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oai:figshare.com:article/33718555 2026-09-14T05:01:11Z category_427 portal_316 item_type_3 month_year_09_2026

Data Sheet 1_Smoking cessation in pregnancy: a systematic review and meta-analysis of vulnerability approaches and expectant father involvement.pdf Bibiana Barrera (24867946) Furqan Ahmed (652244) Tilman Brand (3751477) Hajo Zeeb (406794) Public Health and Health Services not elsewhere classified behavioral interventions father involvement meta-analysis pregnancy pregnant women smoking cessation vulnerable populations second-hand smoke Objectives<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.</p>Methods<p>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.</p>Results<p>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).</p>Conclusion<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.</p>Systematic Review Registration<p>https://doi.org/10.17605/OSF.IO/DUYF7, identifier 10.17605/OSF.IO/DUYF7.</p> 2026-09-14T05:01:11Z Dataset Dataset 10.3389/phrs.2026.1609825.s002 https://figshare.com/articles/dataset/Data_Sheet_1_Smoking_cessation_in_pregnancy_a_systematic_review_and_meta-analysis_of_vulnerability_approaches_and_expectant_father_involvement_pdf/33718555 CC BY 4.0