Integrating smoking cessation into routine public prenatal care: the Smoking Cessation in Pregnancy project.

Autor: Kendrick JS, Zahniser SC, Miller N, Salas N, Stine J, Gargiullo PM, Floyd RL, Spierto FW, Sexton M, Metzger RW, Stockbauer JW, Hannon WH, Dalmat ME
Zdroj: American Journal of Public Health; Feb1995, Vol. 85 Issue 2, p217-222, 6p
Abstrakt: Objectives. In 1986, the state health dpartments 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 filled out questionnaires and gave urine specimens at enrollment, in the eighth month of pregnancy, and postpartum. Urine continine 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 contine-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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index