Journal article
Smoking in Pregnancy Among Indigenous Women in High-Income Countries: A Narrative Review
Nicotine & Tobacco Research, Vol.19(5), pp.506-517
01/05/2017
PMCID: PMC5896479
PMID: 28403465
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Abstract
Pregnant women in socioeconomically disadvantaged circumstances, such as Indigenous women, have a high prevalence of smoking. Tobacco smoking is the most significant reversible risk factor for the health of Indigenous pregnant women and their babies.
As researchers working in this specialized area, we conducted a narrative review of the literature on smoking among Indigenous pregnant women in the United States, Canada, New Zealand, and Australia. We summarize prevalence and factors influencing tobacco use, interventions, and evidence gaps for tobacco control and smoking cessation. Recommendations are made for future interventions, policy changes, and much-needed research.
Common themes emerging across the four countries reveal opportunities for cross-cultural collaborative studies and trials. These include the social-normative use of tobacco as barriers to quitting in pregnancy and the need for evaluations of interventions at the family and community level. Socioeconomic disparities underscore the importance of enhancing the implementation and reach of strategies to prevent and reduce prenatal tobacco smoking among Indigenous women. Elders and community health care providers as role models for nontobacco use could be explored. Qualitative work is needed to understand the barriers and opportunities, such as cultural strengths supporting quitting tobacco to develop more effective approaches.
Although a high-priority group, there remains a dearth of research on Indigenous women's smoking in pregnancy. Studies have assessed knowledge and attitudes to smoking in pregnancy, and small feasibility studies and a few empirical trials have been conducted. Recommendations for promising culturally appropriate cessation interventions have been made. Larger trials are warranted.
Strategies to support quitting among pregnant Indigenous women need to be multifactorial and take account of the social determinants of smoking including historical antecedents, community norms, cultural strengths, and recognition of individual and community needs. Cross-country research collaborations have the potential to leverage funding, share expertise, and strengthen approaches to tackle an important and poorly attended health disparity that has a profound impact on the entire life course for Indigenous peoples.
Details
- Title
- Smoking in Pregnancy Among Indigenous Women in High-Income Countries: A Narrative Review
- Creators
- Gillian S Gould - School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, AustraliaChristi Patten - Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MNMarewa Glover - School of Public Health, College of Health, Massey University, Auckland, New ZealandAnette Kira - Independent Researcher, Manawatu, New ZealandHarshani Jayasinghe - Basil Hetzel Institute for Translational Health Research, Adelaide, South Australia, Australia
- Publication Details
- Nicotine & Tobacco Research, Vol.19(5), pp.506-517
- Publisher
- Oxford University Press
- Grant note
- National Cancer Institute, grant R01 CA164533 (CP); National Health and Medical Research Council Early Career Fellowship APP1092028 (GSG).
- Identifiers
- 991012958099402368
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article