Integrating smoking cessation into routine public prenatal care: the Smoking Cessation in Pregnancy project
| Autor: | N Salas, Juliette S. Kendrick, Paul Gargiullo, R L Floyd, R W Metzger, J Stine, N Miller, M Sexton, S C Zahniser, F W Spierto |
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| Rok vydání: | 1995 |
| Předmět: |
Adult
medicine.medical_specialty Letter medicine.medical_treatment Psychological intervention Smoking Prevention Prenatal care law.invention chemistry.chemical_compound Randomized controlled trial law Pregnancy Environmental health medicine Humans Marriage Cotinine business.industry Public health Smoking Public Health Environmental and Occupational Health Prenatal Care medicine.disease United States Pregnancy Complications Parity chemistry Evaluation Studies as Topic Family medicine Smoking cessation Educational Status Health education Female Smoking Cessation Tobacco Smoke Pollution Public Health business Research Article |
| Zdroj: | American journal of public health. 85(2) |
| ISSN: | 0090-0036 |
| Popis: | OBJECTIVES. In 1986, the state health departments 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 cotinine 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 cotinine-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. |
| Databáze: | OpenAIRE |
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