Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay

Autores
Berrueta, Amanda Mabel; Morello, Paola; Alemán, Alicia; Tong, Van T.; Johnson, Carolyn; Dietz, Patricia M.; Farr, Sherry L.; Mazzoni, Agustina; Colomar, Mercedes; Ciganda, Alvaro; Llambi, Laura; Becú, Ana; Gibbons, Luz; Smith, Ruben A.; Buekens, Pierre; Belizan, Jose; Althabe, Fernando
Año de publicación
2015
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Introduction: The 5A’s (Ask, Advise, Assess, Assist, and Arrange) strategy, a best-practice approach for cessation counseling, has been widely implemented in high-income countries for pregnant women; however, no studies have evaluated implementation in middle-income countries. The study objectives were to assess smoking patterns and receipt of 5A’s among pregnant women in Buenos Aires, Argentina and Montevideo, Uruguay. Methods: Data were collected through administered questionnaires to women at delivery hospitalizations during October 2011–May 2012. Eligible women attended one of 12 maternity hospitals or 21 associated prenatal care clinics. The questionnaire included demographic data, tobacco use/cessation behaviors, and receipt of the 5A’s. Self-reported cessation was verified with saliva cotinine. Results: Overall, of 3400 pregnant women, 32.8% smoked at the beginning of pregnancy; 11.9% quit upon learning they were pregnant or later during pregnancy, and 20.9% smoked throughout pregnancy. Smoking prevalence varied by country with 16.1% and 26.7% who smoked throughout pregnancy in Argentina and Uruguay, respectively. Among pregnant smokers in Argentina, 23.8% reported that a provider asked them about smoking at more than one prenatal care visit; 18.5% were advised to quit; 5.3% were assessed for readiness to quit, 4.7% were provided assistance, and 0.7% reported follow-up was arranged. In Uruguay, those percentages were 36.3%, 27.9%, 5.4%, 5.6%, and 0.2%, respectively. Conclusions: Approximately, one in six pregnant women smoked throughout pregnancy in Buenos Aires and one in four in Montevideo. However, a low percentage of smokers received any cessation assistance in both countries. Healthcare providers are not fully implementing the recommended 5A’s intervention to help pregnant women quit smoking.
Fil: Berrueta, Amanda Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Morello, Paola. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Alemán, Alicia. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Tong, Van T.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Johnson, Carolyn. Tulane School of Public Health and Tropical Medicine; Estados Unidos
Fil: Dietz, Patricia M.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Farr, Sherry L.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Colomar, Mercedes. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Ciganda, Alvaro. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Llambi, Laura. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Becú, Ana. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Smith, Ruben A.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados Unidos
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
Smoking
Pregnant Women
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/45324
Acceder
id CONICETDig_facda323d50918b31401176129b5f1af
oai_identifier_str oai:ri.conicet.gov.ar:11336/45324
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and UruguayBerrueta, Amanda MabelMorello, PaolaAlemán, AliciaTong, Van T.Johnson, CarolynDietz, Patricia M.Farr, Sherry L.Mazzoni, AgustinaColomar, MercedesCiganda, AlvaroLlambi, LauraBecú, AnaGibbons, LuzSmith, Ruben A.Buekens, PierreBelizan, JoseAlthabe, FernandoSmokingPregnant Womenhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Introduction: The 5A’s (Ask, Advise, Assess, Assist, and Arrange) strategy, a best-practice approach for cessation counseling, has been widely implemented in high-income countries for pregnant women; however, no studies have evaluated implementation in middle-income countries. The study objectives were to assess smoking patterns and receipt of 5A’s among pregnant women in Buenos Aires, Argentina and Montevideo, Uruguay. Methods: Data were collected through administered questionnaires to women at delivery hospitalizations during October 2011–May 2012. Eligible women attended one of 12 maternity hospitals or 21 associated prenatal care clinics. The