Megan Passey, Rob Sanson-Fisher and Janelle Stirling
Presenter(s)
Dr Megan Passey Senior Lecturer, University of Sydney, NSW, Australia
Abstract
Introduction: Approximately 50% of Australian Aboriginal women smoke during pregnancy, They are three times as likely to smoke in pregnancy as non-Indigenous women. We developed and pilot tested a smoking cessation program for pregnant Aboriginal women.
Methods: The program was provided by local Aboriginal antenatal services. It involved intensive support for women and household members; free NRT; financial incentives to reward abstinence (confirmed by expired carbon monoxide); and group peer support. It was pilot tested and evaluated for feasibility and acceptability at two rural sites in NSW. Data collection included interviews with women and providers; and collection of process and outcome indicators using structured forms.
Results: Of 38 eligible women, 22 (58%) participated in the program, 19 (86%) of whom remained in the program to the end of their pregnancy. The program was highly acceptable for both women and providers, with women feeling very supported. Some feasibility issues were identified, particularly with running groups. Among the 19 women completing the program, 16 (84%) made a quit attempt; 15 (79%) successfully quit ≥24 hours; and 8 (42%) remained confirmed non-smokers in late pregnancy.
Conclusion: The pilot program showed promising results. A larger trial is planned.
Source of funding: Australian Commonwealth Department of Health and Ageing
Declaration of interest: I have received research funding from Pfizer Australia for unrelated research. I declare no conflicts of interest
