Research Article
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Year 2025, Volume: 16 Issue: Erken Çevrimiçi Yayınlar

H Yağmur Sevinç , Bülent Güneş , S. Songül Yalçın

Abstract

References

  • 1. Sezgin L, Pirinçci E. Evaluation of smoking status of nurses working ın hospitals ın Mus province and districts. KSÜ Medical Journal. 2020;15(3):14-21. doi:10.17517/ksutfd.657555
  • 2. WHO report on the global tobacco epidemic. https://www.who.int/publications/i/item/9789240077164
  • 3. Turkish Health Survey. https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2022-49747
  • 4. Azagba S, Manzione L, Shan L. et al. Trends in smoking during pregnancy by socioeconomic characteristics in the United States, 2010–2017. BMC Pregnancy Childbirth. 2020;20:52. https://doi.org/10.1186/s12884-020-2748-y
  • 5. Oflaz S, Amanak K, Kulaksız D. Relationship between smoking and adaptation to pregnancy and body image. Journal of Dependence. 2024;25(2):143-152. doi:10.51982/bagimli.1324625
  • 6. Karaçorlu FN, Pirinçci E. Evaluation of the behaviors of physicians working in primary healthcare institutions about secondhand smoke. Addicta: The Turkish Journal on Addictions. 2023;10(3):268-274. DOI: 10.5152/ADDICTA.2023.22098
  • 7. Drehmer JE, Walters BH, Nabi-Burza E, Winickoff JP. Guidance for the clinical management of thirdhand smoke exposure in the child health care setting. J Clin Outcomes Manag. 2017;24:551– 9.
  • 8. Fergie L, Coleman T, Ussher M, Cooper S, Campbell KA. Pregnant smokers' experiences and opinions of techniques aimed to address barriers and facilitators to smoking cessation: A qualitative study. Int J Environ Res Public Health. 2019;16(15):2772. doi: 10.3390/ijerph16152772.
  • 9. Cengizoğlu H, Gölbaşı Z. Determination of cigarette smoking and exposure of passive cigarette smoke among pregnant women. Gazi Journal of Health Sciences. 2021;6(3):78-89. https://doi.org/10.52881/gsbdergi.938147
  • 10. Meijer E, Kleij R, Segaar D, Chavannes N. Determinants of providing smoking cessation care in five groups of healthcare professionals: A cross-sectional comparison. Patient Educ Couns. 2019;102(6):1140-1149. doi: 10.1016/j.pec.2019.01.015.
  • 11. Hassoy D, Ozvurmaz S. Investigation of smoking status and related factors of nurses working in a state hospital. Journal of Nursing Science. 2021;4(3):140-147. https://doi.org/10.54189/hbd.1019041
  • 12. Almerie MQ, Matar HE, Salam M, Morad A, Abdulaal M, Koudsi A, et al. Cigarettes and waterpipe smoking among medical students in Syria: A cross-sectional study. Int J Tuberc Lung Dis. 2018;12(9):1085–91.
  • 13. Baska T, Pudule I, Tilgale N, Warren CW, Lee J, Lea V, et al. Smoking tobacco in waterpipes among adolescents in Europe: The case of Latvia and Slovakia. Tob Control. 2018;17(6):432. doi: 10.1136/tc.2008.027128.
  • 14. Ahmed MM, Younis NM, Hussein AA. Prevalence of tobacco use among health care workers at primary health care centers in Mosul city. Pakistan Journal of Medical and Health Sciences. 2021;15(1):421-424.
  • 15. Sarı A, Bozkurt E, Dizen KE, Aysal S. The effect of the covid-19 pandemic on the smoking habits of healthcare professionals: A sectional look in a stage 3 hospital. Kocatepe Medical Journal 2022;23(4):447-451. https://doi.org/10.18229/kocatepetip.983772
  • 16. Onwuegbuzie JA, Leech LN. A call for qualitative power analyses. Quality&Quantity. 2007;41:105-121. DOI: 10.1007/s11135-005-1098-1.
  • 17. Dilcen HY, Öztürk A, Yıldız MN. The relationship between smoking during pregnancy and perceived social support, self-esteem and psychological resilience. Journal of Dependence. 2021;22(2):161-170.
  • 18. Özpinar S, Demir Y, Yazicioğlu B, Bayçelebi S. Pregnant women’s beliefs about third-hand smoke and exposure to tobacco smoke. Central European Journal of Public Health. 2022;30(3):154–159. doi:10.21101/cejph.a7063
  • 19. Scherman A, Tolosa JE, McEvoy C. Smoking cessation in pregnancy: A continuing challenge in the United States. Ther Adv Drug Saf. 2018;9(8):457–474.
  • 20. Acar D, Berk ÖS. Smoking cessation in pregnancy within the framework of health behavioral theories: A current review. Current Approaches in Psychiatry. 2022;14(2):152-164.
  • 21. Bal EG, Şengezer T, Yıldırım U, Özkara A. Investigation of active and passive smoking in pregnant women applying to a maternity hospital in Ankara. Konuralp Med J. 2020;12(2):261-269.
  • 22. Danagöz AP, Çetin H, Can Ö, Şimşek EE. Passive smoking levels and related factors in non-smoking pregnant. Journal of Dependence. 2020;21(4):265–274.
  • 23. Sun W, Huang X, Wu H, Zhang CJP, Yin Z, Fan Q, Ming W. Maternal tobacco exposure and health-related quality of life during pregnancy: A national-based study of pregnant women in China. Health and Quality of Life Outcomes. 2021;19(1):1–9. doi:10.1186/s12955-021-01785-x
  • 24. Hang B, Mao JH, Snijders AM. Genetic susceptibility to thirdhand-smokeınduced lung cancer development. Nicotine and Tobacco Research. 2019;21(9):1294–1296. doi:10.1093/ntr/nty127
  • 25. Lidon-Moyano C, Fu M, Perez-Ortuno R, Ballbe M, Garcia E, Martin-Sanchez JC, Martinez-Sanchez JM. Third-Hand exposure at homes: assessment using salivary cotinine. Environmental Research. 2021;196:110393. doi:10.1016/j.envres.2020.110393
  • 26. İnci G, Baysal SU, Şişman AR. Exposure to environmental tobacco smoke by healthy children aged below five (Preliminary study). Turkish Archives of Pediatrics. 2018;53(1):37-44. doi: 10.5152/TurkPediatriArs.2018.5963.
  • 27. Global Youth Tobacco Survey. https://hsgm.saglik.gov.tr/depo/birimler/tutun-ve-madde-bagimliligi-ile-mucadele-db/dokumanlar/KGTA-2017_pdf.pdf
  • 28. Sezer RE. Noncommunicable diseases and other casual factors: Exposure to secondhand and thirdhand tobacco smoke. In: Koçoğlu G, ed. Current Approaches to the Interaction of Nutrition and Dietary Components with Non-Communicable Diseases. Ankara: Turkey Clinics 2019;85-92.
  • 29. Bildik HN, Bilgin E, Demirdöğen E, Yıldız E, Aslan D, Yalçın S. Are children at risk for passive exposure to cigarette smoke: A primary school experience. Journal of Pediatrics and Child Health. 2008;51:147-52.
  • 30. Baby, Child, Adolescent Follow-up Protocols. https://ekutuphane.saglik.gov.tr/Ekutuphane/kitaplar/Bebek_Cocuk_Ergen_Izlem_Protokolleri_2018.pdf

