RE, UK.
Int J Environ Res Public Health. 2020 Jul 4;17(13):4823. doi: 10.3390/ijerph17134823.
E-cigarettes may have a role in supporting pregnant women who would otherwise smoke to stop smoking. The study aimed to understand pregnant women's vaping experiences, in particular how vaping to stop smoking is facilitated and how barriers to this are overcome. We conducted semi structured telephone interviews ( = 15) with pregnant or postpartum women who vaped during pregnancy, either exclusively ( = 10) or dual-used ( = 5) (smoked and vaped). Thematic analysis was used to analyse the interviews. Two themes emerged. First, 'facilitating beliefs': inherent beliefs that helped women overcome barriers to vaping. These included understanding the relative safety of vaping and economic gains compared with smoking and pregnancy being a motivator to stop smoking. Second, 'becoming a confident vaper': accumulating sufficient skill and confidence to comfortably vape. This included experimentation with e-cigarettes to ensure nicotine dependence and sensory needs were met. Seeking social support and employing strategies to address social stigma were also important. Positive beliefs about vaping and becoming proficient at vaping were viewed as ways to overcome barriers to vaping. The theoretical domain framework informed intervention recommendations to assist pregnant smokers who have tried but cannot stop smoking to switch to vaping.
电子烟可能在帮助原本会吸烟的孕妇戒烟方面发挥作用。本研究旨在了解孕妇的电子烟使用体验，特别是了解帮助她们戒烟的电子烟使用方式，以及克服这些障碍的方法。我们对 15 名在怀孕期间仅使用电子烟（10 名）或同时使用电子烟和香烟（5 名）的孕妇或产后妇女进行了半结构化电话访谈。采用主题分析法对访谈内容进行分析。结果得出两个主题。第一，“促进信念”：帮助女性克服电子烟使用障碍的内在信念。这些信念包括对电子烟相对安全性的理解，与吸烟相比经济上的收益，以及怀孕是戒烟的动力。第二，“成为自信的电子烟使用者”：积累足够的技能和信心，以便舒适地使用电子烟。这包括尝试电子烟，以确保尼古丁依赖和感官需求得到满足。寻求社会支持并采取策略来解决社会污名化问题也很重要。对电子烟的积极看法以及熟练使用电子烟被视为克服电子烟使用障碍的方法。理论领域框架为帮助尝试戒烟但无法成功的孕妇吸烟者提供了干预建议，以帮助她们改用电子烟。
