Smoking in pregnancy: who makes quit attempts whilst pregnant and what types of cessation support do they prefer?

Brotherton, Emma; Orton, Sophie; Coleman, Tim

Abstract

Background
Smoking in pregnancy is strongly associated with adverse pregnancy and birth outcomes. In England, 26% of women smoke at some point during pregnancy, and 12% smoke throughout. Reducing smoking during pregnancy is therefore an NHS priority. Despite this, little is known about women who make a quit attempt during pregnancy. This study examined sociodemographic and psychological characteristics associated with making a quit attempt during pregnancy, and explored preferences for cessation support.

Methods
Cross-sectional, baseline data collected as part of the Pregnancy Lifestyle Survey cohort was analysed. Self-reported current or recent ex-smokers (smoked within 3 months of pregnancy) completed a questionnaire between 8-26 weeks gestation. Logistic regression analysis was used to examine characteristics associated with making a quit attempt. Descriptive statistics were used to investigate interest in accessing different forms of cessation support.
Results
Of the 850 participants, 57% were self-reported current smokers. Cigarettes smoked per day, smoking beliefs, previous pregnancy and a planned pregnancy were found to be significantly associated with whether women made a quit attempt whilst pregnant. Primiparous women were more than twice as likely (OR 2.20: 95% CI 1.33-3.66) to have made a quit attempt than multiparous women, and those who smoked ?11 cigarettes per day were 72% less likely to have made a quit attempt than those who smoked ?5 cigarettes per day (OR 0.28: 95% CI 0.16-0.48). Over 70% of women who had made a quit attempt were interested in accessing health professional led support and self-help materials.

Conclusions
Understanding the characteristics of women who make a quit attempt whilst pregnant and their cessation support preferences could inform future smoking cessation service design, and improve uptake of support services by allowing healthcare providers to target the women most likely to make a quit attempt, and provide support tailored specifically to meet their needs.

Citation

Brotherton, E., Orton, S., & Coleman, T. (2016). Smoking in pregnancy: who makes quit attempts whilst pregnant and what types of cessation support do they prefer?.

• Conference Name: UKCRC16 Public Health Research Centres of Excellence Conference
• End Date: Jul 15, 2016
• Acceptance Date: May 1, 2016
• Publication Date: Jul 15, 2016
• Deposit Date: Mar 8, 2017
• Publicly Available Date: Mar 8, 2017
• Peer Reviewed: Peer Reviewed
• Public URL: https://nottingham-repository.worktribe.com/output/800731