title: Provision of antenatal smoking cessation support: a survey with pregnant Aboriginal and Torres Strait Islander women.
abstract: BACKGROUND
  Guidelines recommend assessment of smoking status, with advice and support for smoking cessation, as a routine and integral part of antenatal care. Approximately 50% of pregnant Australian Aboriginal and Torres Strait Islander women smoke through pregnancy, 3 times the rate of other pregnant Australian women. This study describes smoking cessation assessment and support reported by pregnant Aboriginal and Torres Strait Islander women.
  
  
  METHODS
  Surveys of 261 pregnant Aboriginal and Torres Strait Islander women in New South Wales and the Northern Territory, Australia assessed women's reports of assessment, advice and support for smoking cessation from antenatal providers.
  
  
  RESULTS
  The majority of women (90%, 95% CI = 85, 93) reported being asked their smoking status; 81% (95% CI = 73, 87) of smokers reported being advised to stop smoking and 62% (95% CI = 53, 71) of smokers reported being offered support to quit.
  
  
  CONCLUSIONS
  Despite most pregnant women who smoke reporting advice and support to quit, the persisting high prevalence of smoking suggests that this support is insufficient to overcome the many factors pushing women to smoke. Improving the support provided to women will require empowering the antenatal providers with adequate skills, appropriate resources and effective interventions. Current guidelines are based on research from non-Indigenous populations, as there are no published effective interventions for Indigenous pregnant women. Trials of interventions designed specifically for pregnant Aboriginal and Torres Strait Islander women are urgently needed, as are approaches aimed at reducing uptake of smoking.
authors: University Centre for Rural Health-North Coast, School of Public Health, University of Sydney, Lismore, Australia; megan.passey@ucrh.edu.au.
authors: Megan E
authors: ME
authors: Passey
authors: School of Medicine and Public Health, Faculty of Health, University of Newcastle, Newcastle, Australia.
authors: Robert W
authors: RW
authors: Sanson-Fisher
mesh_terms: D000328:Adult; D001315:Australia; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D009517:New South Wales; D011247:Pregnancy; D037841:Pregnant People; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012907:Smoking / Q000628:therapy*; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000175:diagnosis / Q000628:therapy*; D055815:Young Adult; D000095283:Australian Aboriginal and Torres Strait Islander Peoples
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