IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i21p11240-d665072.html
   My bibliography  Save this article

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

Author

Listed:
  • Tabassum Rahman

    (School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
    Hunter Medical Research Institute, Newcastle, NSW 2305, Australia)

  • Amanda L. Baker

    (School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
    Hunter Medical Research Institute, Newcastle, NSW 2305, Australia)

  • Gillian S. Gould

    (Faculty of Health, Southern Cross University, Coffs Harbour, NSW 2450, Australia)

  • Kerrin Palazzi

    (Hunter Medical Research Institute, Newcastle, NSW 2305, Australia)

  • David Lambkin

    (Hunter Medical Research Institute, Newcastle, NSW 2305, Australia)

  • Michelle Kennedy

    (School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
    Hunter Medical Research Institute, Newcastle, NSW 2305, Australia)

Abstract

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, p -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, p -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.

Suggested Citation

  • Tabassum Rahman & Amanda L. Baker & Gillian S. Gould & Kerrin Palazzi & David Lambkin & Michelle Kennedy, 2021. "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," IJERPH, MDPI, vol. 18(21), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11240-:d:665072
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/21/11240/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/21/11240/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wood, Lisa & France, Kathryn & Hunt, Kerry & Eades, Sandra & Slack-Smith, Linda, 2008. "Indigenous women and smoking during pregnancy: Knowledge, cultural contexts and barriers to cessation," Social Science & Medicine, Elsevier, vol. 66(11), pages 2378-2389, June.
    2. Michelle Bovill & Catherine Chamberlain & Jessica Bennett & Hayley Longbottom & Shanell Bacon & Belinda Field & Paul Hussein & Robert Berwick & Gillian Gould & Peter O’Mara, 2021. "Building an Indigenous-Led Evidence Base for Smoking Cessation Care among Aboriginal and Torres Strait Islander Women during Pregnancy and Beyond: Research Protocol for the Which Way? Project," IJERPH, MDPI, vol. 18(3), pages 1-11, February.
    3. Zhuang, Y.-L. & Gamst, A.C. & Cummins, S.E. & Wolfson, T. & Zhu, S.-H., 2015. "Comparison of smoking cessation between education groups: Findings from 2 US national surveys over 2 decades," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 373-379.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Amanual Getnet Mersha & Raglan Maddox & Sian Maidment & Kade Booth & Karl Briscoe & Paul Hussein & Hayley Longbottom & Yael Bar-Zeev & Michelle Kennedy, 2022. "“It Needs a Full-Time Dedicated Person to Do This Job in Our Local Communities with Our Aboriginal Health Services”—Aboriginal and Torres Strait Islander Health Workers and Practitioners Perspectives ," IJERPH, MDPI, vol. 20(1), pages 1-15, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Amanual Getnet Mersha & Raglan Maddox & Sian Maidment & Kade Booth & Karl Briscoe & Paul Hussein & Hayley Longbottom & Yael Bar-Zeev & Michelle Kennedy, 2022. "“It Needs a Full-Time Dedicated Person to Do This Job in Our Local Communities with Our Aboriginal Health Services”—Aboriginal and Torres Strait Islander Health Workers and Practitioners Perspectives ," IJERPH, MDPI, vol. 20(1), pages 1-15, December.
    2. Giuseppe Gorini & Giulia Carreras & Barbara Cortini & Simona Verdi & Maria Grazia Petronio & Piersante Sestini & Elisabetta Chellini, 2015. "Impact of National Smoke-Free Legislation on Educational Disparities in Smoke-Free Homes: Findings from the SIDRIAT Longitudinal Study," IJERPH, MDPI, vol. 12(8), pages 1-12, July.
    3. Whelan, Stephen & Wright, Donald J., 2013. "Health services use and lifestyle choices of Indigenous and non-Indigenous Australians," Social Science & Medicine, Elsevier, vol. 84(C), pages 1-12.
