孕期及产后的电子烟使用指南与女性决策
Vaping guidance and women's decision-making during pregnancy & postpartum.
作者信息
L Greaves, Brabete A C, Poole N, Huber E, Stinson J
机构信息
Centre of Excellence for Women's Health, B225-4500 Oak St, Vancouver, BC, V6H 3N1, Canada.
School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada.
出版信息
Public Health Pract (Oxf). 2024 Dec 19;9:100570. doi: 10.1016/j.puhip.2024.100570. eCollection 2025 Jun.
BACKGROUND
Vaping during pregnancy remains under researched and under reported, making appropriate prevention, health promotion and intervention difficult to design and mount. In this article we assessed the experiences and considerations of women who vape during pregnancy and/or within 2 years post-partum, in order to underpin realistic and informative health information for women and providers in face of conflicting and minimal guidance.
DESIGN
22 interviews were conducted with pregnant and post-partum women who vape(d) nicotine, cannabis, or both during pregnancy and/or after delivery.
METHODS
Participants who were pregnant or postpartum were recruited via social media and interviews conducted on Zoom or by telephone, recorded and transcribed. Data were coded in NVivo 12 and analyzed using a combined deductive and inductive approach, and principles of abductive analysis were applied to the data.
RESULTS
Three overarching themes related to decision making about vaping are described: women's agency in information seeking, approaches to assessing information, and ambivalence regarding vaping practices. Women looked for information on the health effects of vaping during pregnancy and made differing decisions in the context of limited research and guidance. At times, family, friends, partners, and internet resources influenced their decisions. Some women dealt with ambivalence by vaping only in private, while alone, and at home or as a convenience. The women were uniformly aware of societal judgement regarding pregnancy and substance use in general and feared being addressed by friends or strangers about vaping.
CONCLUSION
In the absence of definitive research and unambiguous clinical guidance, the women felt limited in finding accurate advice, but demonstrated agency in information seeking and assessment. Nonetheless, they also recounted their ambivalence regarding their vaping decisions and practices. We created varied knowledge information products to fill this void.
背景
孕期吸电子烟的情况仍未得到充分研究和报道，这使得难以设计和开展适当的预防、健康促进及干预措施。在本文中，我们评估了孕期和/或产后两年内吸电子烟的女性的经历和考虑因素，以便在指导意见相互矛盾且极少的情况下，为女性及其医疗服务提供者提供切实可行且信息丰富的健康信息。
设计
对孕期和产后吸尼古丁、大麻或两者皆吸的女性进行了22次访谈。
方法
通过社交媒体招募怀孕或产后的参与者，并在Zoom上或通过电话进行访谈，访谈进行录音和转录。数据在NVivo 12中进行编码，并采用演绎和归纳相结合的方法进行分析，同时将溯因分析原则应用于数据。
结果
描述了与吸电子烟决策相关的三个总体主题：女性在信息寻求方面的自主性、评估信息的方法以及对吸电子烟行为的矛盾心理。女性在孕期会寻找有关吸电子烟对健康影响的信息，并在研究和指导有限的情况下做出不同的决定。有时，家人、朋友、伴侣和网络资源会影响她们的决定。一些女性通过仅在私下、独自一人、在家中或出于便利时吸电子烟来应对矛盾心理。这些女性一致意识到社会对孕期和一般物质使用的评判，并担心朋友或陌生人会就吸电子烟一事与她们交谈。
结论
在缺乏确凿研究和明确临床指导的情况下，女性在寻找准确建议时感到受限，但在信息寻求和评估方面表现出自主性。尽管如此，她们也讲述了自己对吸电子烟决定和行为的矛盾心理。我们创建了各种知识信息产品来填补这一空白。
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