eISSN: 2353-5571
ISSN: 2353-4184
Health Psychology Report
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3/2021
vol. 9
 
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abstract:
Original paper

Socio-demographic and motivational correlates of smoking status at term and postpartum

Lisa S. Moussaoui
1
,
Catia Nunno Paillard
2
,
Morgane Delattre
1
,
Olivier Desrichard
1
,
Barbara Kaiser
3

1.
Faculty of Psychology and Education Sciences, University of Geneva, Geneva, Switzerland
2.
Department of Midwifery, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland
3.
Rectorate, HES-SO University of Applied Sciences and Arts Western Switzerland, Delémont, Switzerland
Health Psychology Report, 9(3), 217–226
Online publish date: 2020/12/26
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Background
Tobacco consumption during pregnancy has consequences for pregnant women and their fetus, as well as during the post-natal period. Many women stop their tobacco consumption during pregnancy, but statistics vary about the exact proportion, and a non-negligible number of them are still smoking at term. Moreover, tobacco relapse after birth is frequent. This study aims to provide epidemiological indicators about tobacco consumption at term and post-partum relapse in Switzer-land, and test risks factors associated with tobacco consumption at term, including Theory of Planned Behaviour variables for the motivational correlates. Losses to follow-up precluded testing risk factors associated with post-partum relapse.

Participants and procedure
Respondents were recruited at the pre-birth consultations at the hospital and answered the initial survey. They were con-tacted by email in the post-partum period two and six months after childbirth.

Results
10.6% of our sample were still smoking at the end of their pregnancy. The low-end estimate of relapse is 21.2% at two months (the high-end estimate being 74% after six months, using the worst-case scenario). Higher education level, in-come, and multiparity were descriptively associated with less tobacco consumption at term. Perceived behavioural control was the motivational variable differing the most between smokers and non-smokers, and with the broadest variance. Scores of attitudes and subjective norms had higher levels and were more consensual.

Conclusions
Incidence of tobacco consumption during pregnancy and during the post-partum period is problematic in Switzerland. One promising avenue is increasing pregnant women’s perceived behavioural control toward smoking cessation during preg-nancy and long-term abstinence.

keywords:

pregnancy; self-efficacy; theory of planned behaviour; smoking relapse; perceived behavioural control

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