{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T06:02:58Z","timestamp":1789365778966,"version":"build-2803163510"},"reference-count":100,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005972","name":"Deutsche Krebshilfe","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ssph-journal.org"],"crossmark-restriction":true},"short-container-title":["Public Health Rev."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate behavioral and psychosocial smoking cessation interventions and second-hand smoke reduction strategies in pregnancy, focusing on sociocultural vulnerability approaches and expectant father involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Systematic review and meta-analysis (Joanna Briggs Institute methodology; PRISMA 2020). MEDLINE, Scopus, PsycINFO, ASSIA, and CINAHL were searched to October 2023; exclusively pharmacological interventions were excluded. Random-effects meta-analyses examined five vulnerability approaches and two levels of father involvement. Protocol:\n                      <jats:ext-link>https:\/\/doi.org\/10.17605\/OSF.IO\/DUYF7<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-eight studies (41 RCTs) were included. Individual counseling was most effective for maternal cessation (OR = 1.66, 95% CI: 1.39\u20131.99). Vulnerability-adapted and standard interventions were comparably effective overall (OR = 1.55 vs. 1.51); socioeconomic inclusiveness yielded the largest subgroup effect (OR = 2.51), although subgroup estimates were exploratory (low to very low certainty). Father involvement did not significantly improve maternal cessation (OR = 1.12), but father-directed interventions were highly effective for paternal cessation (OR = 2.18; high-certainty evidence).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Behavioral interventions, particularly individual counseling, are effective in pregnancy. Father-directed approaches merit consideration in antenatal care, although evidence derives from four trials. Socioeconomically inclusive and mental health-integrated interventions are promising but require confirmation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic Review Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/doi.org\/10.17605\/OSF.IO\/DUYF7<\/jats:ext-link>\n                      , identifier 10.17605\/OSF.IO\/DUYF7.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/phrs.2026.1609825","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T05:10:13Z","timestamp":1789362613000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Smoking cessation in pregnancy: a systematic review and meta-analysis of vulnerability approaches and expectant father involvement"],"prefix":"10.3389","volume":"47","author":[{"given":"Bibiana","family":"Barrera","sequence":"first","affiliation":[{"name":"Faculty 11 Human and Health Sciences, University of Bremen","place":["Bremen, Germany"]},{"name":"Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS","place":["Bremen, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Furqan","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS","place":["Bremen, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tilman","family":"Brand","sequence":"additional","affiliation":[{"name":"Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS","place":["Bremen, 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