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Re-Configuring Identity Postpartum and Sustained Abstinence or Relapse to Tobacco Smoking

Author

Listed:
  • Tracey J. Brown

    (Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK)

  • Linda Bauld

    (Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh EH8 9AG, UK)

  • Wendy Hardeman

    (School of Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK)

  • Richard Holland

    (Leicester Medical School, University of Leicester, Leicester LE1 7RH, UK)

  • Felix Naughton

    (School of Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK)

  • Sophie Orton

    (Division of Primary Care, University of Nottingham, Nottingham NG7 2RD, UK)

  • Michael Ussher

    (Population Health Research Institute, St George’s, University of London, London SW17 0RE, UK
    Institute for Social Marketing and Health, University of Stirling, Stirling FK9 4LA, UK)

  • Caitlin Notley

    (Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK)

Abstract

Relapse to smoking postpartum is a common and important public health problem. Difficulty in adjusting to a non-smoking identity is a key factor prompting relapse. However, postpartum relapse prevention interventions rarely focus upon offering support for identity change. We conducted an exploratory inductive analysis of a dataset from the Prevention of Return to Smoking Postpartum (PReS) study to understand identity constructs and experiences of pre- and postpartum women (smokers and ex-smokers), partners and health professionals. Data were obtained from 77 unique participants via focus groups, interviews, email or online questionnaires, and were analyzed by two researchers independently, using NVivo 12. Four main themes emerged reflecting identity transition from the pre- to the postpartum period: (i) Pregnancy and the categorization of smoking status; (ii) the disruption of motherhood and loss of self; (iii) adapting to a maternal non-smoking identity; and (iv) factors influencing sustained abstinence versus relapse to smoking. Postpartum relapse prevention interventions need to consider support for women, and the whole family unit, in adjusting to a new identity as a non-smoking mother. Smoking status should be revisited throughout pregnancy and into the postpartum period to aid the long-term integration of smoke-free behavior.

Suggested Citation

  • Tracey J. Brown & Linda Bauld & Wendy Hardeman & Richard Holland & Felix Naughton & Sophie Orton & Michael Ussher & Caitlin Notley, 2019. "Re-Configuring Identity Postpartum and Sustained Abstinence or Relapse to Tobacco Smoking," IJERPH, MDPI, vol. 16(17), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3139-:d:261875
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    1. Caitlin Notley & Tracey J. Brown & Linda Bauld & Wendy Hardeman & Richard Holland & Felix Naughton & Sophie Orton & Michael Ussher, 2019. "Development of a Complex Intervention for the Maintenance of Postpartum Smoking Abstinence: Process for Defining Evidence-Based Intervention," IJERPH, MDPI, vol. 16(11), pages 1-17, June.
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    Cited by:

    1. Caitlin Notley & Tracey J. Brown & Linda Bauld & Wendy Hardeman & Richard Holland & Felix Naughton & Sophie Orton & Michael Ussher, 2019. "Development of a Complex Intervention for the Maintenance of Postpartum Smoking Abstinence: Process for Defining Evidence-Based Intervention," IJERPH, MDPI, vol. 16(11), pages 1-17, June.

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