Prevention of relapse in women who quit smoking during pregnancy.

American journal of public health - Tập 89 Số 5 - Trang 706-711 - 1999
Colleen M. McBride1, Susan J. Curry, Harry A. Lando, Phyllis L. Pirie, Louis C. Grothaus, Jerald C. Nelson
1Group Health Cooperative of Puget Sound, Center for Health Studies, Seattle, Wash., USA. [email protected]

Tóm tắt

OBJECTIVES: This study is an evaluation of relapse prevention interventions for smokers who quit during pregnancy. METHODS: Pregnant smokers at 2 managed care organizations were randomized to receive a self-help booklet only, prepartum relapse prevention, or prepartum and postpartum relapse prevention. Follow-up surveys were conducted at 28 weeks of pregnancy and at 8 weeks, 6 months, and 12 months postpartum. RESULTS: The pre/post intervention delayed but did not prevent postpartum relapse to smoking. Prevalent abstinence was significantly greater for the pre/post intervention group than for the other groups at 8 weeks (booklet group, 30%; prepartum group, 35%; pre/post group, 39%; P = .02 [different superscripts denote differences at P < .05]) and at 6 months (booklet group, 26%, prepartum group, 24%; pre/post group, 33%; P = .04) postpartum. A nonsignificant reduction in relapse among the pre/post group contributed to differences in prevalent abstinence. There was no difference between the groups in prevalent abstinence at 12 months postpartum. CONCLUSIONS: Relapse prevention interventions may need to be increased in duration and potency to prevent post-partum relapse.

Từ khóa


Tài liệu tham khảo

Husten CG, Chrismon JH, Reddy MN. Trends and effects of cigarette smoking among girls and women in the United States, 1965-1993. JAm Med Womens Assoc. 1996;51:1-2.

Respiratory Health Effects of Passive Smoking. Washington, DC: Environmental Protection Agency, Office of Research and Development; 1992. EPA/600/6-90/006F.

Blumenthal SJ. Commentary: Smoking v women's health: the challenge ahead. JAm Med WomensAssoc. 1996;51:8.

10.1146/annurev.pu.14.050193.002115

10.2105/AJPH.80.5.541

10.1002/1097-4679(197110)27:4<455::AID-JCLP2270270412>3.0.CO;2-R

10.1037/0278-6133.11.5.331

10.1093/her/7.3.381

10.1016/S0749-3797(18)30482-3

10.2105/AJPH.75.12.1389

10.2105/AJPH.85.2.217

10.2105/AJPH.79.2.182

10.1037/0022-006X.63.6.1005

10.1037/0022-006X.59.2.318

10.1037/0022-006X.51.3.390

Marlatt GA, Gordon JR. Relapse Prevention: Maintenance Strategies in the Treatment Of Addictive Behaviors. New York, NY: Guilford Press; 1985.

Miller WR, Rollnick S. Motivational Interviewing. NewYork, NY: Guilford Press; 1991.

10.1016/0306-4603(91)90008-6

10.2105/AJPH.80.8.992

10.1037/0278-6133.17.1.63

Pollak KI, Mullen PD. An exploration of the effects of partner smoking, type of social support, and stress on postpartum smoking in married women who stopped smoking during pregnancy Psychol Addict Behav. 1997;1 1:182-189.

Mullen PD, 1997, Ann Behav Med., 19, 130

Wall MA, 1995, Pediatrics., 96, 622, 10.1542/peds.96.4.622

Thông tin
Thông tin xuất bản

American journal of public health

Tập 89 Số 5

706-711

Thông tin tác giả