Exploring Awareness and Attitudes Towards Smoke Among Pregnant Women and Healthcare Professionals: A Qualitative Study

Year 2025, Volume: 16 Issue: Erken Çevrimiçi Yayınlar

H Yağmur Sevinç , Bülent Güneş , S. Songül Yalçın

Abstract

Purpose: Smoking during pregnancy or exposure to secondhand smoke can impact fetal development and child health. Moreover, the smoking habits of healthcare professionals (HCP) not only jeopardize their own well-being but also undermine anti-smoking efforts' credibility. This study aims to investigate the smoking behaviors of pregnant women and HCP, along with their perceptions regarding the adverse effects of smoking on child health. Methods: The study conducted four focus group interviews involving 34 pregnant women and two focus group interviews with 17 HCP. Data collection was carried out through face-to-face interviews with audio recordings, utilizing researcher-developed forms including the Information Form and Semi-Structured Questions for both Mothers and HCP. Content analysis of the research data was performed using MAXQDA-24.
Results: Findings revealed that both pregnant women and HCP were exposed to secondhand smoke within their homes, often disregarding areas like the kitchen, balcony, or less frequented rooms as part of the indoor environment. Participants emphasized the detrimental impact of smoking in the presence of children, highlighting its potential to influence children to adopt the habit. Additionally, it was observed that educational videos on smoking's dangers to child health motivated pregnant women to quit smoking.
Conclusion: The study underscores a prevalent lack of awareness among pregnant women and HCP regarding the negative consequences of secondhand and thirdhand smoke exposure. To address this gap, pregnant women should receive education from informed HCPs who understand the risks associated with smoking.

