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dc.contributor.author
Colomar, Mercedes
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Tong, Van T.
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Morello, Paola
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Farr, Sherry L.
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Lawsin, Catalina
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Dietz, Patricia M.
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Aleman, Alicia
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Berrueta, Amanda Mabel
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Mazzoni, Agustina
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Becu, Ana
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Buekens, Pierre
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Belizan, Jose
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Althabe, Fernando
dc.date.available
2018-05-11T19:07:04Z
dc.date.issued
2014-11
dc.identifier.citation
Colomar, Mercedes; Tong, Van T.; Morello, Paola; Farr, Sherry L.; Lawsin, Catalina; et al.; Barriers and Promoters of an Evidenced-Based Smoking Cessation Counseling During Prenatal Care in Argentina and Uruguay; Springer; Maternal and Child Health Journal; 19; 7; 11-2014; 1481-1489
dc.identifier.issn
1092-7875
dc.identifier.uri
http://hdl.handle.net/11336/44957
dc.description.abstract
In Argentina and Uruguay, 10.3 and 18.3 %, respectively, of pregnant women smoked in 2005. Brief cessation counseling, based on the 5A’s model, has been effective in different settings. This qualitative study aims to improve the understanding of factors influencing the provision of smoking cessation counseling during pregnancy in Argentina and Uruguay. In 2010, we obtained prenatal care providers’, clinic directors’, and pregnant smokers’ opinions regarding barriers and promoters to brief smoking cessation counseling in publicly-funded prenatal care clinics in Buenos Aires, Argentina and Montevideo, Uruguay. We interviewed six prenatal clinic directors, conducted focus groups with 46 health professionals and 24 pregnant smokers. Themes emerged from three issue areas: health professionals, health system, and patients. Health professional barriers to cessation counseling included inadequate knowledge and motivation, perceived low self-efficacy, and concerns about inadequate time and large workload. They expressed interest in obtaining a counseling script. Health system barriers included low prioritization of smoking cessation and a lack of clinic protocols to implement interventions. Pregnant smokers lacked information on the risks of prenatal smoking and underestimated the difficulty of smoking cessation. Having access to written materials and receiving cessation services during clinic waiting times were mentioned as promoters for the intervention. Women also were receptive to non-physician office staff delivering intervention components. Implementing smoking cessation counseling in publicly-funded prenatal care clinics in Argentina and Uruguay may require integrating counseling into routine prenatal care and educating and training providers on best-practices approaches.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Springer
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Smoking Cessation
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Medicina Critica y de Emergencia
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Medicina Clínica
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Barriers and Promoters of an Evidenced-Based Smoking Cessation Counseling During Prenatal Care in Argentina and Uruguay
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2018-05-10T14:16:29Z
dc.identifier.eissn
1573-6628
dc.journal.volume
19
dc.journal.number
7
dc.journal.pagination
1481-1489
dc.journal.pais
Alemania
dc.description.fil
Fil: Colomar, Mercedes. Hospital de Clínicas ; Uruguay
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Fil: Tong, Van T.. Centers for Disease Control and Prevention; Estados Unidos
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Fil: Morello, Paola. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Farr, Sherry L.. Centers for Disease Control and Prevention; Estados Unidos
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Fil: Lawsin, Catalina. University of Sydney; Australia
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Fil: Dietz, Patricia M.. Centers for Disease Control and Prevention; Estados Unidos
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Fil: Aleman, Alicia. Hospital de Clínicas ; Uruguay
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Fil: Berrueta, Amanda Mabel. University of Sydney; Australia
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Fil: Mazzoni, Agustina. University of Sydney; Australia
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Fil: Becu, Ana. University of Sydney; Australia
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Fil: Buekens, Pierre. University of Tulane; Estados Unidos
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Fil: Belizan, Jose. University of Sydney; Australia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Althabe, Fernando. University of Sydney; Australia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.journal.title
Maternal and Child Health Journal
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1007/s10995-014-1652-3
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info:eu-repo/semantics/altIdentifier/url/https://link.springer.com/article/10.1007%2Fs10995-014-1652-3
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442744/
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