Abstract
to know the social and family relationships of pregnant women and to analyze their influence in keep smoking during pregnancy. it is a descriptive-exploratory study with a qualitative approach, which had as subjects 10 pregnant smokers. Data were collected from January to March / 2015, through interviews, and organized into graphical representations of the genogram/ecomap and discourse units. pregnant women had low educational level, precarious insertion in the work market and relations of great dependence of the family. Tobacco consumption integrates the family environment and is viewed naturally in the sociocultural environment. In prenatal care, there was no coordinated and longitudinal intervention for smoking cessation. smoking cessation is strongly influenced by the social environment, and the family is an important component of this network. In this sense, strategies to approach smoking should allow a reflection of the norms and rules of the family.
Highlights
By 2015, more than six million global deaths were attributed to tobacco use
Studies point to a worldwide reduction in consumption over the last 25 years, with a prevalence of 25% for men and 5.4% for women, smoking is still among the top five risk factors for adjusted years of lost life for disabilities[1].The impact of the Framework Convention on Tobacco Control (FCTC), a document signed by almost 200 countries in the reduction of consumption, for implementing actions that cover the entire production chain of cigarettes, with measures ranging from agricultural production to taxes insertion and restriction of advertising in media vehicles[2]
This study contributes to the elucidation of relevant questions about the permanence of smoking during pregnancy and the strong influence of the social determinants in the cessation process. It brings the relation of smoking with several questions of life in society that can help the health team to draw strategies that approach the social reality of pregnant smoker
Summary
By 2015, more than six million global deaths were attributed to tobacco use. studies point to a worldwide reduction in consumption over the last 25 years, with a prevalence of 25% for men and 5.4% for women, smoking is still among the top five risk factors for adjusted years of lost life for disabilities[1].The impact of the Framework Convention on Tobacco Control (FCTC), a document signed by almost 200 countries in the reduction of consumption, for implementing actions that cover the entire production chain of cigarettes, with measures ranging from agricultural production to taxes insertion and restriction of advertising in media vehicles[2]. Men consume four times as much tobacco compared to women, with this difference being smaller in the Americas (1.6 times) and higher in the Western Pacific (11.4 times)(4). Even with these data pointing to a lower consumption in numbers for women, a gender analysis imposes on women a situation of vulnerability that predisposes them to an early initiation and difficulties in quitting smoking[5]. A study that analyzed the influence of the social network on the maintenance of smoking in gestation showed that having family and friends smokers, perception of insecurity in the neighborhood and a situation of food insecurity, strongly decreases the chances of smoking cessation[10]. This model goes beyond biomedical approaches and considers biopsychosocial aspects to be relevant in the process[12]
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