Keywords

child health secondhand tobacco smoke smoking thirdhand tobacco smoke

Ethical Statement

The study was conducted with the permission of the Harran University Clinical Research Ethics Committee (Protocol no: 2023/03/17).

Supporting Institution

NONE

Thanks

The authors would like to thank all of the pregnant women and healthcare professionals for their voluntarily participations.

References

  • 1. Sezgin L, Pirinçci E. Evaluation of smoking status of nurses working ın hospitals ın Mus province and districts. KSÜ Medical Journal. 2020;15(3):14-21. doi:10.17517/ksutfd.657555
  • 2. WHO report on the global tobacco epidemic. https://www.who.int/publications/i/item/9789240077164
  • 3. Turkish Health Survey. https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2022-49747
  • 4. Azagba S, Manzione L, Shan L. et al. Trends in smoking during pregnancy by socioeconomic characteristics in the United States, 2010–2017. BMC Pregnancy Childbirth. 2020;20:52. https://doi.org/10.1186/s12884-020-2748-y
  • 5. Oflaz S, Amanak K, Kulaksız D. Relationship between smoking and adaptation to pregnancy and body image. Journal of Dependence. 2024;25(2):143-152. doi:10.51982/bagimli.1324625
  • 6. Karaçorlu FN, Pirinçci E. Evaluation of the behaviors of physicians working in primary healthcare institutions about secondhand smoke. Addicta: The Turkish Journal on Addictions. 2023;10(3):268-274. DOI: 10.5152/ADDICTA.2023.22098
  • 7. Drehmer JE, Walters BH, Nabi-Burza E, Winickoff JP. Guidance for the clinical management of thirdhand smoke exposure in the child health care setting. J Clin Outcomes Manag. 2017;24:551– 9.
  • 8. Fergie L, Coleman T, Ussher M, Cooper S, Campbell KA. Pregnant smokers' experiences and opinions of techniques aimed to address barriers and facilitators to smoking cessation: A qualitative study. Int J Environ Res Public Health. 2019;16(15):2772. doi: 10.3390/ijerph16152772.
  • 9. Cengizoğlu H, Gölbaşı Z. Determination of cigarette smoking and exposure of passive cigarette smoke among pregnant women. Gazi Journal of Health Sciences. 2021;6(3):78-89. https://doi.org/10.52881/gsbdergi.938147
  • 10. Meijer E, Kleij R, Segaar D, Chavannes N. Determinants of providing smoking cessation care in five groups of healthcare professionals: A cross-sectional comparison. Patient Educ Couns. 2019;102(6):1140-1149. doi: 10.1016/j.pec.2019.01.015.
  • 11. Hassoy D, Ozvurmaz S. Investigation of smoking status and related factors of nurses working in a state hospital. Journal of Nursing Science. 2021;4(3):140-147. https://doi.org/10.54189/hbd.1019041
  • 12. Almerie MQ, Matar HE, Salam M, Morad A, Abdulaal M, Koudsi A, et al. Cigarettes and waterpipe smoking among medical students in Syria: A cross-sectional study. Int J Tuberc Lung Dis. 2018;12(9):1085–91.
  • 13. Baska T, Pudule I, Tilgale N, Warren CW, Lee J, Lea V, et al. Smoking tobacco in waterpipes among adolescents in Europe: The case of Latvia and Slovakia. Tob Control. 2018;17(6):432. doi: 10.1136/tc.2008.027128.
  • 14. Ahmed MM, Younis NM, Hussein AA. Prevalence of tobacco use among health care workers at primary health care centers in Mosul city. Pakistan Journal of Medical and Health Sciences. 2021;15(1):421-424.
  • 15. Sarı A, Bozkurt E, Dizen KE, Aysal S. The effect of the covid-19 pandemic on the smoking habits of healthcare professionals: A sectional look in a stage 3 hospital. Kocatepe Medical Journal 2022;23(4):447-451. https://doi.org/10.18229/kocatepetip.983772
  • 16. Onwuegbuzie JA, Leech LN. A call for qualitative power analyses. Quality&Quantity. 2007;41:105-121. DOI: 10.1007/s11135-005-1098-1.
