title: Assessment of pregnancy cigarette smoking and factors that predict denial.
abstract: OBJECTIVE
  To determine rates of pregnancy smoking concealment compared to behavioral observation and to identify factors predicting untruthful denial.
  
  
  METHODS
  Review of 843 delivery charts.
  
  
  RESULTS
  Based on observation during delivery hospitalization, 8% of smokers denied hospital admission, 16% denied throughout prenatal care. Compared with those admitting smoking, false deniers had higher levels of education, incomes and adequate prenatal care utilization; and were less likely to have drug use, STDs, or hepatitis C. Observation was a valid tool for assessing smoking status.
  
  
  CONCLUSIONS
  Typical concealers were those considered lower risk, increasing the chance they would go undetected as smokers.
authors.affiliation: Associate Professor of Family Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614, USA. nordstro@etsu.edu
authors.forename: Beth A
authors.initials: BA
authors.lastname: Bailey
authors.forename: Heather N
authors.initials: HN
authors.lastname: Wright
mesh_terms: D003717:Denial, Psychological; D005260:Female; D006801:Humans; D019370:Observation / Q000379:methods; D011247:Pregnancy; D018570:Risk Assessment; D012650:Self Disclosure; D012907:Smoking / Q000523:psychology*