+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Provision of antenatal smoking cessation support: a survey with pregnant Aboriginal and Torres Strait Islander women



Provision of antenatal smoking cessation support: a survey with pregnant Aboriginal and Torres Strait Islander women



Nicotine and Tobacco Research 17(6): 746-749



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. 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. 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. 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.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058655462

Download citation: RISBibTeXText

PMID: 25634937

DOI: 10.1093/ntr/ntv019


Related references

Jumping the Hurdles for Smoking Cessation in Pregnant Aboriginal and Torres Strait Islander Women in Australia. Journal of Smoking Cessation 6(1): 33-36, 2011

Supporting pregnant Aboriginal and Torres Strait Islander women to quit smoking: views of antenatal care providers and pregnant indigenous women. Maternal and Child Health Journal 18(10): 2293-2299, 2014

Guidance for Culturally Competent Approaches to Smoking Cessation for Aboriginal and Torres Strait Islander Pregnant Women. Nicotine and Tobacco Research 18(1): 104-105, 2016

Barriers and facilitators to smoking cessation within pregnant Aboriginal and/or Torres Strait Islander women: An integrative review. Midwifery 73: 49-61, 2019

Assessing and Validating an Educational Resource Package for Health Professionals to Improve Smoking Cessation Care in Aboriginal and Torres Strait Islander Pregnant Women. International Journal of Environmental Research and Public Health 14(10):, 2017

Factors associated with antenatal smoking among Aboriginal and Torres Strait Islander women in two jurisdictions. Drug and Alcohol Review 31(5): 608-616, 2012

A Pragmatic Guide for Smoking Cessation Counselling and the Initiation of Nicotine Replacement Therapy for Pregnant Aboriginal and Torres Strait Islander Smokers. Journal of Smoking Cessation 10(02): 96-105, 2015

An intensive smoking intervention for pregnant Aboriginal and Torres Strait Islander women: a randomised controlled trial. The Medical Journal of Australia 198(1): 23-24, 2013

An intensive smoking intervention for pregnant Aboriginal and Torres Strait Islander women: a randomised controlled trial. Medical Journal of Australia 197(1): 42-46, 2012

Smoking cessation advice and non-pharmacological support in a national sample of Aboriginal and Torres Strait Islander smokers and ex-smokers. Medical Journal of Australia 202(10): S73-S77, 2015

'She knows how we feel': Australian Aboriginal and Torres Strait Islander childbearing women's experience of Continuity of Care with an Australian Aboriginal and Torres Strait Islander midwifery student. Women and Birth 27(3): 157-162, 2014

Antenatal care for Aboriginal and Torres Strait Islander women. Australian Family Physician 43(1): 20-24, 2014

Assessing the accuracy of self-reported smoking status and impact of passive smoke exposure among pregnant Aboriginal and Torres Strait Islander women using cotinine biochemical validation. Drug and Alcohol Review 29(1): 35-40, 2010

Aboriginal and Torres Strait Islander utilisation of the Quitline service for smoking cessation in South Australia. Australian Journal of Primary Health 19(2): 113-118, 2013

Understanding practitioner professionalism in Aboriginal and Torres Strait Islander health: lessons from student and registrar placements at an urban Aboriginal and Torres Strait Islander primary healthcare service. Australian Journal of Primary Health 23(5): 446-450, 2017