Cargando…

Home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies

BACKGROUND: Home visiting programs represent an important primary prevention strategy for adverse prenatal health behaviors; the various ways in which home visiting programs impact prenatal smoking cessation and reduction behaviors remain understudied. METHODS: Mixed methods approach using a retrosp...

Descripción completa

Detalles Bibliográficos
Autores principales: Griffis, Heather, Matone, Meredith, Kellom, Katherine, Concors, Erica, Quarshie, William, French, Benjamin, Rubin, David, Cronholm, Peter F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982407/
https://www.ncbi.nlm.nih.gov/pubmed/27514836
http://dx.doi.org/10.1186/s12889-016-3464-4
_version_ 1782447775332433920
author Griffis, Heather
Matone, Meredith
Kellom, Katherine
Concors, Erica
Quarshie, William
French, Benjamin
Rubin, David
Cronholm, Peter F.
author_facet Griffis, Heather
Matone, Meredith
Kellom, Katherine
Concors, Erica
Quarshie, William
French, Benjamin
Rubin, David
Cronholm, Peter F.
author_sort Griffis, Heather
collection PubMed
description BACKGROUND: Home visiting programs represent an important primary prevention strategy for adverse prenatal health behaviors; the various ways in which home visiting programs impact prenatal smoking cessation and reduction behaviors remain understudied. METHODS: Mixed methods approach using a retrospective cohort of propensity score matched home visiting clients and local-area comparison women with first births between 2008–2014 in a large Northeast state. Multivariable logistic and linear regression estimated third trimester prenatal tobacco smoking cessation and reduction. Additionally, qualitative interviews were conducted with 76 home visiting clients. RESULTS: A program effect was seen for smoking cessation such that clients who smoked less than ten cigarettes per day and those who smoked 20 or more cigarettes per day during the first trimester were more likely to achieve third trimester cessation than comparison women (p <0.01 and p = 0.01, respectively). Only for heavy smokers (20 or more cigarettes during the first trimester) was there a significant reduction in number of cigarettes smoked by the third trimester versus comparison women (p = 0.01). Clients expressed the difficulty of cessation, but addressed several harm-reduction strategies including reducing smoking in the house and wearing a smoking jacket. Clients also described smoking education that empowered them to ask others to not smoke or adopt other harm reducing behaviors when around their children. CONCLUSIONS: While a significant impact on smoking cessation was seen, this study finds a less-clear impact on smoking reduction among women in home visiting programs. As home visiting programs continue to expand, it will be important to best identify effective ways to support tobacco-related harm reduction within vulnerable families. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-016-3464-4) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-4982407
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-49824072016-08-13 Home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies Griffis, Heather Matone, Meredith Kellom, Katherine Concors, Erica Quarshie, William French, Benjamin Rubin, David Cronholm, Peter F. BMC Public Health Research Article BACKGROUND: Home visiting programs represent an important primary prevention strategy for adverse prenatal health behaviors; the various ways in which home visiting programs impact prenatal smoking cessation and reduction behaviors remain understudied. METHODS: Mixed methods approach using a retrospective cohort of propensity score matched home visiting clients and local-area comparison women with first births between 2008–2014 in a large Northeast state. Multivariable logistic and linear regression estimated third trimester prenatal tobacco smoking cessation and reduction. Additionally, qualitative interviews were conducted with 76 home visiting clients. RESULTS: A program effect was seen for smoking cessation such that clients who smoked less than ten cigarettes per day and those who smoked 20 or more cigarettes per day during the first trimester were more likely to achieve third trimester cessation than comparison women (p <0.01 and p = 0.01, respectively). Only for heavy smokers (20 or more cigarettes during the first trimester) was there a significant reduction in number of cigarettes smoked by the third trimester versus comparison women (p = 0.01). Clients expressed the difficulty of cessation, but addressed several harm-reduction strategies including reducing smoking in the house and wearing a smoking jacket. Clients also described smoking education that empowered them to ask others to not smoke or adopt other harm reducing behaviors when around their children. CONCLUSIONS: While a significant impact on smoking cessation was seen, this study finds a less-clear impact on smoking reduction among women in home visiting programs. As home visiting programs continue to expand, it will be important to best identify effective ways to support tobacco-related harm reduction within vulnerable families. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-016-3464-4) contains supplementary material, which is available to authorized users. BioMed Central 2016-08-11 /pmc/articles/PMC4982407/ /pubmed/27514836 http://dx.doi.org/10.1186/s12889-016-3464-4 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Griffis, Heather
Matone, Meredith
Kellom, Katherine
Concors, Erica
Quarshie, William
French, Benjamin
Rubin, David
Cronholm, Peter F.
Home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies
title Home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies
title_full Home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies
title_fullStr Home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies
title_full_unstemmed Home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies
title_short Home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies
title_sort home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982407/
https://www.ncbi.nlm.nih.gov/pubmed/27514836
http://dx.doi.org/10.1186/s12889-016-3464-4
work_keys_str_mv AT griffisheather homevisitingandperinatalsmokingamixedmethodsexplorationofcessationandharmreductionstrategies
AT matonemeredith homevisitingandperinatalsmokingamixedmethodsexplorationofcessationandharmreductionstrategies
AT kellomkatherine homevisitingandperinatalsmokingamixedmethodsexplorationofcessationandharmreductionstrategies
AT concorserica homevisitingandperinatalsmokingamixedmethodsexplorationofcessationandharmreductionstrategies
AT quarshiewilliam homevisitingandperinatalsmokingamixedmethodsexplorationofcessationandharmreductionstrategies
AT frenchbenjamin homevisitingandperinatalsmokingamixedmethodsexplorationofcessationandharmreductionstrategies
AT rubindavid homevisitingandperinatalsmokingamixedmethodsexplorationofcessationandharmreductionstrategies
AT cronholmpeterf homevisitingandperinatalsmokingamixedmethodsexplorationofcessationandharmreductionstrategies