Twelve-month follow-up of a smoking relapse prevention intervention for postpartum women.
This study examined the long-term effectiveness of a postpartum smoking relapse prevention intervention by evaluating the smoking status and smoking cessation self-efficacy of original study participants at 12 months following delivery. Two hundred and thirty-eight women who had participated in a randomized clinical trial, a nurse-delivered relapse prevention intervention, were visited in their homes. Data were collected on smoking status, self-efficacy, mental health, alcohol use, breast feeding, social support, smoking in the social environment, and sociodemographics. Smoking status was verified with measures of carbon monoxide in expired air. The 12-month continuous smoking abstinence rate was 21.0% in the treatment group and 18.5% in the control group; odds ratio (OR) = 1.17, 95% confidence interval (CI) = 0.62-2.22. One half (50.4%) of the control group and 41.2% of the treatment group reported smoking daily at 12 months; OR = 1.45, 95% CI = 0.87-2.43. The treatment group attained higher self-efficacy. Four variables were associated with relapse to daily smoking; breast feeding and mental health had protective effects, while partners who smoked and greater amount smoked prior to pregnancy had adverse effects.
Ratner
P A
PA
School of Nursing, University of British Columbia, Vancouver, Canada. pamr@unixg.ubc.ca
Johnson
J L
JL
Bottorff
J L
JL
Dahinten
S
S
Hall
W
W
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D012008:Recurrence; D016540:Smoking Cessation / Q000523:psychology*; D000074606:Smoking Prevention; D016896:Treatment Outcome