Delakovia Taxiarchoula, Katsaounou Paraskevi, Sarantaki Antigoni, Bakou Angeliki, Lykeridou Aikaterini, Diamanti Athina
Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece.
Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Tob Prev Cessat. 2025 Jul 23;11. doi: 10.18332/tpc/205916. eCollection 2025.
Smoking during pregnancy remains a significant global public health concern. Midwives, as frontline healthcare providers, play a crucial role in supporting smoking cessation among pregnant women. This study aimed to explore the factors associated with the implementation of smoking practices by midwives in Greece.
We conducted a cross-sectional survey between December 2022 and December 2023 among 150 midwives working in the 1st and 2nd Health Districts of Greece, as well as in private practices. Data were collected using a self-administered, anonymized questionnaire assessing demographics, knowledge, opinions, perceptions, and smoking cessation practices. Composite scores were calculated for knowledge, opinions, perceptions, and practices. Exploratory factor analysis was applied to examine the structure of midwives' opinions and perceptions. Multivariate linear regression was used to identify independent predictors of smoking cessation practices.
Among the respondents, 78% had not received formal education on smoking cessation, although 77.3% expressed a desire for training. Only 35.3% recognized that secondhand smoke affects newborns, and 32.7% felt confident in supporting pregnant women to quit smoking. Factor analysis identified two key dimensions: midwives' contribution to smoking cessation during pregnancy, and information and help to stop smoking during pregnancy, explaining 27.7% and 16.9% of the variance, respectively. Multivariate regression revealed that both factors were independently associated with more frequent implementation of smoking cessation practices (p<0.05).
The study underscores the pivotal role of midwives in smoking cessation during pregnancy and highlights the importance of perceptions, self-efficacy, and access to information in shaping their practices. Targeted education and institutional support are essential to strengthen midwives' capacity to deliver effective smoking cessation interventions. These findings can inform policy and training programs aiming to improve maternal and neonatal outcomes by reducing tobacco use during pregnancy.
孕期吸烟仍然是一个重大的全球公共卫生问题。助产士作为一线医疗服务提供者，在支持孕妇戒烟方面发挥着关键作用。本研究旨在探讨希腊助产士实施吸烟相关措施的影响因素。
我们在2022年12月至2023年12月期间，对在希腊第一和第二卫生区以及私人诊所工作的150名助产士进行了横断面调查。通过一份自我填写的匿名问卷收集数据，该问卷评估人口统计学信息、知识、意见、认知以及戒烟措施。计算了知识、意见、认知和措施方面的综合得分。应用探索性因素分析来检验助产士意见和认知的结构。使用多元线性回归来确定戒烟措施的独立预测因素。
在受访者中，78%未接受过关于戒烟的正规教育，尽管77.3%表示希望接受培训。只有35.3%的人认识到二手烟会影响新生儿，32.7%的人对支持孕妇戒烟有信心。因素分析确定了两个关键维度：助产士在孕期戒烟中的贡献，以及孕期戒烟的信息和帮助，分别解释了27.7%和16.9%的方差。多元回归显示，这两个因素均与更频繁地实施戒烟措施独立相关（p<0.05）。
该研究强调了助产士在孕期戒烟中的关键作用，并突出了认知、自我效能感以及获取信息在塑造其行为方面的重要性。有针对性的教育和机构支持对于增强助产士提供有效戒烟干预措施的能力至关重要。这些发现可为旨在通过减少孕期烟草使用来改善孕产妇和新生儿结局的政策及培训项目提供参考。
