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

Bowker, K; Ussher, M; Cooper, S; Orton, S; Coleman, T; Campbell, KA (2020) Addressing and Overcoming Barriers to E-Cigarette Use for Smoking Cessation in Pregnancy: A Qualitative Study. Int J Environ Res Public Health, 17 (13). p. 4823. ISSN 1660-4601 https://doi.org/10.3390/ijerph17134823
SGUL Authors: Ussher, Michael Henry

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Abstract

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.

Item Type: Article
Additional Information: ©2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open accessarticle distributed under the terms and conditions of the Creative Commons Attribution(CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Keywords: barriers, electronic cigarettes, pregnancy, smoking cessation, vaping, Toxicology, MD Multidisciplinary
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Int J Environ Res Public Health
ISSN: 1660-4601
Language: eng
Dates:
DateEvent
4 July 2020Published
1 July 2020Accepted
Projects:
Project IDFunderFunder ID
433National Institute for Health Research School for Primary Care ResearchUNSPECIFIED
PubMed ID: 32635510
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/112138
Publisher's version: https://doi.org/10.3390/ijerph17134823

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