Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study

Smoke-free pregnancies have long-term health benefits for mothers and babies. This paper quantitatively examines factors associated with smoke-free pregnancies among Aboriginal and Torres Strait Islander women (hereafter Aboriginal women) and qualitatively explores their smoking cessation (SC) exper...

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Autores principales:	Tabassum Rahman, Amanda L. Baker, Gillian S. Gould, Kerrin Palazzi, David Lambkin, Michelle Kennedy
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	Aboriginal and Torres Strait Islander women smoking cessation smoke-free pregnancy Aboriginal Health Services indigenous-led health research Medicine R
Acceso en línea:	https://doaj.org/article/a58de8decb0f4221b4e1cfbb561672ee
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spelling	oai:doaj.org-article:a58de8decb0f4221b4e1cfbb561672ee2021-11-11T16:23:24ZFactors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study10.3390/ijerph1821112401660-46011661-7827https://doaj.org/article/a58de8decb0f4221b4e1cfbb561672ee2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11240https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Smoke-free pregnancies have long-term health benefits for mothers and babies. This paper quantitatively examines factors associated with smoke-free pregnancies among Aboriginal and Torres Strait Islander women (hereafter Aboriginal women) and qualitatively explores their smoking cessation (SC) experiences during pregnancy. An Aboriginal-led online cross-sectional study on SC was conducted with Aboriginal women and in partnership with Aboriginal communities, between July and October 2020. The present analysis includes participants who made a pregnancy-related quit attempt (N = 103). Chi-squared tests, logistic regression models, and thematic analysis of free-form text responses were performed. The adjusted odds of having smoke-free pregnancies were 4.54 times higher among participants who used Aboriginal Health Services (AHS) (AOR = 4.54, <i>p</i>-value 0.018). Participants living in urban settings had 67% lower odds of having smoke-free pregnancies compared to their regional/remote counterparts (AOR = 0.33, <i>p</i>-value 0.020). Qualitative data revealed strong motivations to reduce tobacco-related harms to the fetus and variability in quitting experiences at different stages of and across pregnancies. Smoking cessation care (SCC) can support Aboriginal women meaningfully if their quitting experiences are considered in SCC development and implementation. Consistent funding for AHS-led SCC is needed to garner health benefits for Aboriginal peoples. More research into urban versus regional/remote differences in maternal SC is recommended.Tabassum RahmanAmanda L. BakerGillian S. GouldKerrin PalazziDavid LambkinMichelle KennedyMDPI AGarticleAboriginal and Torres Strait Islander womensmoking cessationsmoke-free pregnancyAboriginal Health Servicesindigenous-led health researchMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11240, p 11240 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Aboriginal and Torres Strait Islander women smoking cessation smoke-free pregnancy Aboriginal Health Services indigenous-led health research Medicine R
spellingShingle	Aboriginal and Torres Strait Islander women smoking cessation smoke-free pregnancy Aboriginal Health Services indigenous-led health research Medicine R Tabassum Rahman Amanda L. Baker Gillian S. Gould Kerrin Palazzi David Lambkin Michelle Kennedy Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study
description	Smoke-free pregnancies have long-term health benefits for mothers and babies. This paper quantitatively examines factors associated with smoke-free pregnancies among Aboriginal and Torres Strait Islander women (hereafter Aboriginal women) and qualitatively explores their smoking cessation (SC) experiences during pregnancy. An Aboriginal-led online cross-sectional study on SC was conducted with Aboriginal women and in partnership with Aboriginal communities, between July and October 2020. The present analysis includes participants who made a pregnancy-related quit attempt (N = 103). Chi-squared tests, logistic regression models, and thematic analysis of free-form text responses were performed. The adjusted odds of having smoke-free pregnancies were 4.54 times higher among participants who used Aboriginal Health Services (AHS) (AOR = 4.54, <i>p</i>-value 0.018). Participants living in urban settings had 67% lower odds of having smoke-free pregnancies compared to their regional/remote counterparts (AOR = 0.33, <i>p</i>-value 0.020). Qualitative data revealed strong motivations to reduce tobacco-related harms to the fetus and variability in quitting experiences at different stages of and across pregnancies. Smoking cessation care (SCC) can support Aboriginal women meaningfully if their quitting experiences are considered in SCC development and implementation. Consistent funding for AHS-led SCC is needed to garner health benefits for Aboriginal peoples. More research into urban versus regional/remote differences in maternal SC is recommended.
format	article
author	Tabassum Rahman Amanda L. Baker Gillian S. Gould Kerrin Palazzi David Lambkin Michelle Kennedy
author_facet	Tabassum Rahman Amanda L. Baker Gillian S. Gould Kerrin Palazzi David Lambkin Michelle Kennedy
author_sort	Tabassum Rahman
title	Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study
title_short	Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study
title_full	Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study
title_fullStr	Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study
title_full_unstemmed	Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study
title_sort	factors associated with smoke-free pregnancy among aboriginal and torres strait women and their experience of quitting smoking in pregnancy: a mixed method cross-sectional study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/a58de8decb0f4221b4e1cfbb561672ee
work_keys_str_mv	AT tabassumrahman factorsassociatedwithsmokefreepregnancyamongaboriginalandtorresstraitwomenandtheirexperienceofquittingsmokinginpregnancyamixedmethodcrosssectionalstudy AT amandalbaker factorsassociatedwithsmokefreepregnancyamongaboriginalandtorresstraitwomenandtheirexperienceofquittingsmokinginpregnancyamixedmethodcrosssectionalstudy AT gilliansgould factorsassociatedwithsmokefreepregnancyamongaboriginalandtorresstraitwomenandtheirexperienceofquittingsmokinginpregnancyamixedmethodcrosssectionalstudy AT kerrinpalazzi factorsassociatedwithsmokefreepregnancyamongaboriginalandtorresstraitwomenandtheirexperienceofquittingsmokinginpregnancyamixedmethodcrosssectionalstudy AT davidlambkin factorsassociatedwithsmokefreepregnancyamongaboriginalandtorresstraitwomenandtheirexperienceofquittingsmokinginpregnancyamixedmethodcrosssectionalstudy AT michellekennedy factorsassociatedwithsmokefreepregnancyamongaboriginalandtorresstraitwomenandtheirexperienceofquittingsmokinginpregnancyamixedmethodcrosssectionalstudy
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Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study

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