questionnaire included demographic data, tobacco use/cessation behaviors, and receipt of the 5A’s. Self-reported cessation was verified with saliva cotinine. Results: Overall, of 3400 pregnant women, 32.8% smoked at the beginning of pregnancy; 11.9% quit upon learning they were pregnant or later during pregnancy, and 20.9% smoked throughout pregnancy. Smoking prevalence varied by country with 16.1% and 26.7% who smoked throughout pregnancy in Argentina and Uruguay, respectively. Among pregnant smokers in Argentina, 23.8% reported that a provider asked them about smoking at more than one prenatal care visit; 18.5% were advised to quit; 5.3% were assessed for readiness to quit, 4.7% were provided assistance, and 0.7% reported follow-up was arranged. In Uruguay, those percentages were 36.3%, 27.9%, 5.4%, 5.6%, and 0.2%, respectively. Conclusions: Approximately, one in six pregnant women smoked throughout pregnancy in Buenos Aires and one in four in Montevideo. However, a low percentage of smokers received any cessation assistance in both countries. Healthcare providers are not fully implementing the recommended 5A’s intervention to help pregnant women quit smoking.Fil: Berrueta, Amanda Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Morello, Paola. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Alemán, Alicia. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Tong, Van T.. Centers for Disease Control and Prevention; Estados UnidosFil: Johnson, Carolyn. Tulane School of Public Health and Tropical Medicine; Estados UnidosFil: Dietz, Patricia M.. Centers for Disease Control and Prevention; Estados UnidosFil: Farr, Sherry L.. Centers for Disease Control and Prevention; Estados UnidosFil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Colomar, Mercedes. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Ciganda, Alvaro. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Llambi, Laura. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Becú, Ana. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Smith, Ruben A.. Centers for Disease Control and Prevention; Estados UnidosFil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados UnidosFil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaOxford University Press2015-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttp://hdl.handle.net/11336/45324Berrueta, Amanda Mabel; Morello, Paola; Alemán, Alicia; Tong, Van T.; Johnson, Carolyn; et al.; Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay; Oxford University Press; Nicotine And Tobacco Research; 18; 5; 6-2015; 1116-11251462-2203CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1093/ntr/ntv145info:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/ntr/article-abstract/18/5/1116/2510357info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4691562/info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T14:40:16Zoai:ri.conicet.gov.ar:11336/45324instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 14:40:16.776CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay
title Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay
spellingShingle Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay
Berrueta, Amanda Mabel
Smoking
Pregnant Women
title_short Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay
title_full Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay
title_fullStr Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay
title_full_unstemmed Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay
title_sort Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay
dc.creator.none.fl_str_mv Berrueta, Amanda Mabel
Morello, Paola
Alemán, Alicia
Tong, Van T.
Johnson, Carolyn
Dietz, Patricia M.
Farr, Sherry L.
Mazzoni, Agustina
Colomar, Mercedes
Ciganda, Alvaro
Llambi, Laura
Becú, Ana
Gibbons, Luz
Smith, Ruben A.
Buekens, Pierre
Belizan, Jose
Althabe, Fernando
author Berrueta, Amanda Mabel
author_facet Berrueta, Amanda Mabel
Morello, Paola
Alemán, Alicia
Tong, Van T.
Johnson, Carolyn
Dietz, Patricia M.
Farr, Sherry L.
Mazzoni, Agustina
Colomar, Mercedes
Ciganda, Alvaro
Llambi, Laura
Becú, Ana
Gibbons, Luz
Smith, Ruben A.
Buekens, Pierre
Belizan, Jose
Althabe, Fernando
author_role author
author2 Morello, Paola
Alemán, Alicia
Tong, Van T.
Johnson, Carolyn
Dietz, Patricia M.
Farr, Sherry L.
Mazzoni, Agustina
Colomar, Mercedes
Ciganda, Alvaro
Llambi, Laura
Becú, Ana
Gibbons, Luz
Smith, Ruben A.
