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Provision of E-Cigarettes for Smoking Cessation in Pregnancy: Perceptions and Experiences of Pregnant Women from Two UK Sites

Author

Listed:
  • Eleanor Lutman-White

    (Centre for Healthcare and Communities, Coventry University, Coventry CV1 5FB, UK)

  • Riya Patel

    (Centre for Ethnic Health Research, NIHR Applied Research Collaboration-East Midlands (ARC-EM), University of Leicester, Leicester LE1 7RH, UK)

  • Lauren Bell

    (Centre for Healthcare and Communities, Coventry University, Coventry CV1 5FB, UK)

  • Deborah Lycett

    (Centre for Healthcare and Communities, Coventry University, Coventry CV1 5FB, UK)

  • Kelly Hayward

    (Warwickshire Public Health Team, Warwick CV34 4UL, UK)

  • Ruth Sampson

    (Bath and North Somerset Public Health Team, Bristol BS31 1FS, UK)

  • Janani Arulrajah

    (Bath and North Somerset Public Health Team, Bristol BS31 1FS, UK)

  • Maxine Whelan

    (Centre for Healthcare and Communities, Coventry University, Coventry CV1 5FB, UK)

Abstract

Introduction: Smoking in pregnancy is associated with negative health outcomes for both mothers and babies; e-cigarettes, which contain nicotine without hazardous tobacco, may offer an additional smoking cessation strategy for pregnant women. Although e-cigarettes are being increasingly offered within services, there is limited understanding about whether e-cigarettes can improve smoking cessation support for pregnant individuals. This study aimed to explore service users’ experiences of using e-cigarettes as a tool for smoking cessation during pregnancy. Methods: Semi-structured interviews were conducted with 14 women who had accepted one of two pilots and were analysed using inductive reflexive thematic analysis. The findings from each site were integrated to develop qualitative insight. Results: Participants largely had positive perceptions of the free and easy-to-use e-cigarette, preferring it to nicotine replacement therapies. The desire to have a healthy pregnancy and baby and the inclusion of non-judgemental behavioural support facilitated motivation to quit. Many participants reduced or quit tobacco use, with positive social and health implications reported. However, numerous barriers to quitting were present and intentions about long-term quitting of combustible cigarettes and e-cigarettes were mixed and uncertain. Conclusions: Providing e-cigarettes within smoking cessation services was indicated to be a positive and effective strategy for pregnant women trying to quit tobacco. However, numerous barriers to quitting and staying quit remained, suggesting scope for further improvements to smoking cessation support for pregnant women.

Suggested Citation

  • Eleanor Lutman-White & Riya Patel & Lauren Bell & Deborah Lycett & Kelly Hayward & Ruth Sampson & Janani Arulrajah & Maxine Whelan, 2024. "Provision of E-Cigarettes for Smoking Cessation in Pregnancy: Perceptions and Experiences of Pregnant Women from Two UK Sites," IJERPH, MDPI, vol. 21(4), pages 1-12, April.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:4:p:472-:d:1374880
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    References listed on IDEAS

    as
    1. Lucy Phillips & Katarzyna Anna Campbell & Tim Coleman & Michael Ussher & Sue Cooper & Sarah Lewis & Sophie Orton, 2021. "Barriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum," IJERPH, MDPI, vol. 18(21), pages 1-12, October.
    2. Katarzyna A Campbell & Libby Fergie & Tom Coleman-Haynes & Sue Cooper & Fabiana Lorencatto & Michael Ussher & Jane Dyas & Tim Coleman, 2018. "Improving Behavioral Support for Smoking Cessation in Pregnancy: What Are the Barriers to Stopping and Which Behavior Change Techniques Can Influence Them? Application of Theoretical Domains Framework," IJERPH, MDPI, vol. 15(2), pages 1-20, February.
    3. Allison Ford & Isabelle Uny & Judith Lowes & Felix Naughton & Sue Cooper & Tim Coleman & Peter Hajek & Dunja Przulj & Katie Myers Smith & Linda Bauld & Lesley Sinclair & Robert Walton & Miranda Clark , 2021. "A Qualitative Study of Factors Influencing Adherence among Pregnant Women Taking Part in a Trial of E-Cigarettes for Smoking Cessation," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    4. Ross Thomson & Sue Cooper & John Waldron & Efe Mamuzo & Lisa McDaid & Joanne Emery & Lucy Phillips & Felix Naughton & Tim Coleman, 2022. "Smoking Cessation Support for Pregnant Women Provided by English Stop Smoking Services and National Health Service Trusts: A Survey," IJERPH, MDPI, vol. 19(3), pages 1-9, January.
    5. Eleanor Lutman-White & Riya Patel & Deborah Lycett & Kelly Hayward & Ruth Sampson & Janani Arulrajah & Maxine Whelan, 2024. "Implementing E-Cigarettes as an Alternate Smoking Cessation Tool during Pregnancy: A Process Evaluation at Two UK Sites," IJERPH, MDPI, vol. 21(3), pages 1-17, March.
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