Predictors of Smoking Cessation in Pregnancy and Maintenance Postpartum in Low-Income Women

被引:0
作者
Yunsheng Ma
Karin Valentine Goins
Lori Pbert
Judith K. Ockene
机构
[1] University of Massachusetts Medical School,Division of Preventive and Behavioral Medicine
[2] University of Massachusetts Medical School,undefined
来源
Maternal and Child Health Journal | 2005年 / 9卷
关键词
low-income population; smoking cessation; prenatal care; postpartum; maintenance;
D O I
暂无
中图分类号
学科分类号
摘要
Objective: To describe factors associated with smoking status of low-income women during pregnancy and postpartum. Methods: Data from a randomized clinical trial were used to conduct separate analyses on 327 women who smoked at baseline (time at enrollment) and for whom smoking status was available at delivery, and on 109 women who reported not smoking at delivery (quit spontaneously or after study enrollment) and for whom smoking status was available at 6-months postpartum. Salivary cotinine was used to assess the accuracy of self-reported smoking status for the sample as a whole. Data were collected between May 1997 and November 2000. Results: 18% of the 327 baseline smokers stopped smoking before delivery. Cessation was less likely in older women, those reporting Medicaid coverage (vs. commercial or no insurance), who were at a later week of pregnancy at baseline, were more addicted, had a husband/partner who smoked, and did not receive the study intervention. 37% of the 109 women who reported not smoking at delivery maintained abstinence at 6-months postpartum. Factors associated with abstinence were later week of pregnancy at baseline and quitting spontaneously with pregnancy, while women who lived with a smoker were less likely to report abstinence. Spontaneous quitters were less likely to relapse by 6 months postpartum than women who quit smoking later in pregnancy. Conclusions: Partner participation in smoking cessation programs for pregnant and postpartum women merits exploration. Lower relapse rates among spontaneous quitters indicate a need to foster an environment that encourages quitting at pregnancy.
引用
收藏
页码:393 / 402
页数:9
相关论文
共 130 条
  • [1] Wakschlag LS(2002)Maternal smoking during pregnancy and severe antisocial behavior in offspring: A review Am J Public Health 92 966-74
  • [2] Pickett KE(2002)Environmental factors relevant to difficult asthma Paediatr Respir Rev 3 248-54
  • [3] Cook E(2002)Environmental factors influencing the development and progression of pediatric asthma J Allergy Clin Immunol 109 S525-32
  • [4] Benowitz NL(2002)Home environmental factors associated with asthma prevalence in two Buffalo inner-city neighborhoods J Health Care Poor Underserved 13 214-28
  • [5] Leventhal BL(2004)Maternal smoking in pregnancy, fetal development, and childhood asthma Am J Public Health 94 136-40
  • [6] Saglani S(1990)Smoking before, during, and after pregnancy Am J Public Health 80 541-544
  • [7] McKenzie SA(2003)Trends in smoking before, during, and after pregnancy in ten states Am J Prev Med 24 29-35
  • [8] von Mutius E(1993)The role of childbirth in smoking cessation Prev Med 22 225-36
  • [9] Lwebuga-Mukasa JS(2002)Spontaneous cessation of smoking and alcohol use among low-income pregnant women Am J Prev Med 23 150-9
  • [10] Wojcik R(1985)The effectiveness of smoking cessation methods for smokers in public health maternity clinics: A randomized trial Am J Public Health 75 1389-1392