Cigarette Smoking Cessation Counselling in Pregnant Smokers with Mental Illness/Substance Use Disorders.
Taghreed N Salameh, Lynne A Hall, Martin T Hall
PMID 36196024WHAT IT FOUND
Pregnant smokers with mental illness were more likely to receive cessation advice than those without, but substance use disorder did not predict receipt.
First-trimester counselling was lower than third-trimester counselling for women with these disorders.
Key findings
01Pregnant smokers were more likely than nonsmokers to report past-year mental illness, major depressive episode, alcohol use disorder, illicit drug use disorder, and comorbid mental illness and substance use disorder.
02In adjusted analysis, pregnant smokers with mental illness were more likely to report receiving smoking cessation counselling than those without; alcohol use disorder, illicit drug use disorder, and comorbid mental illness and substance use disorder were not associated with receipt.
03Among pregnant smokers, first-trimester women with only mental illness or only substance use disorder reported lower counselling receipt than third-trimester women.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The survey is cross-sectional, so it cannot show whether mental illness or substance use disorder caused differences in counselling receipt. Counselling receipt was a self-report item about whether a health professional advised quitting in the past year; it did not measure the type, quality, duration, or content of counselling. The survey did not identify which health professional gave the advice or when prenatal care started, so it cannot show where the gap occurred. Pregnancy status and smoking were measured at interview, but counselling was asked about the past year, creating possible timing misclassification. Mental illness and substance use disorder were broad self-reported categories, not specific diagnoses or severity. The study did not measure smoking cessation outcomes, so it cannot show whether counselling helped pregnant women quit.
Declared interests
The authors declared no conflicts of interest and no financial support.
The easy way to misread this
Do not conclude that smoking cessation counselling improves quitting in pregnant women with mental illness or substance use disorder. This study only reported whether women said they had received advice, not whether they stopped smoking, and it cannot show that counselling caused any change.