DETERMINATION OF SMOKING CESSATION PREDICTIONS IN PREGNANCY PLANS OF SMOKING WOMEN

Abstract

The study was conducted to determine the predictions of smoking cessation in pregnancy plans of smoking women. The descriptive study was conducted with 182 women. The data were collected by sending the online questionnaire created via Google Forms to women through social media platforms (WhatsApp, Facebook, Instagram, Twitter, etc.). The personal description form and the Smoking Cessation Success Prediction Scale (SCSPS) were used to collect the research data. In the multiple linear regression model established with the variables found to be different between the mean SCSPS score; It was determined that the amount of smoking (β-coefficient= -0.324; p=0.001), smoking status in the previous pregnancy (β-coefficient= 0.192; p=0.037) and the knowledge that smoking has a negative effect on pregnancy and the baby (β-coefficient= -0.181; p=0.041) were important predictors of success in quitting smoking (p<0.05). Considering the factors that affect the success of smoking cessation during pregnancy, health professionals are recommended to provide education and counseling to smokers about quitting tobacco products.

Keywords

• pregnancy
• woman
• smoke
• smoking cessation

SİGARA KULLANAN KADINLARIN GEBELİK PLANLARINDA SİGARA BIRAKMA ÖNGÖRÜLERİNİN BELİRLENMESİ

Abstract

Araştırma sigara kullanan kadınların gebelik planlarında sigara bırakma öngörülerinin belirlenmesi amacıyla yapılmıştır. Tanımlayıcı türde olan araştırma, 182 doğurganlık çağındaki kadın ile yürütülmüştür. Veriler, Google Formlar üzerinden oluşturulan online anketin sosyal medya platformlarından (WhatsApp, facebook, instagram, twitter vb.) kadınlara iletilmesiyle toplanmıştır. Araştırma verilerinin toplanmasında kişisel tanıtım formu ve Sigara Bırakma Başarısı Öngörü Ölçeği (SBBÖÖ) kullanılmıştır. Araştırmada SBBÖÖ puan ortalaması arasında fark olduğu saptanan değişkenler ile kurulan çoklu doğrusal regresyon modelinde; sigara içme miktarının (β-coefficient= -0.324; p=0.001), daha önceki gebelikte sigara içme durumunun (β-coefficient= 0.192; p=0.037) ve gebelikte sigara içmenin gebelik ve bebek üzerinde olumsuz etkisi olduğunu bilmenin (β-coefficient= -0.181; p=0.041) sigarayı bırakma başarısı öngörüsünde önemli yordayıcılar olduğu saptanmıştır (p<0.05). Sağlık profesyonellerinin, gebelikte sigarayı bırakma başarısını etkileyen faktörleri dikkate alarak, sigara içen kadınlara tütün ürünlerini bırakma konusunda eğitim ve danışmanlık vermesi önerilmektedir.

Keywords

• gebelik
• kadın
• sigara
• sigarayı bırakma

References

1. Gunter R, Szeto E, Jeong SH, Suh S, Waters AJ. Cigarette Smoking in South Korea: A narrative review. Korean J Fam Med 2020;41(1):3.
2. WHO. Global report on trends in prevalence of tobacco use 2000-2025, third edition 2019. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition; Erişim tarihi: 07.10.2022
3. Jafari A, Rajabi A, Gholian-Aval M, Peyman N, Mahdizadeh M, Tehrani H. National, regional, and global prevalence of cigarette smoking among women/females in the general population: A systematic review and meta-analysis. Environ Heal Prev Med 2021;26(1):1–13.
4. Lange S, Probst C, Rehm J, Popova S. National, regional, and global prevalence of smoking during pregnancy in the general population: A systematic review and meta-analysis. Lancet Glob Heal 2018;6(7):e769–76.
5. Türkiye Sağlık Bakanlığı. Global adult tobacco survey 2019. https://www.tobaccofreekids.org/assets/global/pdfs/en/GATS_Turkey_2016_FactSheet.pdf; Erişim tarihi: 07.10.2022
6. Bal Erbaş G, Şengezer T, Yıldırım U, Özkara A. Ankara’da bir kadın doğum hastanesine başvuran gebelerde sigara kullanımı ve sigara dumanından pasif etkilenme durumlarının araştırılması. Konuralp Tıp Derg 2020;12(2):261–9.
7. Aslan D, Şengelen M, Çağatay P. Factors related to smoking status of pregnant women aged 15-49 in Turkey. Türk Toraks Derg 2014;15(1):27–32.
8. Öztürk O, Ünal M, Öztürk G, Fidancı İ, Kızıltaş Ö. Awareness of pregnants about the harms of smoking to baby- multi-centered primary care research. Turkish J Fam Med Prim Care 2018;233–8.

