Lifespan and Population Health, University of Nottingham School of Medicine, Nottingham, UK
Lifespan and Population Health, University of Nottingham School of Medicine, Nottingham, UK.
BMJ Open. 2024 Aug 30;14(8):e085945. doi: 10.1136/bmjopen-2024-085945.
To explore the acceptability and perceived motivations and barriers of using nicotine replacement therapy (NRT) to reduce the number of daily cigarettes smoked in pregnancy, rather than for stopping completely.
Telephone, semi-structured interviews, audio-recorded and transcribed verbatim. Transcripts were analysed using an inductive thematic analysis.
Eighteen pregnant women in the UK, who were smoking or had recently stopped smoking, were recruited.
Half of interviewees reported having used NRT to reduce smoking during their current pregnancy, and there was overwhelming support for the UK National Health Service to recognise this as a potentially useful way to use these products. The cost and stigma associated with purchasing NRT products when pregnant were seen as barriers to using NRT in this way. The early offer of NRT for reduction along with a tailored, structured approach to support was seen as important.
Using NRT to help women, who are unable to stop smoking, to reduce their smoking may be acceptable to pregnant women. This study found women were already using NRT alongside ad hoc strategies to reduce their smoking. Further research evaluating structured smoking reduction support, alongside concurrent NRT use is needed.
探索在怀孕期间使用尼古丁替代疗法（NRT）来减少每日吸烟量，而不是完全戒烟的可接受性以及感知到的动机和障碍。
电话、半结构化访谈，录音并逐字转录。使用归纳主题分析对转录本进行分析。
英国招募了 18 名正在吸烟或最近已戒烟的孕妇。
一半的受访者报告说，在当前怀孕期间曾使用 NRT 来减少吸烟，并且绝大多数人支持英国国民保健制度承认这是一种可能有用的使用这些产品的方法。在怀孕期间购买 NRT 产品的成本和污名将其视为以这种方式使用 NRT 的障碍。早期提供 NRT 以帮助减少吸烟，并结合量身定制、结构化的支持方式被认为很重要。
使用 NRT 帮助无法戒烟的女性减少吸烟可能会被孕妇接受。本研究发现，女性已经在使用 NRT 与临时策略来减少吸烟。需要进一步研究评估结构化的戒烟支持，以及同时使用 NRT。