Buekens, Pierre
Belizan, Jose
Althabe, Fernando
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Smoking
Pregnant Women
topic Smoking
Pregnant Women
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Introduction: The 5A’s (Ask, Advise, Assess, Assist, and Arrange) strategy, a best-practice approach for cessation counseling, has been widely implemented in high-income countries for pregnant women; however, no studies have evaluated implementation in middle-income countries. The study objectives were to assess smoking patterns and receipt of 5A’s among pregnant women in Buenos Aires, Argentina and Montevideo, Uruguay. Methods: Data were collected through administered questionnaires to women at delivery hospitalizations during October 2011–May 2012. Eligible women attended one of 12 maternity hospitals or 21 associated prenatal care clinics. The questionnaire included demographic data, tobacco use/cessation behaviors, and receipt of the 5A’s. Self-reported cessation was verified with saliva cotinine. Results: Overall, of 3400 pregnant women, 32.8% smoked at the beginning of pregnancy; 11.9% quit upon learning they were pregnant or later during pregnancy, and 20.9% smoked throughout pregnancy. Smoking prevalence varied by country with 16.1% and 26.7% who smoked throughout pregnancy in Argentina and Uruguay, respectively. Among pregnant smokers in Argentina, 23.8% reported that a provider asked them about smoking at more than one prenatal care visit; 18.5% were advised to quit; 5.3% were assessed for readiness to quit, 4.7% were provided assistance, and 0.7% reported follow-up was arranged. In Uruguay, those percentages were 36.3%, 27.9%, 5.4%, 5.6%, and 0.2%, respectively. Conclusions: Approximately, one in six pregnant women smoked throughout pregnancy in Buenos Aires and one in four in Montevideo. However, a low percentage of smokers received any cessation assistance in both countries. Healthcare providers are not fully implementing the recommended 5A’s intervention to help pregnant women quit smoking.
Fil: Berrueta, Amanda Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Morello, Paola. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Alemán, Alicia. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Tong, Van T.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Johnson, Carolyn. Tulane School of Public Health and Tropical Medicine; Estados Unidos
Fil: Dietz, Patricia M.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Farr, Sherry L.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Colomar, Mercedes. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Ciganda, Alvaro. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Llambi, Laura. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Becú, Ana. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Smith, Ruben A.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados Unidos
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description Introduction: The 5A’s (Ask, Advise, Assess, Assist, and Arrange) strategy, a best-practice approach for cessation counseling, has been widely implemented in high-income countries for pregnant women; however, no studies have evaluated implementation in middle-income countries. The study objectives were to assess smoking patterns and receipt of 5A’s among pregnant women in Buenos Aires, Argentina and Montevideo, Uruguay. Methods: Data were collected through administered questionnaires to women at delivery hospitalizations during October 2011–May 2012. Eligible women attended one of 12 maternity hospitals or 21 associated prenatal care clinics. The questionnaire included demographic data, tobacco use/cessation behaviors, and receipt of the 5A’s. Self-reported cessation was verified with saliva cotinine. Results: Overall, of 3400 pregnant women, 32.8% smoked at the beginning of pregnancy; 11.9% quit upon learning they were pregnant or later during pregnancy, and 20.9% smoked throughout pregnancy. Smoking prevalence varied by country with 16.1% and 26.7% who smoked throughout pregnancy in Argentina and Uruguay, respectively. Among pregnant smokers in Argentina, 23.8% reported that a provider asked them about smoking at more than one prenatal care visit; 18.5% were advised to quit; 5.3% were assessed for readiness to quit, 4.7% were provided assistance, and 0.7% reported follow-up was arranged. In Uruguay, those percentages were 36.3%, 27.9%, 5.4%, 5.6%, and 0.2%, respectively. Conclusions: Approximately, one in six pregnant women smoked throughout pregnancy in Buenos Aires and one in four in Montevideo. However, a low percentage of smokers received any cessation assistance in both countries. Healthcare providers are not fully implementing the recommended 5A’s intervention to help pregnant women quit smoking.
publishDate 2015
dc.date.none.fl_str_mv 2015-06
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/45324
Berrueta, Amanda Mabel; Morello, Paola; Alemán, Alicia; Tong, Van T.; Johnson, Carolyn; et al.; Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay; Oxford University Press; Nicotine And Tobacco Research; 18; 5; 6-2015; 1116-1125
1462-2203
CONICET Digital
CONICET
url http://hdl.handle.net/11336/45324
identifier_str_mv Berrueta, Amanda Mabel; Morello, Paola; Alemán, Alicia; Tong, Van T.; Johnson, Carolyn; et al.; Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay; Oxford University Press; Nicotine And Tobacco Research; 18; 5; 6-2015; 1116-1125
1462-2203
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1093/ntr/ntv145
info:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/ntr/article-abstract/18/5/1116/2510357
info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4691562/
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/vnd.openxmlformats-officedocument.wordprocessingml.document
application/vnd.openxmlformats-officedocument.wordprocessingml.document
application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1846082893932134400
score 12.891075

Publicaciones similares