SynthesisPublic health reviews2026
Smoking cessation in pregnancy: a systematic review and meta-analysis of vulnerability approaches and expectant father involvement.
Synthesis in Public health reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: 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. Methods: 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: https://doi.org/10.17605/OSF.IO/DUYF7. Results: Fifty-eight studies (41 RCTs) were included. Individual counseling was most effective for maternal cessation (OR = 1.66, 95% CI: 1.39-1.99). 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). Conclusion: 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. Systematic Review Registration: https://doi.org/10.17605/OSF.IO/DUYF7, identifier 10.17605/OSF.IO/DUYF7.
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