  • 17. Dilcen HY, Öztürk A, Yıldız MN. The relationship between smoking during pregnancy and perceived social support, self-esteem and psychological resilience. Journal of Dependence. 2021;22(2):161-170.
  • 18. Özpinar S, Demir Y, Yazicioğlu B, Bayçelebi S. Pregnant women’s beliefs about third-hand smoke and exposure to tobacco smoke. Central European Journal of Public Health. 2022;30(3):154–159. doi:10.21101/cejph.a7063
  • 19. Scherman A, Tolosa JE, McEvoy C. Smoking cessation in pregnancy: A continuing challenge in the United States. Ther Adv Drug Saf. 2018;9(8):457–474.
  • 20. Acar D, Berk ÖS. Smoking cessation in pregnancy within the framework of health behavioral theories: A current review. Current Approaches in Psychiatry. 2022;14(2):152-164.
  • 21. Bal EG, Şengezer T, Yıldırım U, Özkara A. Investigation of active and passive smoking in pregnant women applying to a maternity hospital in Ankara. Konuralp Med J. 2020;12(2):261-269.
  • 22. Danagöz AP, Çetin H, Can Ö, Şimşek EE. Passive smoking levels and related factors in non-smoking pregnant. Journal of Dependence. 2020;21(4):265–274.
  • 23. Sun W, Huang X, Wu H, Zhang CJP, Yin Z, Fan Q, Ming W. Maternal tobacco exposure and health-related quality of life during pregnancy: A national-based study of pregnant women in China. Health and Quality of Life Outcomes. 2021;19(1):1–9. doi:10.1186/s12955-021-01785-x
  • 24. Hang B, Mao JH, Snijders AM. Genetic susceptibility to thirdhand-smokeınduced lung cancer development. Nicotine and Tobacco Research. 2019;21(9):1294–1296. doi:10.1093/ntr/nty127
  • 25. Lidon-Moyano C, Fu M, Perez-Ortuno R, Ballbe M, Garcia E, Martin-Sanchez JC, Martinez-Sanchez JM. Third-Hand exposure at homes: assessment using salivary cotinine. Environmental Research. 2021;196:110393. doi:10.1016/j.envres.2020.110393
  • 26. İnci G, Baysal SU, Şişman AR. Exposure to environmental tobacco smoke by healthy children aged below five (Preliminary study). Turkish Archives of Pediatrics. 2018;53(1):37-44. doi: 10.5152/TurkPediatriArs.2018.5963.
  • 27. Global Youth Tobacco Survey. https://hsgm.saglik.gov.tr/depo/birimler/tutun-ve-madde-bagimliligi-ile-mucadele-db/dokumanlar/KGTA-2017_pdf.pdf
  • 28. Sezer RE. Noncommunicable diseases and other casual factors: Exposure to secondhand and thirdhand tobacco smoke. In: Koçoğlu G, ed. Current Approaches to the Interaction of Nutrition and Dietary Components with Non-Communicable Diseases. Ankara: Turkey Clinics 2019;85-92.
  • 29. Bildik HN, Bilgin E, Demirdöğen E, Yıldız E, Aslan D, Yalçın S. Are children at risk for passive exposure to cigarette smoke: A primary school experience. Journal of Pediatrics and Child Health. 2008;51:147-52.
  • 30. Baby, Child, Adolescent Follow-up Protocols. https://ekutuphane.saglik.gov.tr/Ekutuphane/kitaplar/Bebek_Cocuk_Ergen_Izlem_Protokolleri_2018.pdf
There are 30 citations in total.

Details

Primary Language English
Subjects Public Health (Other)
Journal Section Research Articles
Authors

H Yağmur Sevinç 0000-0002-3962-7113

Bülent Güneş 0000-0001-8221-208X

S. Songül Yalçın 0000-0001-9061-4281

Early Pub Date June 18, 2025
Publication Date
Submission Date August 6, 2024
Acceptance Date February 26, 2025
Published in Issue Year 2025Volume: 16 Issue: Erken Çevrimiçi Yayınlar

Cite

EndNote Sevinç HY, Güneş B, Yalçın SS (June 1, 2025) Exploring Awareness and Attitudes Towards Smoke Among Pregnant Women and Healthcare Professionals: A Qualitative Study. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 16 Erken Çevrimiçi Yayınlar