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A Preliminary Examination of Cognitive Factors that Influence Interest in Quitting During Pregnancy

Published online by Cambridge University Press:  12 November 2012

Stuart G. Ferguson  and
Emily C. Hansen
Stuart G. Ferguson*
Affiliation:
School of Pharmacy, University of Tasmania, Sandy Bay, Australia
Emily C. Hansen
Affiliation:
School of Sociology and Social Work, University of Tasmania, Sandy Bay, Australia
*
Address for correspondence: Dr Stuart Ferguson School of PharmacyUniversity of Tasmania Private Bag 26 Hobart, Tasmania, 7001, Australia Tel: +61 3 6226 8536 Fax: +61 3 6226 7627 E-mail: stuart.ferguson@utas.edu.au
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Abstract

The purpose of this study was to examine the relationship between risks associated with smoking and the effectiveness of quit-smoking techniques and interest in quitting among pregnant smokers. It was hypothesised that both knowledge of smoking-related harm and knowledge of efficacious smoking cessation methods would be significant predictors of interest in quitting in the next 30 days. This preliminary study involved 72 pregnant smokers who completed a questionnaire assessing smoking-related knowledge and perceived efficacy of cessation methods. Of the 11 smoking-related risks probed, the least acknowledged were those associated with pregnancy and post-natal conditions, with 38% of the sample responding incorrectly to all four of the pregnancy and post-natal conditions probed. Knowledge of the efficacy of smoking medications was also poor: 32.9% of the sample reported believing that all three pharmacotherapies were ineffective for promoting cessation. A high level of knowledge about the harms of smoking was related to an increased intention to quit in the next 30 days (39.5% versus 15.8%; Odds Ratio [OR] = 3.5). Results from this preliminary study showed support for previous research regarding smoking-related knowledge in non-pregnant smokers. Further research in the area is viewed as particularly important to confirm the current results and guide intervention to increase the level of smoking related knowledge in this at-risk group.

Keywords

pregnancysmokingcessationknowledge
Type
Articles
Information
Journal of Smoking Cessation , Volume 7 , Issue 2 , December 2012 , pp. 100 - 104
Copyright
Copyright © The Authors 2012

