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dc.contributor.author
Berrueta, Amanda Mabel
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Morello, Paola
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Alemán, Alicia
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Tong, Van T.
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Johnson, Carolyn
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Dietz, Patricia M.
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Farr, Sherry L.
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Mazzoni, Agustina
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Colomar, Mercedes
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Ciganda, Alvaro
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Llambi, Laura
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Becú, Ana
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Gibbons, Luz
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Smith, Ruben A.
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Buekens, Pierre
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Belizan, Jose
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Althabe, Fernando
dc.date.available
2018-05-16T14:23:47Z
dc.date.issued
2015-06
dc.identifier.citation
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
dc.identifier.issn
1462-2203
dc.identifier.uri
http://hdl.handle.net/11336/45324
dc.description.abstract
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.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Oxford University Press
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Smoking
dc.subject
Pregnant Women
dc.subject.classification
Medicina Critica y de Emergencia
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Medicina Clínica
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Smoking Patterns and Receipt of Cessation Services Among Pregnant Women 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
2018-05-11T20:40:02Z
dc.journal.volume
18
dc.journal.number
5
dc.journal.pagination
1116-1125
dc.journal.pais
Reino Unido
dc.journal.ciudad
Oxford
dc.description.fil
Fil: Berrueta, Amanda Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
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Fil: Morello, Paola. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Alemán, Alicia. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
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Fil: Tong, Van T.. Centers for Disease Control and Prevention; Estados Unidos
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Fil: Johnson, Carolyn. Tulane School of Public Health and Tropical Medicine; Estados Unidos
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Fil: Dietz, Patricia M.. Centers for Disease Control and Prevention; Estados Unidos
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Fil: Farr, Sherry L.. Centers for Disease Control and Prevention; Estados Unidos
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Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Colomar, Mercedes. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
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Fil: Ciganda, Alvaro. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
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Fil: Llambi, Laura. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
dc.description.fil
Fil: Becú, Ana. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Smith, Ruben A.. Centers for Disease Control and Prevention; Estados Unidos
dc.description.fil
Fil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados Unidos
dc.description.fil
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.journal.title
Nicotine And Tobacco Research
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1093/ntr/ntv145
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/ntr/article-abstract/18/5/1116/2510357
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4691562/
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