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Motivations, challenges and coping strategies for smoking cessation: Based on multi-ethnic pregnant couples in far western China.

Abstract
The present study aimed to clarify the smoking cessation motivations, challenges and coping strategies among pregnant couples. A qualitative design using a grounded theory approach was applied. Data were collected by individual semi-structured interviews with 39 married individuals (21 non-smoking pregnant women and 18 smoking or ever-smoking men with a pregnant wife) and 3 imams in an ethnically diverse region of far western China. The most common theme for smoking cessation motivation was "embryo quality" (i.e., a healthier baby), followed by family's health. Most interviewees reported that husband's withdrawal symptoms were the greatest challenge to smoking cessation, followed by the Chinese tobacco culture. Coping strategies given by the pregnant women typically involved combining emotional, behavioral and social interventions. Social interventions showed advantages in helping to quit smoking. Pregnancy appears to be a positive stimulus for pregnant couples' smoking cessation. Our results suggest that pregnancy, a highly important life event, may help to reduce barriers to smoking cessation at the social level (e.g., limiting access to cigarettes, avoiding temptation to smoke), but does little to help with the withdrawal symptoms. Professional guidance for smoking cessation is still necessary.
AuthorsXue Bai, Jiang-Yun Chen, Zi Fang, Xiao-Yan Zhang, Fang Wang, Zheng-Qiong Pan, Peng-Qian Fang
JournalJournal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban (J Huazhong Univ Sci Technolog Med Sci) Vol. 37 Issue 3 Pg. 439-445 (Jun 2017) ISSN: 1993-1352 [Electronic] China
PMID28585135 (Publication Type: Journal Article)
Topics
  • Adult
  • China
  • Ethnicity
  • Female
  • Humans
  • Islam
  • Male
  • Motivation
  • Pregnancy
  • Pregnancy Complications (prevention & control)
  • Qualitative Research
  • Smoking (ethnology, physiopathology, psychology)
  • Smoking Cessation (ethnology, psychology)
  • Social Support
  • Spouses (ethnology, psychology)
  • Substance Withdrawal Syndrome (physiopathology, psychology)

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