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Systematic Review of Interventions for Racial/Ethnic-Minority Pregnant Smokers

Published online by Cambridge University Press:  22 May 2014

Yukiko Washio*
Affiliation:
Treatment Research Institute, Philadelphia PA, 19106, USA
Heather Cassey
Affiliation:
Temple University, Department of Psychological, Organizational, and Leadership Studies, Philadelphia PA, 19122, USA
*
Address for correspondence: Yukiko Washio, Treatment Research Institute, 600 Public Ledger Building, 150 S. Independence Mall West, Philadelphia, PA 19106, USAywashio@tresearch.org

Abstract

Introduction: Large disparities exist in smoking rates during pregnancy by racial/ethnic status. Aims: The current review examined controlled studies that predominantly included racial/ethnic-minority pregnant smokers for providing smoking cessation treatment. Methods: Two authors independently conducted the literature searches in the standard databases using a combination of the keywords with minority, pregnancy, smoking and cessation identifiers. Results: The searches identified nine articles that met the inclusion criteria. Only two studies exclusively targeted specific minority groups. Most of them provided some form of brief smoking cessation counselling, with two combining with incentives and one combining with pharmacotherapy. Two studies provided intensive cognitive interventions. Pregnant smokers of American Indian or Alaska Native, Hispanic subgroups, and Asian or Pacific Islander are under-studied. Conclusions: Future studies to treat minority pregnant smokers could target under-studied minority groups and may need to directly and intensely target smoking behaviour, address cultural and psychosocial issues in an individualised and comprehensive manner, and analyse the cost-benefit of an intervention.

Type
Review Article
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

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