Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-08T07:51:44.297Z Has data issue: false hasContentIssue false

Pregnant Māori Smokers’ Perception of Cessation Support and How It Can Be More Helpful

Published online by Cambridge University Press:  12 October 2012

Marewa Glover*
Affiliation:
Centre for Tobacco Control Research, School of Population Health, University of Auckland, New Zealand
Anette Kira
Affiliation:
Centre for Tobacco Control Research, School of Population Health, University of Auckland, New Zealand
*
Address for correspondence: Dr Marewa Glover, Centre for Tobacco Control Research, Social & Community Health, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand. Email: [email protected]

Abstract

This study aimed to investigate the perception of smoking cessation services and products by pregnant Māori (New Zealand's Indigenous people) smokers and identify how these can be improved. Semi-structured face-to-face interviews were conducted with 60 pregnant Māori smokers. Most of the women (82%) had been advised to stop smoking, but few (21%) felt influenced by the advice. In addition, the women in this study felt that health provider support needed to be more encouraging, understanding and more readily available. Many (78%) had come across smokefree pamphlets, but few had read them. Only four women had been given a booklet specifically aimed at pregnant Māori women. Several women thought that the promotion of smokefree pregnancies needed to be aimed at the whole whānau (extended family). The main conclusions were that motivation to quit could be enhanced by delivery of a clear, consistent and repeated message from multiple sources, backed up with effective, supportive and encouraging services and education resources about risks and smoking cessation options. Primary health care interventions delivering a range of services need to be flexible – for example, by visiting pregnant women in their home – and need to target the whole expectant whānau, instead of focusing on pregnant women in isolation.

