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dc.contributor.authorPbert, Lori
dc.contributor.authorOckene, Judith K.
dc.contributor.authorZapka, Jane G.
dc.contributor.authorMa, Yunsheng
dc.contributor.authorGoins, Karin V.
dc.contributor.authorOncken, Cheryl A.
dc.contributor.authorStoddard, Anne M.
dc.date2022-08-11T08:10:22.000
dc.date.accessioned2022-08-23T17:05:55Z
dc.date.available2022-08-23T17:05:55Z
dc.date.issued2004-05-29
dc.date.submitted2008-01-15
dc.identifier.citationAm J Prev Med. 2004 Jun;26(5):377-85. <a href="http://dx.doi.org/10.1016/j.amepre.2004.02.010">Link to article on publisher's site</a>
dc.identifier.issn0749-3797 (Print)
dc.identifier.doi10.1016/j.amepre.2004.02.010
dc.identifier.pmid15165653
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44968
dc.description.abstractOBJECTIVES: To evaluate the effect of a provider counseling and office systems intervention in obstetric, pediatric, and Special Supplemental Nutrition Program for Women, Infants and Children (WIC) clinics on smoking and relapse rates in pregnant and postpartum women. METHODS: Five community health centers were randomized to special intervention (SI) or usual care (UC). Subjects (n =601) were current smokers or had quit with pregnancy. Prenatal and postpartum interviews assessed smoking status and related factors. Data were collected between May 1997 and November 2000. RESULTS: There was a statistically significant difference in 30-day abstinence rates between SI (26%) and UC (12%) conditions at the end of pregnancy among women who had not quit spontaneously with pregnancy (odds ratio [OR]=2.57, p =0.05). This effect remained at 1 month postpartum but was lost at 3- and 6-month postpartum follow-ups. CONCLUSIONS: Brief interventions delivered by healthcare providers during routine prenatal care increased smoking abstinence during pregnancy among women who did not quit spontaneously. Interventions extended into postpartum care did not affect relapse and smoking rates postdelivery.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15165653&dopt=Abstract ">Link to article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/j.amepre.2004.02.010
dc.subjectAdult
dc.subject*Community Health Centers
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectMassachusetts
dc.subjectPatient Compliance
dc.subject*Postpartum Period
dc.subjectPregnancy
dc.subjectPregnancy Complications
dc.subjectProgram Evaluation
dc.subjectSmoking
dc.subjectSmoking Cessation
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectPreventive Medicine
dc.subjectWomen's Health
dc.titleA community health center smoking-cessation intervention for pregnant and postpartum women
dc.typeJournal Article
dc.source.journaltitleAmerican journal of preventive medicine
dc.source.volume26
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/8
dc.identifier.contextkey413080
html.description.abstract<p>OBJECTIVES: To evaluate the effect of a provider counseling and office systems intervention in obstetric, pediatric, and Special Supplemental Nutrition Program for Women, Infants and Children (WIC) clinics on smoking and relapse rates in pregnant and postpartum women.</p> <p>METHODS: Five community health centers were randomized to special intervention (SI) or usual care (UC). Subjects (n =601) were current smokers or had quit with pregnancy. Prenatal and postpartum interviews assessed smoking status and related factors. Data were collected between May 1997 and November 2000.</p> <p>RESULTS: There was a statistically significant difference in 30-day abstinence rates between SI (26%) and UC (12%) conditions at the end of pregnancy among women who had not quit spontaneously with pregnancy (odds ratio [OR]=2.57, p =0.05). This effect remained at 1 month postpartum but was lost at 3- and 6-month postpartum follow-ups.</p> <p>CONCLUSIONS: Brief interventions delivered by healthcare providers during routine prenatal care increased smoking abstinence during pregnancy among women who did not quit spontaneously. Interventions extended into postpartum care did not affect relapse and smoking rates postdelivery.</p>
dc.identifier.submissionpathprevbeh_pp/8
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages377-85


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