The Importance of Social Networks on Smoking: Perspectives of Women Who Quit Smoking During Pregnancy
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While up to 45% of women quit smoking during pregnancy, nearly 80% return to smoking within a year after delivery. Interventions to prevent relapse have had limited success. The study objective was to understand what influences return to smoking after pregnancy among women who quit smoking during pregnancy, with a focus on the role of social networks. We conducted in-depth, semi-structured interviews during the postpartum hospital stay with women who quit smoking while pregnant. Over 300 pages of transcripts were analyzed using qualitative methods to identify common themes. Respondents [n = 24] were predominately white (63%), had at least some college education (54%) and a mean age of 26 years (range = 18–36). When reflecting on the experience of being a smoker who quit smoking during pregnancy, all participants emphasized the importance of their relationships with other smokers and the changes in these relationships that ensued once they quit smoking. Three common themes were: (1) being enmeshed in social networks with prominent smoking norms (2) being tempted to smoke by members of their social networks, and (3) changing relationships with the smokers in their social networks as a result of their non-smoking status. We found that women who quit smoking during pregnancy found themselves confronted by a change in their social network since most of those in their social network were smokers. For this reason, smoking cessation interventions may be most successful if they help women consider restructuring or reframing their social network.
- Carmichael, S. L., & Ahluwalia, I. B. (2000). Correlates of postpartum smoking relapse. Results from the Pregnancy Risk Assessment Monitoring System (PRAMS). American Journal of Preventative Medicine, 19, 193–196. CrossRef
- Von Kohorn, I., Nguyen, S. N., Shulman-Green, D., & Colson, E. R. A qualitative study of postpartum mothers' intention to smoke. Birth (in press).
- Nichter, M., et al. (2008). Smoking and harm-reduction efforts among postpartum women. Qualitative Health Research, 18, 1184–1194. CrossRef
- DiFranza, J., Aligne, C., & Weitzman, M. (2004). Prenatal and postnatal environmental tobacco smoke exposure and children’s health. Pediatrics, 113, 1007–1015.
- Fleming, P., & Blair, P. S. (2007). Sudden infant death syndrome and parental smoking. Early Human Development, 83, 721–725. CrossRef
- Groner, J., et al. (2005). Screening for children’s exposure to environmental tobacco smoke in a pediatric primary care setting. Archives of Pediatrics & Adolescent Medicine, 159, 450–455. CrossRef
- Herrmann, M., King, K., & Weitzman, M. (2008). Prenatal tobacco smoke and postnatal secondhand smoke exposure and child neurodevelopment. Current Opinion in Pediatrics, 20, 184–190. CrossRef
- Kum-Nji, P., Meloy, L., & Herrod, H. (2006). Environmental tobacco smoke exposure: Prevalence and mechanisms of causation of infections in children. Pediatrics, 117, 1745–1754. CrossRef
- Lam, T., Leung, G., & Ho, L. (2001). The effects of environmental tobacco smoke on health services utilization in the first eighteen months of life. Pediatrics, 107, E91. CrossRef
- Bottorff, J. L., et al. (2006). Couple dynamics during women’s tobacco reduction in pregnancy and postpartum. Nicotine & Tobacco Research, 8, 499–509. CrossRef
- Ripley-Moffitt, C. E., et al. (2008). Safe babies: A qualitative analysis of the determinants of postpartum smoke-free and relapse states. Nicotine & Tobacco Research, 10, 1355–1364. CrossRef
- Ashford, K. B., et al. (2009). Postpartum smoking relapse and secondhand smoke. Public Health Reports, 124, 515–526.
