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Why do some mothers (positive deviance) not re-smoke after childbirth despite difficulties in quitting smoking?

Research Project

Project/Area Number 15K11881
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Community health nursing
Research InstitutionNara Medical University (2018-2021)
Shiga University of Medical Science (2015-2017)

Principal Investigator

Bando Harumi  奈良県立医科大学, 医学部, 准教授 (00458027)

Co-Investigator(Kenkyū-buntansha) 吉田 亨  群馬大学, 大学院保健学研究科, 教授 (80174936)
Project Period (FY) 2015-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
KeywordsPositive Deviance / 喫煙 / 禁煙 / 再喫煙 / 妊婦 / 母親
Outline of Final Research Achievements

Therefore, this study adopted the Positive Deviance Approach for analysis, By doing so, the study aimed to advance conventional smoking cessation support and discover practical methods.
This study included 119 women who quit smoking after finding out they were pregnant and are still smoking; and 123 women who quit smoking after finding out they were pregnant but resumed smoking after childbirth.
Among the subjects who met the "preconditions that make it difficult to achieve smoking cessation" factor, those who have continued to quit smoking were found to have the following attributes:Mother's last education less than high school, 37 (p=0.003): partner is a smoker, 58 (p=0.002).The most common success factors for those who continued smoking cessation were "presence of children," "breastfeeding," and "reduced desire to smoke," while the actual coping methods were "use of gum or candy" and "use of medical care such as smoking cessation clinics".

Academic Significance and Societal Importance of the Research Achievements

本研究によって得られた結果による学術的意義や社会的意義は,禁煙を達成することが困難である前提条件下にある禁煙成功者を把握し,出産後の禁煙成功要因と対処方法を明らかにし,看護介入という視点から,禁煙成功者を増やすための方策を考察した点にある.

Report

(8 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (2 results)

All 2020 2017

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (1 results) (of which Invited: 1 results)

  • [Journal Article] Utilization of Positive Deviance into Research Activity for Community Health2020

    • Author(s)
      Harumi Bando, Mayumi Mizutani
    • Journal Title

      Asian Community Health Nursing Research

      Volume: -

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] ポジデビを探せ -地域包括ケアの未来のために-2017

    • Author(s)
      吉田亨
    • Organizer
      岡山プライマリ・ケア学会 総会 第24回学術大会
    • Place of Presentation
      岡山県医師会館
    • Year and Date
      2017-03-20
    • Related Report
      2016 Research-status Report
    • Invited

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Published: 2015-04-16   Modified: 2023-01-30  

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