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Smoking cessation counseling with pregnant and postpartum women: A survey of community health center providers

Author

Listed:
  • Zapka, J.G.
  • Pbert, L.
  • Stoddard, A.M.
  • Ockene, J.K.
  • Goins, K.V.
  • Bonollo, D.

Abstract

Objectives. This study assessed providers' performance of smoking cessation counseling steps with low-income pregnant and postpartum women receiving care at community health centers. Methods. WIC (Special Supplemental Nutrition Program for Women, Infants and Children) program staff obstetric clinicians, and pediatric clinicians a 6 community health centers were asked to complete surveys. Smoking intervention practices (performance), knowledge and attitudes, and organizational facilitators were measured. Factors associated with performance were explored with analysis of variance and regression analysis. Results. Performance scores differed significantly by clinic and provider type. Providers in obstetric clinics had the highest scores and those in pediatric clinics had the lowest scores. Nurse practitioners and nutritionists had higher scores than other providers. Clinic type, greater smoking-related knowledge, older age, and perception of smoking cessation as a priority were independently related to better counseling performance. Conclusions. Mean performance scores demonstrated room for improvement in all groups. Low scores for performance of steps beyond assessment and advice indicate a need for emphasis or the assistance and follow-up steps of national guidelines. Providers' own commitment to helping mothers stop smoking was important.

Suggested Citation

  • Zapka, J.G. & Pbert, L. & Stoddard, A.M. & Ockene, J.K. & Goins, K.V. & Bonollo, D., 2000. "Smoking cessation counseling with pregnant and postpartum women: A survey of community health center providers," American Journal of Public Health, American Public Health Association, vol. 90(1), pages 78-84.
  • Handle: RePEc:aph:ajpbhl:2000:90:1:78-84_0
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    Cited by:

    1. Kathrin Röske & Wolfgang Hannöver & Jochen René Thyrian & Ulrich John & Hans-Joachim Hannich, 2009. "Smoking Cessation Counselling for Pregnant and Postpartum Women among Midwives, Gynaecologists and Paediatricians in Germany," IJERPH, MDPI, vol. 6(1), pages 1-12, January.
    2. Kathryn Hyndman & Roger E. Thomas & H. Rainer Schira & Jenifer Bradley & Kathryn Chachula & Steven K. Patterson & Sharon M. Compton, 2019. "The Effectiveness of Tobacco Dependence Education in Health Professional Students’ Practice: A Systematic Review and Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 16(21), pages 1-22, October.

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