Psychology Department, Durham University, Science Site, South Road, Durham DH1 3LE, England.
Midwifery. 2021 Mar;94:102917. doi: 10.1016/j.midw.2020.102917. Epub 2020 Dec 26.
The aim of this exploratory qualitative analysis is to assess the perceptions of risks of cigarette and e-cigarette use during pregnancy.
An important public health aim is a reduction of smoking at time of delivery (SATOD) from 10.6% to less than 6% by 2022 in the United Kingdom (UK). In order to successfully meet this target, we need to have a better understanding of the perceived risks associated with cigarette smoking. Additionally, the use of e-cigarettes is increasing in the general population, with pregnant women being supported to use such products if it helps them remain smoke free. However, in contrast to cigarette smoking, there is little definitive research assessing the safety of e-cigarette use during pregnancy, with most information disregarding the health of the growing fetus. E-cigarettes are of special interest, given they are an unlicensed product for use during pregnancy, yet women are being supported to use them as a method of harm reduction. A better understanding of perceived risks is essential.
Fourteen interviews were conducted one month postpartum with women who smoked during pregnancy and continued to smoke after the birth. Thematic analysis was conducted.
Two themes emerged for cigarette smoking; health and justifications. Six themes were identified for e-cigarette use; the unknown, experience, comparison to cigarettes, the product, advice and healthier option. A range of subthemes are discussed.
Women provided a range of justifications for continuing to smoke during pregnancy. Women felt e-cigarettes were a riskier option than continuing to smoke.
本探索性定性分析旨在评估孕妇对香烟和电子烟使用风险的看法。
英国（UK）的一个重要公共卫生目标是，到 2022 年，将分娩时的吸烟率（SATOD）从 10.6%降至 6%以下。为了成功实现这一目标，我们需要更好地了解与吸烟相关的感知风险。此外，电子烟在普通人群中的使用正在增加，如果电子烟能帮助孕妇戒烟，那么孕妇也会被支持使用这些产品。然而，与吸烟相比，评估怀孕期间使用电子烟安全性的明确研究很少，大多数信息都忽略了胎儿的健康。电子烟尤其令人关注，因为它们是一种未经许可的孕妇使用产品，但却被支持用于减少伤害。因此，更好地了解感知风险是至关重要的。
在产后一个月，对 14 名在怀孕期间吸烟且产后继续吸烟的孕妇进行了访谈。采用主题分析方法。
香烟使用出现了两个主题：健康和理由。电子烟使用出现了六个主题：未知、体验、与香烟的比较、产品、建议和更健康的选择。讨论了一系列子主题。
女性对继续在怀孕期间吸烟提供了一系列理由。女性认为电子烟比继续吸烟风险更大。
