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- Title
Integrating Smoking Cessation Into the Routine Public Prenatal Care: The Smoking Cessation in Pregnancy Project.
- Authors
Kendrick, Juliette S.; Zahniser, S. Christine; Miller, Nancy; Salas, Nancy; Stine, Joan; Gargiullo, Paul M.; Floyd, R. Louise; Spierto, Francis W.; Sexto, Mary; Metzger, Robert W.; Stockbauer, Joseph W.; Hannon, W. Harry; Dalmat, Michael E.
- Abstract
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.
- Subjects
UNITED States; SMOKING cessation; MATERNAL health services; PRENATAL care; HEALTH facilities; PUBLIC health
- Publication
American Journal of Public Health, 1995, Vol 85, Issue 2, p217
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.85.2.217