- Gaffney, K. F., & Henry, L. L. (2007). Identifying risk factors for postpartum tobacco use. Journal of Nursing Scholarship, 39, 126–132. CrossRef
- Lemola, S., & Grob, A. (2008). Smoking cessation during pregnancy and relapse after childbirth: The impact of the grandmother’s smoking status. Maternal & Child Health Journal, 12, 525–533. CrossRef
- Solomon, L. J., et al. (2007). Predictors of postpartum relapse to smoking. Drug & Alcohol Dependence, 90, 224–227. CrossRef
- McBride, C. M., & Pirie, P. L. (1990). Postpartum smoking relapse. Addictive Behaviors, 15, 165–168. CrossRef
- Mullen, P. D. (2004). How can more smoking suspension during pregnancy become lifelong abstinence? Lessons learned about predictors, interventions, and gaps in our accumulated knowledge. Nicotine & Tobacco Research, 6(Suppl. 2), S217–S238. CrossRef
- Christakis, N., & Fowler, J. (2008). The collective dynamics of smoking in a large social network. New England Journal of Medicine, 358, 2249–2258. CrossRef
- Heaney, C. A., & Israel, B. A. (2002). Social networks and social support. In K. Glanz, B. K. Rimer, & F. M. Lewis (Eds.), Health behavior and health education: Theory, research, and practice (3rd ed., pp. 185–209). San Francisco, CA: Wiley.
- Levitt, C., et al. (2007). Systematic review of the literature on postpartum care: Effectiveness of interventions for smoking relapse prevention, cessation, and reduction in postpartum women. Birth, 34, 341–347. CrossRef
- Helfer, R. E. (1987). The perinatal period, a window of opportunity for enhancing parent-infant communication: An approach to prevention. Child Abuse & Neglect, 11, 565–579. CrossRef
- Suplee, P. D. (2005). The importance of providing smoking relapse counseling during the postpartum hospitalization. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 34, 703–712. CrossRef
- Curry, L. A., et al. (2009). Qualitative and mixed methods provide unique contributions to outcomes research. Circulation, 119, 1442–1452. CrossRef
- Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Hawthorne, NY: Aldine Transaction.
- Bradley, E. H., Curry, L. A., & Devers, K. J. (2007). Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Services Research, 42, 1758–1772. CrossRef
- Giacomini, M. K., & Cook, D. J. (2000). Users’ guides to the medical literature: XXIII. Qualitative research in health care. Are the results of the study valid? Evidence-Based Medicine Working Group. Journal of the American Medical Association, 284, 357–362. CrossRef
- Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. CrossRef
- Gantt, C. J. (2001). The theory of planned behavior and postpartum smoking relapse. Journal of Nursing Scholarship, 33, 337–341. CrossRef
- Charmaz, K. (2003). Grounded Theory: Objectivist and Constructivist Methods. In N. K. Denzin & Y. S. Lincoln (Eds.), Strategies of qualitative inquire (2nd ed., pp. 249–291). Thousand Oaks, CA: Sage.
- Ma, Y., et al. (2005). Predictors of smoking cessation in pregnancy and maintenance postpartum in low-income women. Maternal & Child Health Journal, 9, 393–402. CrossRef
- Mullen, P. D., Richardson, M. A., Quinn, V. P., & Ershoff, D. H. (1997). Postpartum return to smoking: Who is at risk and when. American Journal of Health Promotion, 11, 323–330. CrossRef
- Mishel, M., & Braden, C. (1987). Uncertainty: A mediator between support and adjustment. Western Journal of Nursing Research, 9, 43–57. CrossRef
- Palmer, C. A., et al. (2000). Couple approaches to smoking cessation. In K. B. Schmaling & T. G. Sher (Eds.), The psychology of couples and illness: Theory, research, and practice (pp. 311–336). Washington, DC: American Psychological Association.
- Levine, M. D. (2008). Women’s interest in treatment to stay abstinent from cigarettes postpartum. Women’s Health Issues, 18, 381–386. CrossRef
- The Importance of Social Networks on Smoking: Perspectives of Women Who Quit Smoking During Pregnancy
Maternal and Child Health Journal
Volume 16, Issue 6 , pp 1312-1318
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- 1. Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA
- 2. Institute of Medicine, Washington, DC, USA
- 3. Yale University School of Nursing, New Haven, CT, USA
- 4. Department of Pediatrics, Yale University School of Medicine, 333 Cedar St, P.O. Box 208064, New Haven, CT, 06520, USA