Smoking cessation among disadvantaged young women during and after pregnancy: Exploring the role of social networks.

Abstract Objective Smoking prevalence during and after pregnancy remains high among socioeconomically disadvantaged, European women. This research aims to gain insight into the role of social networks on smoking cessation among disadvantaged young women during and after pregnancy. Design Qualitative interview study. Setting Dutch preventive care program (VoorZorg). Participants Disadvantaged young women during and after pregnancy (n=17) who participated in a Dutch preventive care program, and members in their social networks (n=4). Methods All qualitative interviews were recorded, transcribed, and analyzed by iterative coding processes. Findings Many women were not intrinsically motivated to quit smoking due to, amongst other factors, difficulties in their lives (e.g. domestic violence, psychosocial problems), limited supportive social networks, and a strong dependence on relatives who smoked. Women seemed to be prompted to smoke by smoking cues in their social networks, while distancing from smokers would lead to feelings of social exclusion. When attempting to stop smoking, women experienced little encouragement from their social networks, which instead often undermined their smoking cessation efforts. Key conclusions and implications for practice: The social networks of disadvantaged young women mostly had a negative role on their smoking cessation efforts. Our results emphasize the need to look at interventions that involve women's social networks, and explore novel opportunities for these women to build supportive new social networks, for example by connecting to peers via eHealth and mHealth applications.