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References

Agrawal, A., Scherrer, J. F., Grant, J. D., Sartor, C. E., Pergadia, M. L., Duncan, A. E., . . .Xian, H. (2009). The effects of maternal smoking during pregnancy on offspring outcomes. Preventive Medicine, 50, 13–18.Google Scholar
Ananth, C. V., Savitz, D. A., & Luther, E. R. (1996). Maternal cigarette smoking as a risk factor for placental abruption, placenta previa, and uterine bleeding in pregnancy. American Journal of Epidemiology, 144, 881–889.Google Scholar
Bansal, M. A., Cummings, K. M., Hyland, A., & Giovino, G. A. (2004). Stop-smoking medications: Who uses them, who misuses them, and who is misinformed about them? Nicotine & Tobacco Research, 6, 303–310.CrossRefGoogle Scholar
Cummings, K. M., Hyland, A., Giovion, G. A., Hastrup, J. L., Bauer, J. E., & Bansal, M. A. (2004). Are smokers adequately informed about the health risks of smoking and medicinal nicotine? Nicotine & Tobacco Research, 6, 333–340.Google Scholar
Ebrahim, S. H., Floyd, R. L., Merritt, R. K. II, Decoufle, P., & Holtzman, D. (2000). Trends in pregnancy-related smoking rates in the United States, 1987–1996. Journal of the American Medical Association, 283 (3), 361–366.CrossRefGoogle ScholarPubMed
Ferguson, S. G., Gitchell, J. G., Shiffman, S., Sembower, M. A., Rohay, J. M., & Allen, J. (2011). Providing accurate safety information may increase a smoker's willingness to use nicotine replacement therapy as part of a quit attempt. Addictive Behaviors, 36, 713–716.Google Scholar
Fergusson, D. M., Woodward, L. J., & Horwood, L. J. (1998). Maternal smoking during pregnancy and psychiatric adjustment in late adolescence. Archives of General Psychiatry, 55 (8), 721–727.Google Scholar
Hammond, D., McDonald, P.W., Fong, G. T., & Borland, R. (2004). Do smokers know how to quit? Knowledge and perceived effectiveness of cessation assistance as predictors of cessation behaviour. Addiction, 99, 1042–1048.Google Scholar
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerström, K. (1991). The Fagerström Test for Nicotine Dependence: A revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 86, 1119–1127.CrossRefGoogle ScholarPubMed
Higgins, S. (2002). Smoking in pregnancy. Current Opinion in Obstetrics and Gynecology, 14 (2), 145–151.Google Scholar
Johanson, R., Newburn, M., & MacFarlane, A. (2002). Has the medicalisation of childbirth gone too far? British Medical Journal, 324, 892–895.Google Scholar
Kozlowski, L. T., & Pillitteri, J. L. (2001). Beliefs about “light” and “ultra light” cigarettes and efforts to change those beliefs: An overview of early efforts and published research. Tobacco Control, 10, 12–16.Google Scholar
Lambe, M., Hultman, C., Torrang, A., Maccabe, J., & Cnattingius, S. (2006). Maternal smoking during pregnancy and school performance at age 15. Journal of Epidemiology, 17, 524–530.Google Scholar
Lanting, C. I., Buitendijk, S. E., Crone, M. R., Segaar, D., Gravenhorst, J. B., & van Wouke, J. P. (2009). Clustering of socioeconomic, behavioural, and neonatal risk factors for infant health in pregnant smokers, PloS ONE, 4 (12), 1–6.Google Scholar
Laws, P. J., Grayson, N., & Sullivan, E. A. (2006). Smoking and pregnancy (AIHW Cat. No, PER 33). Sydney: AIHM National Prenatal Statistics Unit. Retrieved October 22, 2010 from http://www.drugslibrary.stir.ac.uk/documents/smokepreg.pdfGoogle Scholar
Ness, R. B., Grisso, J. A., Hirschinger, N., Markovic, N., Shaw, L. M., Day, N. L., & Kline, J. (1999). Cocaine and tobacco use and the risk of spontaneous abortion. The New England Journal of Medicine, 340, 333–339.Google Scholar
Oncken, C., McKee, S., Krishnan-Sarin, S., O'Malley, S., & Mazure, C. M. (2005). Knowledge and perceived risk of smoking-related conditions: A survey of cigarette smokers. Preventive Medicine, 40, 779–784.Google Scholar
Scollo, M. M., & Winstanley, M. H. (Eds) (2008). Tobacco in Australia: Facts and issues (3rd ed.). Melbourne: Cancer Council Victoria.Google Scholar
Shiffman, S., Ferguson, S. G., Rohay, J., & Gitchell, J. G. (2008). Perceived safety and efficacy of nicotine replacement therapies among US smokers and ex-smokers: Relationship with use and compliance. Addiction, 103, 1239–1408.Google Scholar
Wakschlag, L. S., Pickett, K. E., Cook, E Jr., Benowitz, N. L., & Leventhal, B. L. (2002). Maternal smoking during pregnancy and severe antisocial behavior in offspring: A review. American Journal of Public Health, 92 (6), 966–974.Google Scholar
Wald, N. J., & Hackshaw, A. K. (1996). Cigarette smoking: An epidemiological overview. British Medical Bulletin, 52 (1), 3–11.Google Scholar
Walsh, R., Redman, S., Brinsmead, M., & Fryer, J. (1997). Predictors of smoking in pregnancy and attitudes and knowledge of risks of pregnant smokers. Drug and Alcohol Review, 16, 41–67.Google Scholar
Weinstein, N. D., Marcus, S. E., & Moser, R. P. (2005). Smokers’ unrealistic optimism about their risk. Tobacco Control, 14, 55–59.Google Scholar