Evaluation of a smoking cessation intervention for pregnant women in an urban prenatal clinic.
A smoking cessation and relapse prevention intervention was tested in an urban, prenatal clinic serving predominantly low-income, African-American women. At their first prenatal visit, 391 smokers were randomly assigned to an experimental (E) group to receive usual clinic information plus a prenatal and postpartum intervention or to a control (C) group to receive only usual clinic information. The intervention consisted of individual skills instruction and counseling by a peer health counselor on the use of a self-help cessation guide and routine clinic reinforcement. Among the E group (n = 193), 6.2% were cotinine-confirmed quitters at third trimester and among the C group (n = 198) the quit rate was 5.6%. Quitters were light smokers at entry into prenatal care. Many had tried to quit smoking at least once prior to pregnancy.
Gielen
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AC
Department of Health, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205, USA.
Windsor
R
R
Faden
R R
RR
O'Campo
P
P
Repke
J
J
Davis
M
M
D000328:Adult; D000554:Ambulatory Care Facilities; D005260:Female; D006801:Humans; D011247:Pregnancy; D011295:Prenatal Care; D016540:Smoking Cessation; D014504:Urban Health