title: Pathways linking socioeconomic status and postpartum smoking relapse.
abstract: BACKGROUND
  Low socioeconomic status (SES) exacerbates the high rate of smoking relapse in women following childbirth.
  
  
  OBJECTIVE
  This study examined multiple models of potential mechanisms linking SES and postpartum smoking relapse among women who quit smoking due to pregnancy.
  
  
  METHODS
  Participants were 251 women enrolled in a randomized clinical trial of a new postpartum smoking relapse prevention intervention. Four models of the prepartum mechanisms linking SES and postpartum smoking relapse were evaluated using a latent variable modeling approach.
  
  
  RESULTS
  Each of the hypothesized models were a good fit for the data. As hypothesized, SES indirectly influenced postpartum smoking relapse through increased prepartum negative affect/stress, reduced sense of agency, and increased craving for cigarettes. However, the model that included craving as the sole final pathway between SES and relapse demonstrated superior fit when compared with all other models.
  
  
  CONCLUSIONS
  Findings have implications for future interventions that aim to reduce postpartum relapse.
authors.affiliation: Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, Dallas Regional Campus, 6011 Harry Hines Blvd., V8.112, Dallas, TX 75390-9128, USA. michael.businelle@utsouthwestern.edu
authors.forename: Michael S
authors.initials: MS
authors.lastname: Businelle
authors.forename: Darla E
authors.initials: DE
authors.lastname: Kendzor
authors.forename: Lorraine R
authors.initials: LR
authors.lastname: Reitzel
authors.forename: Jennifer Irvin
authors.initials: JI
authors.lastname: Vidrine
authors.forename: Yessenia
authors.initials: Y
authors.lastname: Castro
authors.forename: Patricia Dolan
authors.initials: PD
authors.lastname: Mullen
authors.forename: Mary M
authors.initials: MM
authors.lastname: Velasquez
authors.forename: Ludmila
authors.initials: L
authors.lastname: Cofta-Woerpel
authors.forename: Paul M
authors.initials: PM
authors.lastname: Cinciripini
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Greisinger
authors.forename: David W
authors.initials: DW
authors.lastname: Wetter
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D016739:Behavior, Addictive / Q000191:economics / Q000523:psychology; D005260:Female; D006801:Humans; D008960:Models, Psychological; D049590:Postpartum Period / Q000523:psychology*; D012907:Smoking / Q000191:economics* / Q000523:psychology*; D012923:Social Class