{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:54:39Z","timestamp":1772499279946,"version":"3.50.1"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Im Pilotprojekt \u201eMaterielle Bonifizierung des Rauchstopps in der Schwangerschaft\u201c\n                    wird eine Intervention aus Belohnung und psychosozialer Unterst\u00fctzung bei\n                    rauchenden Frauen ab der 15. Schwangerschaftswoche erprobt. Eine Belohnung von\n                    25 \u20ac wird ausgezahlt, wenn an zwei Tagen einer Woche, der Kohlenmonoxidgehalt\n                    (=CO-Wert) maximal 4 Teilchen pro einer Million Teilchen in der Ausatemluft\n                    betr\u00e4gt. Anhand des Fallbeispiels von Frau T. wird nachgewiesen, dass der\n                    CO-Wert zu Validierung von Selbstaussagen, durch den potenziellen Umstieg auf\n                    Tabak- und Nikotinprodukte ohne klassische Verbrennung wie E-Zigaretten, nicht\n                    geeignet ist. Als Alternativen gelten der Nachweis von Kotinin als Abbauprodukt\n                    des Nikotins im Speichel oder im Urin. Deren Akzeptanz ist bei Betroffenen und\n                    denjenigen, die sie anwenden, bislang nicht gut untersucht. Methoden der\n                    Validierung von Selbstaussagen zum Rauchstatus in der Schwangerschaft sowie\n                    generell in der Tabakentw\u00f6hnung, sind an Produktentwicklungen anzupassen. Dies\n                    ist notwendig um Fehlanreize, wie bei Frau T. zu vermeiden und ein zuverl\u00e4ssiges\n                    Monitoring des Rauchstatus\u2019 in der Tabakentw\u00f6hnung zu gew\u00e4hrleisten.<\/jats:p>","DOI":"10.1055\/a-2776-2650","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T23:55:18Z","timestamp":1772495718000},"source":"Crossref","is-referenced-by-count":0,"title":["E-Zigaretten \u2013 Fallstrick bei der Belohnung des Rauchstopps in der\n                    Schwangerschaft?"],"prefix":"10.1055","author":[{"given":"Sabina","family":"Ulbricht","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Community Medicine, SHIP-KEF, Universit\u00e4tsmedizin\n                    Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Vitzthum","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Tabakentw\u00f6hnung und Raucherpr\u00e4vention, Vivantes Netzwerk\n                    f\u00fcr Gesundheit GmbH, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"key":"ref1","volume-title":"Tabak- und Nikotinprodukte \u2013 Zahlen und Fakten zum Konsum. In, DHS Jahrbuch\n                    Sucht 2025","author":"A Starker","year":"2023"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1055\/s-0042-100207","article-title":"Social Disparities in Maternal Smoking during Pregnancy: Comparison of Two Birth\n                    Cohorts (1996\u20132002 and 2003\u20132012) Based on Data from the German KiGGS Study","volume":"76","author":"B Kuntz","year":"2016","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1097\/OGX.0000000000000595","article-title":"The Use of Electronic Cigarettes in Pregnancy: A Review of the Literature","volume":"73","author":"J R Whittington","year":"2018","journal-title":"Obstet Gynecol Surv"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"3200","DOI":"10.1186\/s12889-024-20746-9","article-title":"Prevalence of dual use of combustible tobacco and E-cigarettes among pregnant\n                    smokers: a systematic review and meta-analysis","volume":"24","author":"G Bushi","year":"2024","journal-title":"BMC Public Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1001\/jamapediatrics.2019.0658","article-title":"National Estimates of e-Cigarette Use Among Pregnant and Nonpregnant Women of\n                    Reproductive Age in the United States, 2014\u20132017","volume":"173","author":"B Liu","year":"2019","journal-title":"JAMA Pediatr"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.2440\/0010","volume-title":"Tabakatlas Deutschland 202","author":"Krebshilfe DKUD","year":"2025"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1055\/a-1308-2376","article-title":"Study on E-Cigarettes and Pregnancy (STEP) \u2013 Results of a Mixed Methods Study on\n                    Risk Perception of E-Cigarette Use During Pregnancy","volume":"81","author":"L Schilling","year":"2021","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1491","DOI":"10.1111\/add.16510","article-title":"Vaping in pregnancy: Caution required","volume":"119","author":"A Bush","year":"2024","journal-title":"Addiction"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"CD001055","DOI":"10.1002\/14651858.CD001055.pub5","article-title":"Psychosocial interventions for supporting women to stop smoking in\n                    pregnancy","volume":"2","author":"C Chamberlain","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-025-00614-6.","article-title":"Are psychosocial smoking cessation interventions delivered in pregnancy equally\n                    effective? A systematic review, meta-analysis and equity analysis of moderation\n                    analyses in randomized controlled trials","author":"C Tatton","year":"2025","journal-title":"J Behav Med"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"CD004307","DOI":"10.1002\/14651858.CD004307.pub7","article-title":"Incentives for smoking cessation","volume":"1","author":"C Notley","year":"2025","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Das Gesundheitswesen"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2776-2650.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T23:55:19Z","timestamp":1772495719000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2776-2650"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,2]]},"references-count":11,"URL":"https:\/\/doi.org\/10.1055\/a-2776-2650","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0941-3790","1439-4421"],"issn-type":[{"value":"0941-3790","type":"print"},{"value":"1439-4421","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,2]]}}}