Predictors of Smoking Cessation in Pregnancy

Abstract

Smoking cessation is difficult to obtain, even among pregnant women who should be highly motivated to quit. Identification of predictors of unsuccessful smoking cessation may be of help in identifying pregnant smokers who need special attention in order to reduce or eliminate the intrauterine tobacco smoke exposure.

The study was done in two consequtive samples of pregnant women in Odense and Aalborg, Denmark. Altogether 13815 pregnant women participated in the study by reporting detailed information on their lifestyle during pregnancy and before pregnancy. Recruitment of pregnant women started in 1984 and ended in 1987. The study is based upon self-administered questionnaires filled out in the 36th week of gestation. Only those who were smokers prior to the pregnancy are included in the study (5724).

The study showed that the strongest predictors of unsuccessful smoking cessation were: the level of smoking prior to pregnancy, coffee consumption, and the partners smoking habits. Parity, school education, and social status also played a role but were less strongly associated with continous smoking in pregnancy.

Keywords

pregnancy smoking cessation epidemiology

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References

1. Smoking and Health: A report of the surgeon general (chapter 8). US Department of Health, Education and Welfare. Public Health Service. 1979.

2. Olsen J , Frische G , Poulsen AO , Kirchheiner H. , Changing smoking, drinking, and eating behaviour among pregnant women in Danmark. Scand J Soc Med 1989; 17: 277–80.

3. Frische G , Olsen J , Poulsen AO , Kirchheiner H. Lev sundt for to. Socialmedicinsk afdeling, Odense Universitet, Odense 1988.

4. Freund KM , D'Agostino RB , Belanger AJ , Kannel WB , Stokes J. , Predictors of smoking cessation: the Framingham study. Am J Epidemiol 1992; 135: 957–64.

5. Ershoff DH , Mullen PD , Quinn VP. A randomized trial of a serialized self-help smoking cessation program for pregnant women in an HMO. Am J Public Health 1989; 79: 182–7.

6. Macarthur C , Newton JR , Knox EG. , Effect of anti-smoking health education on infant size at birth: a randomized controlled trial. Br J Obstet Gynaecol 1987; 94: 295–300.

7. Cnattingius S , Lindmark G , Meirik O.

Who continues to smoke while pregnant?

J Epidemiol Community Health 1992; 46: 218–21.

8. Fiore MC , Novotny TE , Pierce JP et al. , Methods used to quit smoking in the United States Do cessation programs help?. JAMA, 1990; 263: 2760–5.

9. Olsen J , da Costa Pereira A , Olsen SF.

Does maternal tobacco smoking modify the effect of alcohol on fetal growth?

Am J Public Health 1991; 81: 69–73.

10.

10. Olsen J. , Cigarette smoking in pregnancy and fetal growth Does the type of tobacco play a role?. Int J Epidemiol 1992; 21: 279–84.