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Obstetricians’ and Gynecologists’ Communication Practices around Smoking Cessation in Pregnancy, Secondhand Smoke and Sudden Infant Death Syndrome (SIDS): A Survey
Open AccessArticle

Addressing and Overcoming Barriers to E-Cigarette Use for Smoking Cessation in Pregnancy: A Qualitative Study

1
Division of Primary Care, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK
2
Population Health Research Institute, St George’s, University of London, London SW17 0RE, UK
3
Institute for Social Marketing and Health, University of Stirling, Stirling FK9 4LA, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(13), 4823; https://doi.org/10.3390/ijerph17134823
Received: 30 May 2020 / Revised: 29 June 2020 / Accepted: 1 July 2020 / Published: 4 July 2020
(This article belongs to the Special Issue Smoking Cessation in Pregnancy and Postpartum)
E-cigarettes may have a role in supporting pregnant women who would otherwise smoke to stop smoking. The study aimed to understand pregnant women’s vaping experiences, in particular how vaping to stop smoking is facilitated and how barriers to this are overcome. We conducted semi structured telephone interviews (n = 15) with pregnant or postpartum women who vaped during pregnancy, either exclusively (n = 10) or dual-used (n = 5) (smoked and vaped). Thematic analysis was used to analyse the interviews. Two themes emerged. First, ‘facilitating beliefs’: inherent beliefs that helped women overcome barriers to vaping. These included understanding the relative safety of vaping and economic gains compared with smoking and pregnancy being a motivator to stop smoking. Second, ‘becoming a confident vaper’: accumulating sufficient skill and confidence to comfortably vape. This included experimentation with e-cigarettes to ensure nicotine dependence and sensory needs were met. Seeking social support and employing strategies to address social stigma were also important. Positive beliefs about vaping and becoming proficient at vaping were viewed as ways to overcome barriers to vaping. The theoretical domain framework informed intervention recommendations to assist pregnant smokers who have tried but cannot stop smoking to switch to vaping. View Full-Text
Keywords: pregnancy; electronic cigarettes; vaping; smoking cessation; barriers pregnancy; electronic cigarettes; vaping; smoking cessation; barriers
MDPI and ACS Style

Bowker, K.; Ussher, M.; Cooper, S.; Orton, S.; Coleman, T.; Campbell, K.A. Addressing and Overcoming Barriers to E-Cigarette Use for Smoking Cessation in Pregnancy: A Qualitative Study. Int. J. Environ. Res. Public Health 2020, 17, 4823.

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