Motivations, Challenges and Coping Strategies for Smoking Cessation: Based on Multi-ethnic Pregnant Couples in Far Western China

作     者：白雪 陈江芸 方子 张霄艳 王方 潘正琼 方鹏骞 

作者机构：School of Health and Medicine Management Tongji Medical College Huazhong University of Science and Technology Department of Financial Management Tongji Hospital Tongji Medical College Huazhong University of Science and Technology School of Policy and Public Administration Hubei University Medical Department Wuhan General Hospital of Guangzhou Military Command 

出 版 物：《Journal of Huazhong University of Science and Technology(Medical Sciences)》 (华中科技大学学报（医学英德文版）)

年 卷 期：2017年第37卷第3期

页      面：439-445页

核心收录：

学科分类：0710[理学-生物学] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 100404[医学-儿少卫生与妇幼保健学] 

基　　金：supported by the National Philosophy and Social Science Foundation of China(No.15ZDC037) the National Natural Science Foundation of China(key program)(No.71333005) 

主　　题：smoking cessation pregnant couple motivations challenges coping strategies 

摘      要：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.