Interest in and use of smoking cessation support across pregnancy and postpartum

Naughton, Felix; Reeves Vaz, Luis; Coleman, Tim; Orton, Sophie; Bowker, Katharine; Leonardi-Bee, Jo; Cooper, Sue; Vanderbloemen, Laura; Sutton, Stephen; Ussher, Michael

Abstract

Background: Limited research exists on interest in and use of smoking cessation support in pregnancy and postpartum.

Methods: A longitudinal cohort of pregnant smokers and recent ex-smokers were recruited in Nottinghamshire, UK (N=850). Data were collected at 8-26 weeks gestation, 34-36 weeks gestation and 3 months postpartum and used as three cross-sectional surveys. Interest and use of cessation support and belief and behaviour measures were collected at all waves. Key data were adjusted for non-response and analysed descriptively, and multiple regression used to identify associations.

Results: In early and late pregnancy, 44% (95% CI 40-48%) and 43% (95% CI 37-49%) of smokers respectively were interested in cessation support, with 33% (95% CI 27-39%) interested postpartum. In early pregnancy, 43% of smokers reported discussing cessation with a midwife and in late pregnancy 27% did so. Over one-third (38%) did not report discussing quitting with a health professional during pregnancy. Twenty-seven percent of smokers reported using any NHS cessation support and 12% accessed NHS Stop Smoking Services during pregnancy. Lower quitting confidence (self-efficacy), higher confidence in stopping with support, higher quitting motivation and higher age were associated with higher interest in support (ps≤0.001). A recent quit attempt and greater interest in support was associated with speaking to a health professional about quitting and use of NHS cessation support (ps≤0.001).

Conclusions: When asked in early or late pregnancy, about half of pregnant smokers were interested in cessation support, though most did not engage. Cessation support should be offered throughout pregnancy and after delivery.

Citation

Naughton, F., Reeves Vaz, L., Coleman, T., Orton, S., Bowker, K., Leonardi-Bee, J., …Ussher, M. (2020). Interest in and use of smoking cessation support across pregnancy and postpartum. Nicotine and Tobacco Research, 22(7), 1178–1186. https://doi.org/10.1093/ntr/ntz151

• Journal Article Type: Article
• Acceptance Date: Aug 12, 2019
• Online Publication Date: Aug 23, 2019
• Publication Date: Jul 1, 2020
• Deposit Date: Aug 19, 2019
• Publicly Available Date: Aug 24, 2020
• Journal: Nicotine & Tobacco Research
• Print ISSN: 1462-2203
• Electronic ISSN: 1469-994X
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• Volume: 22
• Issue: 7
• Pages: 1178–1186
• DOI: https://doi.org/10.1093/ntr/ntz151
• Public URL: https://nottingham-repository.worktribe.com/output/2447841
• Publisher URL: https://academic.oup.com/ntr/advance-article/doi/10.1093/ntr/ntz151/5553845
• Additional Information: This is a pre-copyedited, author-produced version of an article accepted for publication in Nicotine & Tobacco Research following peer review. The version of record Felix Naughton, Luis Reeves Vaz, Tim Coleman, Sophie Orton, Katharine Bowker, Jo Leonardi-Bee, Sue Cooper, Laura Vanderbloemen, Stephen Sutton, Michael Ussher, Interest in and use of smoking cessation support across pregnancy and postpartum, Nicotine & Tobacco Research, , ntz151 is available online at https://doi.org/10.1093/ntr/ntz151
• Contract Date: Aug 19, 2019