Type
Articles
Copyright
Copyright © The Authors 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrahamsson, A., Springett, J., Karlsson, L., & Ottosson, T. (2005). Making sense of the challenge of smoking cessation during pregnancy: A phenomenographic approach. Health Education Research, 20 (3), 367378.Google Scholar
Ashwin, C., & Watts, K. (2008). Women's use of nicotine replacement therapy in pregnancy: A structured review of the literature. Midwifery, 26 (3), 304310.Google Scholar
Ashwin, C., & Watts, K. (2010). Exploring the views of women on using nicotine replacement therapy in pregnancy. Midwifery, 26 (4), 401406.Google Scholar
Buchan, P. C. (1983). Cigarette smoking in pregnancy and fetal hyperviscosity. British Medical Journal, 286 (6374), 1315.Google Scholar
Darlow, B. A., Horwood, L. J., & Mogridge, N. (2000). Very low birthweight and asthma by age seven years in a national cohort. Pediatric Pulmonology, 30 (4), 291296.3.0.CO;2-8>CrossRefGoogle Scholar
Ellis, R. (1998). He Rato Tapuhi: Maternity services for Maori women. University of Waikato. Hamilton.Google Scholar
Ershoff, D., Quinn, V., & Mullen, P. (1995). Relapse prevention among women who stop smoking early in pregnancy: A randomized clinical trial of a self-help intervention. American Journal of Preventive Medicine, 11 (3), 178184.Google Scholar
Fox, R. (1997). The antenatal education needs of Maori women (in the Tainui region) and implications for midwifery practice. Unpublished Masters thesis. Victoria University, Wellington.Google Scholar
Glover, M. (2000). The effectiveness of a Maori Noho Marae smoking cessation intervention: Utilising a kaupapa Maori methodology. Unpublished PhD Thesis, The University of Auckland, Auckland, New Zealand.Google Scholar
Glover, M., & Kira, A. (2011). Why Māori women continue to smoke while pregnant. New Zealand Medical Journal, 124 (1339), 2231.Google Scholar
Glover, M., Kira, A., Cowie, N., Wong, R., Stephen, J., & Marriner, K. (2010). The health, economic, cultural and social consequences of tobacco use in New Zealand among Māori: A report prepared for the Ministry of Health. Auckland: University of Auckland, Centre for Tobacco Control Research.Google Scholar
Grigg, M., Waa, A., & Bradbrook, S. K. (2008). Response to an indigenous smoking cessation media campaign: It's about whānau. Australian and New Zealand Journal of Public Health, 32 (6), 559564. doi: 10.1111/j.1753-6405.2008.00310.xGoogle Scholar
Gritz, E., Brooks, L., & Nielsen, I. (1995). Gender differences in smoking cessation: Where? When? Who? Why? In Slama, K. (Ed.), Tobacco and health (pp. 411417). New York: Plenum Press.Google Scholar
Haberg, S. E., Stigum, H., Nystad, W., & Nafstad, P. (2007). Effects of pre- and postnatal exposure to parental smoking on early childhood respiratory health. American Journal of Epidemiology, 166 (6), 679686.Google Scholar
Haslam, C., & Draper, E. S. (2001). A qualitative study of smoking during pregnancy. Psychology, Health and Medicine, 6 (1), 9599.Google Scholar
Hill, S., Blakely, T., Fawcett, J., & Howden-Chapman, P. (2005). Could mainstream anti-smoking programs increase inequalities in tobacco use? New Zealand data from 1981–96. Australian and New Zealand Journal of Public Health, 29 (3), 279284.CrossRefGoogle ScholarPubMed
Himmelberger, D. U., Brown, B. W. Jr, & Cohen, E. N. (1978). Cigarette smoking during pregnancy and the occurrence of spontaneous abortion and congenital abnormality. American Journal of Epidemiology, 108 (6), 470479.Google Scholar
Ingall, G., & Cropley, M. (2010). Exploring the barriers of quitting smoking during pregnancy: A systematic review of qualitative studies. Women and Birth, 23 (2), 4552.Google Scholar
Jaddoe, V. W. V., Verburg, B. O., De Ridder, M. A. J., Hofman, A., Mackenbach, J. P., Moll, H. A., et al. (2007). Maternal smoking and fetal growth characteristics in different periods of pregnancy: The Generation R Study. American Journal of Epidemiology, 165 (10), 12071215.Google Scholar
Kelley, K., Bond, R., & Abraham, C. (2001). Effective approaches to persuading pregnant women to quit smoking: A meta-analysis of intervention evaluation studies. British Journal of Health Psychology, 6 (3), 207228.Google Scholar
McCurry, N., Thompson, K., Parahoo, K., O'Doherty, E., & Doherty, A. M. (2002). Pregnant women's perception of the implementation of smoking cessation advice. Health Education Journal, 61 (1), 2031.Google Scholar
McLeod, D., Pullon, S., & Cookson, T. (2003). Factors that influence changes in smoking behaviour during pregnancy. New Zealand Medical Journal, 116 (1173), U418Google Scholar
Ministry of Health (2007). New Zealand Tobacco Use Survey 2006. Wellington: Ministry of Health.Google Scholar
Mishra, G. D., Dobson, A. J., & Schofield, M. J. (2000). Cigarette smoking, menstrual symptoms and miscarriage among young women. Australian and New Zealand Journal of Public Health, 24 (4), 413420.Google Scholar
Mitchelhill, G., & Dickinson, D. (2009). Smoking and pregnancy audience research: Identifying motivational messages and communication channels. Wellington: Health Sponsorship Council.Google Scholar
Mitchell, E., & Clements, M. (1997). Sudden infant death syndrome: An important and preventable cause of death in infancy. New Zealand Public Health Report, 4 (9), 6567.Google Scholar
Oliver, S., Oakley, L., Lumley, J., & Waters, E. (2001). Smoking cessation programmes in pregnancy: Systematically addressing development, implementation, women's concerns and effectiveness. Health Education Journal, 60 (4), 362370.Google Scholar
Pullon, S., McLeod, D., Benn, C., Viccars, A., White, S., Cookson, T., et al. (2003). Smoking cessation in New Zealand: Education and resources for use by midwives for women who smoke during pregnancy. Health Promotion International, 18 (4), 315325.CrossRefGoogle ScholarPubMed
Robson, B., & Harris, R. (Eds.). (2007). Hauora: Maori Standards of Health IV. A study of the years 2000–2005. Wellington: Te Popu Rangahau Hauora a eru Pomare.Google Scholar
Salihu, H., Sharma, P., Getahun, D., Hedayatzadeh, M., Peters, S., Kirby, R., et al. (2008). Prenatal tobacco use and risk of stillbirth: A case-control and bidirectional case-crossover study. Nicotine and Tobacco Research, 10 (1), 159166.CrossRefGoogle ScholarPubMed
Solomon, L. J., & Quinn, V. P. (2004). Spontaneous quitting: Self-initiated smoking cessation in early pregnancy. Nicotine and Tobacco Research, 6 (Suppl. 2).Google Scholar
Thomas, D. R. (2006). A general inductive approach for qualitative data analysis. American Journal of Evaluation, 27 (2), 237246. doi: 10.1177/1098214005283748CrossRefGoogle Scholar
Wakefield, M. A., & Jones, W. R. (1991). Cognitive and social influences on smoking behaviour during pregnancy. Australian and New Zealand Journal of Obstetrics and Gynaecology, 31 (3), 235239.Google Scholar
Walsh, R. A., Redman, S., Brinsmead, M. W., & Fryer, J. L. (1997). Predictors of smoking in pregnancy and attitudes and knowledge of risks of pregnant smokers. Drug and Alcohol Review, 16 (1), 4167. doi: 10.1080/09595239700186321Google Scholar