{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T23:08:28Z","timestamp":1765667308050,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,8,16]],"date-time":"2020-08-16T00:00:00Z","timestamp":1597536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K01TW009654","R21TW010896","5R21TW010896\u201002S2x","5R21TW010896\u201002S1"],"award-info":[{"award-number":["K01TW009654","R21TW010896","5R21TW010896\u201002S2x","5R21TW010896\u201002S1"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess the prevalence of the perceived safety of smoking a few (generally fewer than five per day) cigarettes during pregnancy and identify associated factors in a sample of pregnant smokers in Romania, a middle\u2010income country.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Setting<\/jats:title><jats:p>Cross\u2010sectional design with a convenience sample using a polled data set collected between 2016 and 2019 in the formative and baseline phases of the Quit Together randomized control trial (RCT) in Romania. Data were collected using a structured questionnaire administered by research assistants in clinics in the formative phase and self\u2010administered through the study website at the RCT baseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 217 pregnant smokers (mean age\u00a0=\u00a028.5\u00a0\u00b1\u00a05.8) enrolled in the formative and RCT phases of the research project.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>The main outcome was the perceived safety of smoking a few cigarettes during pregnancy (generally fewer than five per day). Covariates included the health\u2010care providers\u2019 advice towards smoking tobacco cigarettes during pregnancy, socio\u2010demographics, the presence of depression and anxiety symptoms and level of nicotine dependence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>More than 35% of participants agreed that smoking a few cigarettes during pregnancy was safe for them and their baby. The perceived safety of smoking a few cigarettes during pregnancy was significantly associated with being told by health\u2010care providers that it is acceptable to continue to smoke cigarettes in small amounts [odds ratio (OR)\u00a0=\u00a03.08; 95% CI\u00a0=\u00a01.35\u20136.99; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01], perceived harm reduction of smoking light cigarettes (OR\u00a0=\u00a02.67; 95% CI\u00a0=\u00a01.19\u20135.97; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02) and moderate to severe depression and anxiety score (OR\u00a0=\u00a00.34; 95% CI\u00a0=\u00a00.13\u20130.84; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>More than one\u2010third of pregnant Romanian women appear to believe that smoking \u2018a few\u2019 cigarettes during pregnancy is safe for them and their fetuses. Those who are told by their health\u2010care providers that it is acceptable to smoke in small amounts during pregnancy have higher odds of perceiving smoking \u2018a few\u2019 cigarettes during pregnancy as safe compared with other pregnant Romanian women.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.15201","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T22:09:55Z","timestamp":1595542195000},"page":"394-399","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Perceived safety of smoking a few cigarettes during pregnancy and provider advice in a sample of pregnant smokers from Romania"],"prefix":"10.1111","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9366-0320","authenticated-orcid":false,"given":"Rana","family":"Jaber","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine Michigan State University  Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1934-2591","authenticated-orcid":false,"given":"Oana M.","family":"Blaga","sequence":"additional","affiliation":[{"name":"Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences Babes\u2010Bolyai University  Cluj\u2010Napoca Romania"},{"name":"Department of Public Health, College of Political, Administrative and Communication Sciences Babes\u2010Bolyai University  Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2871-9052","authenticated-orcid":false,"given":"Marina D.","family":"Dascal","sequence":"additional","affiliation":[{"name":"Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences Babes\u2010Bolyai University  Cluj\u2010Napoca Romania"},{"name":"Department of Public Health, College of Political, Administrative and Communication Sciences Babes\u2010Bolyai University  Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7603-0869","authenticated-orcid":false,"given":"Cristian I.","family":"Meghea","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine Michigan State University  Michigan USA"},{"name":"Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences Babes\u2010Bolyai University  Cluj\u2010Napoca Romania"},{"name":"Department of Public Health, College of Political, Administrative and Communication Sciences Babes\u2010Bolyai University  Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,16]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organization (WHO).Tobacco Fact Sheet Information. Available at:https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/tobacco(accessed 22 March2020)."},{"key":"e_1_2_8_3_1","unstructured":"Ministerul\u2010Sanatatii.Studiul Global Privind Consumul de Tutun La Adulti (Romania) [Global Study on Adult Tobacco Use]. 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