Integrating smoking cessation into routine public prenatal care: the Smoking Cessation in Pregnancy project.
American Journal of Public HealthPublished 1 February 1995Open access
Juliette S. Kendrick, S. Christine Zahniser, Nancy Houston Miller, Nancy M. Salas, J Stine, Paul Gargiullo
Citations227
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TL;DR
Biochemical verification of self-reported quitting is essential to the evaluation of smoking cessation interventions and achieving changes in smoking behavior in pregnant women with low-intensity interventions is difficult.
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.
Keywords
Medicine
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