Health education for pregnant smokers: its behavioral impact and cost benefit
Autor: | J B Lowe, L Artz, K Amburgy, R A Windsor, M Crawford, D Smith-Yoder, N R Boyd, L. L. Perkins |
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Rok vydání: | 1993 |
Předmět: |
Adult
Gerontology medicine.medical_specialty Cost-Benefit Analysis Health Behavior Sensitivity and Specificity law.invention Random Allocation chemistry.chemical_compound Randomized controlled trial Pregnancy law Humans Medicine Maternal Health Services Prospective Studies Prospective cohort study Health Education business.industry Public health Behavior change Public Health Environmental and Occupational Health medicine.disease Clinical trial chemistry Patient Compliance Female Smoking Cessation Health education Cotinine business Research Article Program Evaluation Demography |
Zdroj: | American Journal of Public Health. 83:201-206 |
ISSN: | 1541-0048 0090-0036 |
Popis: | OBJECTIVES. A randomized trial (the Birmingham Trial II) was conducted to evaluate the behavioral impact of health education methods among 814 female smokers at four public health maternity clinics. METHODS. Four hundred patients were randomly assigned to an Experimental (E) Group, and 414 were assigned to a Control (C) Group. Self-reports and saliva cotinine tests confirmed smoking status at the first visit, at midpregnancy, and at end of pregnancy. RESULTS. The E Group exhibited a 14.3% quit rate and the C Group an 8.5% quit rate. A Historical Comparison (C) Group exhibited a 3.0% quit rate. Black E and C Group patients had higher quit rates than White E and C Group patients. A cost-benefit analysis found cost-to-benefit ratios of $1:$6.72 (low estimate) and $1:$17.18 (high estimate) and an estimated savings of $247,296 (low estimate) and $699,240 (high estimate). CONCLUSION. Health education methods are efficacious and cost beneficial for pregnant smokers in public health maternity clinics. |
Databáze: | OpenAIRE |
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