title: Reduction of primary and secondary smoke exposure for low-income black pregnant women.
abstract: Cigarette smoking by women during pregnancy continues to be a substantial contributor to poor perinatal outcomes in the United States. Decreasing tobacco smoke exposure for women and children is a lifestyle change that will improve perinatal health. A study was conducted with a sample of 74 low-income black women to evaluate the effectiveness of the Smoke Free Families intervention in moving pregnant women forward in the stages of change toward becoming a non-smoker and reducing exposure to second-hand smoke. Transtheoretical model variables were measured at intake, postintervention, and during the last month of pregnancy. There were no statistically significant differences between treatment and control group in movement forward in the stages of change. The findings raise questions about the conceptual fit of the transtheoretical model with pregnant women. We discuss additional interventions and suggest types of studies that would provide new insight into tobacco exposure issues for pregnant women.
authors.affiliation: School of Nursing, University of Wisconsin-Milwaukee, P.O. Box 413, Milwaukee, WI 53201, USA. ppletsch@email.uno.edu
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Pletsch
mesh_terms: D001741:Black or African American; D015928:Cognitive Behavioral Therapy; D004781:Environmental Exposure / Q000517:prevention & control*; D005260:Female; D006699:Home Care Services; D006801:Humans; D008137:Longitudinal Studies; D008960:Models, Psychological; D011203:Poverty; D011247:Pregnancy; D011295:Prenatal Care; D012044:Regression Analysis; D020377:Self Efficacy; D016540:Smoking Cessation; D018709:Statistics, Nonparametric; D014028:Tobacco Smoke Pollution; D014922:Wisconsin
chemical_list: D014028:Tobacco Smoke Pollution