title: Predictors of smoking cessation counseling adherence in a socioeconomically disadvantaged sample of pregnant women.
abstract: Implementing and evaluating smoking cessation interventions in underserved populations has been found difficult due to high rates of non-adherence to the prescribed protocol. To understand better the barriers to cessation participation, we studied low-income inner-city pregnant women who were enrolled in either a standard or highly intensive quit smoking counseling program. The results showed that 1) in the prenatal phase, non-attendance was predicted by a greater number of cigarettes smoked per day; 2) in the postpartum follow-up phase, non-attendance was predicted by lower educational level and higher self-efficacy for quitting smoking; and 3) participants with more children living at home were at increased risk of rescheduling the postpartum follow-up session. These findings suggest that innovative delivery strategies are needed more effectively to assess and address risk factors for non-adherence to smoking cessation trials among underserved minority pregnant/postpartum smokers.
authors.forename: Kuang-Yi
authors.initials: KY
authors.lastname: Wen
authors.forename: Suzanne M
authors.initials: SM
authors.lastname: Miller
authors.forename: Amy
authors.initials: A
authors.lastname: Lazev
authors.forename: Zhu
authors.initials: Z
authors.lastname: Fang
authors.forename: Enrique
authors.initials: E
authors.lastname: Hernandez
mesh_terms: D003376:Counseling; D004522:Educational Status; D005260:Female; D006801:Humans; D010349:Patient Compliance; D015143:Philadelphia; D049590:Postpartum Period; D011203:Poverty; D011247:Pregnancy; D037841:Pregnant People; D011295:Prenatal Care; D020377:Self Efficacy; D016540:Smoking Cessation