Perceived safety of smoking a few cigarettes during pregnancy and provider advice in a sample of pregnant smokers from Romania.

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Title: Perceived safety of smoking a few cigarettes during pregnancy and provider advice in a sample of pregnant smokers from Romania.
Authors: Jaber, Rana (AUTHOR), Blaga, Oana M. (AUTHOR), Dascal, Marina D. (AUTHOR), Meghea, Cristian I. (AUTHOR)
Source: Addiction. Feb2021, Vol. 116 Issue 2, p394-399. 6p. 2 Charts.
Subjects: Cigarette smokers, Pregnant women, Smoking, Pregnancy, Tobacco use, Safety, Anxiety, Confidence intervals, Mental depression, Drug addiction, Health attitudes, Nicotine, Physician-patient relations, Statistical sampling, Attitudes of mothers, Cross-sectional method, Physicians' attitudes, Descriptive statistics, Odds ratio
Geographic Terms: Romania
Abstract: Aims: To assess the prevalence of the perceived safety of smoking a few (generally fewer than five per day) cigarettes during pregnancy and identify associated factors in a sample of pregnant smokers in Romania, a middle‐income country. Design and Setting: Cross‐sectional design with a convenience sample using a polled data set collected between 2016 and 2019 in the formative and baseline phases of the Quit Together randomized control trial (RCT) in Romania. Data were collected using a structured questionnaire administered by research assistants in clinics in the formative phase and self‐administered through the study website at the RCT baseline. Participants: A total of 217 pregnant smokers (mean age = 28.5 ± 5.8) enrolled in the formative and RCT phases of the research project. Measurements The main outcome was the perceived safety of smoking a few cigarettes during pregnancy (generally fewer than five per day). Covariates included the health‐care providers' advice towards smoking tobacco cigarettes during pregnancy, socio‐demographics, the presence of depression and anxiety symptoms and level of nicotine dependence. Findings More than 35% of participants agreed that smoking a few cigarettes during pregnancy was safe for them and their baby. The perceived safety of smoking a few cigarettes during pregnancy was significantly associated with being told by health‐care providers that it is acceptable to continue to smoke cigarettes in small amounts [odds ratio (OR) = 3.08; 95% CI = 1.35–6.99; P < 0.01], perceived harm reduction of smoking light cigarettes (OR = 2.67; 95% CI = 1.19–5.97; P = 0.02) and moderate to severe depression and anxiety score (OR = 0.34; 95% CI = 0.13–0.84; P = 0.02). Conclusions: More than one‐third of pregnant Romanian women appear to believe that smoking 'a few' cigarettes during pregnancy is safe for them and their fetuses. Those who are told by their health‐care providers that it is acceptable to smoke in small amounts during pregnancy have higher odds of perceiving smoking 'a few' cigarettes during pregnancy as safe compared with other pregnant Romanian women. [ABSTRACT FROM AUTHOR]
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  Data: Perceived safety of smoking a few cigarettes during pregnancy and provider advice in a sample of pregnant smokers from Romania.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Addiction%22&quot;&gt;Addiction&lt;/searchLink&gt;. Feb2021, Vol. 116 Issue 2, p394-399. 6p. 2 Charts.
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  Data: Aims: To assess the prevalence of the perceived safety of smoking a few (generally fewer than five per day) cigarettes during pregnancy and identify associated factors in a sample of pregnant smokers in Romania, a middle‐income country. Design and Setting: Cross‐sectional design with a convenience sample using a polled data set collected between 2016 and 2019 in the formative and baseline phases of the Quit Together randomized control trial (RCT) in Romania. Data were collected using a structured questionnaire administered by research assistants in clinics in the formative phase and self‐administered through the study website at the RCT baseline. Participants: A total of 217 pregnant smokers (mean age = 28.5 &#177; 5.8) enrolled in the formative and RCT phases of the research project. Measurements The main outcome was the perceived safety of smoking a few cigarettes during pregnancy (generally fewer than five per day). Covariates included the health‐care providers&#39; advice towards smoking tobacco cigarettes during pregnancy, socio‐demographics, the presence of depression and anxiety symptoms and level of nicotine dependence. Findings More than 35% of participants agreed that smoking a few cigarettes during pregnancy was safe for them and their baby. The perceived safety of smoking a few cigarettes during pregnancy was significantly associated with being told by health‐care providers that it is acceptable to continue to smoke cigarettes in small amounts [odds ratio (OR) = 3.08; 95% CI = 1.35–6.99; P &lt; 0.01], perceived harm reduction of smoking light cigarettes (OR = 2.67; 95% CI = 1.19–5.97; P = 0.02) and moderate to severe depression and anxiety score (OR = 0.34; 95% CI = 0.13–0.84; P = 0.02). Conclusions: More than one‐third of pregnant Romanian women appear to believe that smoking &#39;a few&#39; cigarettes during pregnancy is safe for them and their fetuses. Those who are told by their health‐care providers that it is acceptable to smoke in small amounts during pregnancy have higher odds of perceiving smoking &#39;a few&#39; cigarettes during pregnancy as safe compared with other pregnant Romanian women. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/add.15201
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 394
    Subjects:
      – SubjectFull: Cigarette smokers
        Type: general
      – SubjectFull: Pregnant women
        Type: general
      – SubjectFull: Smoking
        Type: general
      – SubjectFull: Pregnancy
        Type: general
      – SubjectFull: Tobacco use
        Type: general
      – SubjectFull: Safety
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Drug addiction
        Type: general
      – SubjectFull: Health attitudes
        Type: general
      – SubjectFull: Nicotine
        Type: general
      – SubjectFull: Physician-patient relations
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Attitudes of mothers
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Physicians' attitudes
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Romania
        Type: general
    Titles:
      – TitleFull: Perceived safety of smoking a few cigarettes during pregnancy and provider advice in a sample of pregnant smokers from Romania.
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            NameFull: Blaga, Oana M.
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            NameFull: Dascal, Marina D.
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            – D: 01
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              Text: Feb2021
              Type: published
              Y: 2021
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              Value: 116
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