    4. Farah Nawabi & Franziska Krebs & Laura Lorenz & Arim Shukri & Adrienne Alayli & Stephanie Stock, 2022. "Understanding Determinants of Pregnant Women’s Knowledge of Lifestyle-Related Risk Factors: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    5. Eiji Yamamura & Yoshiro Tsutsui, 2019. "Effects of Pregnancy and Birth on Smoking and Drinking Behaviours: A Comparative Study Between Men and Women," The Japanese Economic Review, Springer, vol. 70(2), pages 210-234, June.
    6. Leah Stevenson & Sandy Campbell & India Bohanna & Gillian S. Gould & Jan Robertson & Alan R. Clough, 2017. "Establishing Smoke-Free Homes in the Indigenous Populations of Australia, New Zealand, Canada and the United States: A Systematic Literature Review," IJERPH, MDPI, vol. 14(11), pages 1-15, November.
    7. Johnston, Vanessa & Thomas, David P., 2008. "Smoking behaviours in a remote Australian Indigenous community: The influence of family and other factors," Social Science & Medicine, Elsevier, vol. 67(11), pages 1708-1716, December.
    8. Kalinda Griffiths & Abbey Diaz & Lisa J. Whop & Joan Cunningham, 2021. "The Health and Wellbeing of Indigenous and Tribal Peoples around the Globe: Ensuring and Promoting Best Practice in Research," IJERPH, MDPI, vol. 19(1), pages 1-9, December.
    9. Tamara Butler & Alana Gall & Gail Garvey & Khwanruethai Ngampromwongse & Debra Hector & Scott Turnbull & Kerri Lucas & Caroline Nehill & Anna Boltong & Dorothy Keefe & Kate Anderson, 2022. "A Comprehensive Review of Optimal Approaches to Co-Design in Health with First Nations Australians," IJERPH, MDPI, vol. 19(23), pages 1-38, December.
    10. Pramesh Raj Ghimire & Julie Mooney & Louise Fox & Lorraine Dubois, 2021. "Smoking Cessation during the Second Half of Pregnancy Prevents Low Birth Weight among Australian Born Babies in Regional New South Wales," IJERPH, MDPI, vol. 18(7), pages 1-14, March.
    11. Michael Wright & Aunty Doris Getta & Aunty Oriel Green & Uncle Charles Kickett & Aunty Helen Kickett & Aunty Irene McNamara & Uncle Albert McNamara & Aunty Moya Newman & Aunty Charmaine Pell & Aunty M, 2021. "Co-Designing Health Service Evaluation Tools That Foreground First Nation Worldviews for Better Mental Health and Wellbeing Outcomes," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    12. Tara Flemington & Gina La Hera-Fuentes & Michelle Bovill & Allison Hart & Jessica Bennett & Nicole M. Ryan & Gillian Sandra Gould, 2021. "Smoking Cessation Messages for Pregnant Aboriginal and Torres Strait Islander Women: A Rapid Review of Peer-Reviewed Literature and Assessment of Research Translation of Media Content," IJERPH, MDPI, vol. 18(17), pages 1-24, September.
    13. Paula Wyndow & Elaine Clifton & Roz Walker, 2020. "Improving Aboriginal Maternal Health by Strengthening Connection to Culture, Family and Community," IJERPH, MDPI, vol. 17(24), pages 1-16, December.
    14. Sandra Campbell & India Bohanna & Anne Swinbourne & Yvonne Cadet-James & Dallas McKeown & Robyn McDermott, 2013. "Stages of Change, Smoking Behaviour and Readiness to Quit in a Large Sample of Indigenous Australians Living in Eight Remote North Queensland Communities," IJERPH, MDPI, vol. 10(4), pages 1-10, April.
    15. Lucia Borsari & Simone Storani & Carlotta Malagoli & Tommaso Filippini & Marco Tamelli & Marcella Malavolti & Fausto Nicolini & Marco Vinceti, 2018. "Impact of Referral Sources and Waiting Times on the Failure to Quit Smoking: One-Year Follow-Up of an Italian Cohort Admitted to a Smoking Cessation Service," IJERPH, MDPI, vol. 15(6), pages 1-11, June.
    16. Julie Boucher & Anne T. M. Konkle, 2016. "Understanding Inequalities of Maternal Smoking—Bridging the Gap with Adapted Intervention Strategies," IJERPH, MDPI, vol. 13(3), pages 1-16, March.
    17. Grace Lordan, 2011. "Older but Not Wiser- Smokers and Passive Smoking Belief," Discussion Papers Series 431, School of Economics, University of Queensland, Australia.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11240-:d:665072. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.