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Integrating smoking cessation into routine public prenatal care: The smoking cessation in pregnancy project

Author

Listed:
  • Kendrick, J.S.
  • Zahniser, S.C.
  • Miller, N.
  • Salas, N.
  • Stine, J.
  • Gargiullo, P.M.
  • Floyd, R.L.
  • Spierto, F.W.
  • Sexton, M.
  • Metzger, R.W.
  • Stockbauer, J.W.
  • Hannon, W.H.
  • Dalmat, M.E.

Abstract

Objectives. In 1986, the state health departments of Colorado, Maryland, and Missouri conducted a federally-funded demonstration project to increase smoking cessation among pregnant women receiving prenatal care and services from the Women, Infants, and Children (WIC) program in public clinics. Methods. Low-intensity interventions were designed to be integrated into routine prenatal care. Clinics were randomly assigned to intervention or control status; pregnant smokers tilled out questionnaires and gave urine specimens at enrollment, in the eighth month of pregnancy, and postpartum. Urine cotinine concentrations were determined at CDC by enzyme-linked immunosorbent assay and were used to verify self-reported smoking status. Results. At the eighth month of pregnancy, self-reported quitting was higher for intervention clinics than control clinics in all three states. However, the cotinine-verified quit rates were not significantly different. Conclusions. Biochemical verification of self-reported quitting is essential to the evaluation of smoking cessation interventions. Achieving changes in smoking behavior in pregnant women with low-intensity interventions is difficult.

Suggested Citation

  • Kendrick, J.S. & Zahniser, S.C. & Miller, N. & Salas, N. & Stine, J. & Gargiullo, P.M. & Floyd, R.L. & Spierto, F.W. & Sexton, M. & Metzger, R.W. & Stockbauer, J.W. & Hannon, W.H. & Dalmat, M.E., 1995. "Integrating smoking cessation into routine public prenatal care: The smoking cessation in pregnancy project," American Journal of Public Health, American Public Health Association, vol. 85(2), pages 217-222.
    • Handle: RePEc:aph:ajpbhl:1995:85:2:217-222_3
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    Cited by:

    1. Jun, Hee-Jin & Acevedo-Garcia, Dolores, 2007. "The effect of single motherhood on smoking by socioeconomic status and race/ethnicity," Social Science & Medicine, Elsevier, vol. 65(4), pages 653-666, August.
    2. Dominik Olejniczak & Krzysztof Klimiuk & Urszula Religioni & Anna Staniszewska & Mariusz Panczyk & Agnieszka Nowacka & Paulina Mularczyk-Tomczewska & Edyta Krzych-Fałta & Anna Korcala-Wichary & Łukasz, 2021. "Willingness to Oppose Smoking among Pregnant Women," IJERPH, MDPI, vol. 18(21), pages 1-9, November.
    3. Otálvaro, Susana & Gallego, Juan Miguel & Rodríguez-Lesmes, Paul, 2023. "De-normalizing smoking in urban areas: Public smoking bans and smoking prevalence," Economics & Human Biology, Elsevier, vol. 48(C).
    4. Srmena Krstev & Jelena Marinković & Snežana Simić & Nikola Kocev & Susan Bondy, 2012. "Prevalence and predictors of smoking and quitting during pregnancy in Serbia: results of a nationally representative survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(6), pages 875-883, December.
    5. Homish, Gregory G. & Leonard, Kenneth E., 2005. "Spousal influence on smoking behaviors in a US community sample of newly married couples," Social Science & Medicine, Elsevier, vol. 61(12), pages 2557-2567, December.
    6. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.
    7. Gerome Escota & Nur Önen, 2013. "HIV-Infected Adolescent, Young Adult and Pregnant Smokers: Important Targets for Effective Tobacco Control Programs," IJERPH, MDPI, vol. 10(6), pages 1-29, June.
    8. Cristina Yunzal-Butler & Theodore J. Joyce & Andrew D. Racine, 2009. "Maternal Smoking and the Timing of WIC Enrollment," NBER Working Papers 14728, National Bureau of Economic Research, Inc.

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