Association Between Smoking Cessation Interventions During Prenatal Care and Postpartum Relapse: Results from 2004 to 2008 Multi-State PRAMS Data

Maternal and Child Health Journal - Tập 17 - Trang 1269-1276 - 2012
Tri Tran1,2, Austin Reeder3, Lillian Funke1, Nicole Richmond2,4
1Maternal and Child Health Program, Louisiana Office of Public Health, New Orleans, USA
2Department of Pediatrics, School of Medicine, Louisiana State University Health Science Center, New Orleans, USA
3Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, USA
4Children’s Special Health Services Program, Louisiana Office of Public Health, New Orleans, USA

Tóm tắt

Cigarette smoking is a serious global public health issue, and is particularly harmful to the maternal and child population. The study aimed to determine if there was an association between smoking cessation intervention during pregnancy and postpartum smoking relapse, and to define a time trend of postpartum smoking relapse after delivery. Data from the 2004–2008 pregnancy risk assessment monitoring systems of Colorado, Maine, Ohio, and Washington were analyzed. Logistic regression was used to define the association between smoking cessation intervention and postpartum smoking relapse, and to identify trend of postpartum smoking relapse. Analyses were done using SAS-Callable SUDAAN v.10.0 and Mplus v.6.0. Among the 2,938 women in the study the relapse rate was 48 %. It was 45 % among those without intervention, 58 % among those who received only counseling, and 57 % among those who received both counseling with treatment and/or referral. The rate was 42, 61, and 67 % among women whose infants were at 2–3, 4–5, and 6 months or more, respectively. Adjusted logistic regression models showed a trend of increased smoking relapse, but did not indicate an association between smoking cessation intervention and smoking relapse. Rates of smoking relapse were high and increased by time after delivery. Smoking cessation intervention during pregnancy may not be successful at preventing postpartum smoking relapse.

Tài liệu tham khảo

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Thông tin
Thông tin xuất bản

Maternal and Child Health Journal

Tập 17

1269-1276

Thông tin tác giả