9. Mutlu LC, Varol Saraçoğlu G. Prevalence of smoking and factors affecting smoking behaviour during pregnancy: A sample from Tekirdağ. Türkiye Halk Sağlığı Dergisi 2014;12(1):1–12.
10. Kahyaoğlu S, Özel Ş, Engi̇n-Üstün Y, Erdöl C. Gebelik ve sigara bırakma. Jinekoloji - Obstetrik ve Neonatoloji Tıp Dergisi 2018;24–7.
11. Ioakeimidis N, Vlachopoulos C, Katsi V, Tousoulis D. Smoking cessation strategies in pregnancy: Current concepts and controversies. Hellenic J Cardiol 2019;60(1):11–5.
12. Soneji S, Beltrán-Sánchez H. Association of maternal cigarette smoking and smoking cessation with preterm birth. JAMA Netw Open 2019;2(4):e192514–e192514.
13. Murin S, Rafii R, Bilello K. Smoking and smoking cessation in pregnancy. Clin Chest Med 2011;32(1):75–91.
14. Murphy DJ, Dunney C, Mullally A, Adnan N, Deane R. Population-based study of smoking behaviour throughout pregnancy and adverse perinatal outcomes. Int J Environ Res Public Health 2013;10(9):3855.
15. Räisänen S, Sankilampi U, Gissler M, Kramer MR, Hakulinen-Viitanen T, Saari J, et al. Smoking cessation in the first trimester reduces most obstetric risks, but not the risks of major congenital anomalies and admission to neonatal care: A population-based cohort study of 1,164,953 singleton pregnancies in Finland. J Epidemiol Community Health 2014;68(2):159–64.
16. Riaz M, Lewis S, Naughton F, Ussher M. Predictors of smoking cessation during pregnancy: A systematic review and meta-analysis. Addiction 2018;113(4):610–22.
17. De Wolff MG, Backhausen MG, Iversen ML, Bendix JM, Rom AL, Hegaard HK. Prevalence and predictors of maternal smoking prior to and during pregnancy in a regional Danish population: a cross-sectional study. Reprod Health 2019;16(1).
18. Schneider S, Schutz J. Who smokes during pregnancy? A systematic literature review of population-based surveys conducted in developed countries between 1997 and 2006. 2009;13(2):138–47.
19. Baha MY, Le Faou AL. Attitude towards cessation among French pregnant smokers: Explaining the poor uptake of specialised support. Eur J Obstet Gynecol Reprod Biol. 2009;147(1):46–51.
20. Guirguis AB, Ray SM, Zingone MM, Airee A, Franks AS, Keenum AJ. Smoking cessation: barriers to success and readiness to change. Tenn Med 2010;103(9):45–9.
21. Layoun N, Hallit S, Waked M, Bacha ZA, Godin I, Dramaix M, et al. Predictors of readiness to quit stages and intention to quit cigarette smoking in 2 and 6 months in Lebanon. J Res Health Sci 2017;17(2):379.
22. Echer IC, Barreto SSM. Determination and support as successful factors for smoking cessation. Rev Lat Am Enfermagem. 2008;16(3):445–51.
23. Aydemir Y, Doğu Ö, Dede C, Çınar N. Sigara Bırakma Başarısı Öngörü Ölçeği: Geliştirme ve geçerlik, güvenirlik çalışması. Addicta Turkish J Addict 2019;6(2).
24. WHO. Recommendations on antenatal care for a positive pregnancy experience. 2016;15.https://www.who.int/reproductivehealth/publicat%0Aions/maternal_perinatal_health/anc-positivepregnancy-experience/en/. Erişim tarihi: 12.01.2023
25. Aydogan Kirmizi D, Baser E, Onat T, Demir Caltekin M, Kara M, Yalvac ES. The smoking awareness and rates during pregnancy. Turkish J Addict 2020;6(Supp4):315–27.
26. Banderali G, Martelli A, Landi M, Moretti F, Betti F, Radaelli G, et al. Short and long term health effects of parental tobacco smoking during pregnancy and lactation: A descriptive review. J Transl Med 2015;13(1):1–7.
27. Onor ICO, Stirling DL, Williams SR, Bediako D, Borghol A, Harris MB, et al. Clinical effects of cigarette smoking: Epidemiologic ımpact and review of pharmacotherapy options. Int J Environ Res Public Health 2017;14(10).
28. Kılıç H. Gebelik ve postpartum dönemde sigara bırakma. Güncel Göğüs Hastalıkları Serisi 2016;4(1):136–45.
29. Akdeniz E. Sigara bağımlılığı sağlığa etkileri ve sigara bıraktırmada kullanılan transteoretik model. Kırşehir Ahi Evran Üniversitesi Sağlık Bilim Dergisi 2019;2(3):11–25.
30. Kurti AN, Davis DR, Skelly JM, Redner R, Higgins ST. Comparison of nicotine dependence indicators in predicting quitting among pregnant smokers. Exp Clin Psychopharmacol 2016;24(1):12–7.
31. Higgins ST, Heil SH, Badger GJ, Skelly JM, Solomon LJ, Bernstein IM. Educational disadvantage and cigarette smoking during pregnancy. Drug Alcohol Depend 2009;104 Suppl 1(Suppl 1).
32. Ezegbe C, Neil AL, Magnussen CG, Chappell K, Judd F, Wagg F, et al. Maternal smoking during pregnancy: Trends and determinants in the conception to community study. Birth 2021;48(1):76–85.
33. White TJ, Redner R, Skelly JM, Higgins ST. Examining educational attainment, pre-pregnancy smoking rate, and delay discounting as predictors of spontaneous quitting among pregnant smokers. Exp Clin Psychopharmacol 2014;22(5):384.
34. Grangé G, Vayssière C, Borgne A, Ouazana A, L’Huillier JP, Valensi P, et al. Characteristics of tobacco withdrawal in pregnant women. Eur J Obstet Gynecol Reprod Biol 2006;125(1):38–43.