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The contribution of clinic-based interventions to reduce prenatal smoking prevalence among US women.

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Title: The contribution of clinic-based interventions to reduce prenatal smoking prevalence among US women.
Authors: Kim SY (AUTHOR), England LJ (AUTHOR), Kendrick JS (AUTHOR), Dietz PM (AUTHOR), Callaghan WM (AUTHOR)
Source: American Journal of Public Health. May2009, Vol. 99 Issue 5, p893-898. 6p.
Subjects: Pregnant women, Women's tobacco use, Maternal health, Women's health, Smoking cessation, Psychosomatic medicine, Cigarette smokers
Abstract: OBJECTIVES: We sought to estimate the effect of universal implementation of a clinic-based, psychosocial smoking cessation intervention for pregnant women. METHODS: We used data from US birth certificates (2005) and the Pregnancy Risk Assessment Monitoring System (2004) to estimate the number of women smoking at conception. To calculate the number of women eligible to receive the cessation intervention, we used estimates from the literature of the percentage of women who quit spontaneously (23%), entered prenatal care before the third trimester (96.5%), and disclosed smoking to their provider (75%). We used the pooled relative risk (RR) for continued smoking from the 2004 Cochrane Review as our measure of the intervention's effectiveness (RR = 0.94). RESULTS: We estimated that 944,240 women smoked at conception. Of these, 23.0% quit spontaneously, 6.3% quit with usual care, and an additional 3.3% quit because of the intervention, leaving 67.4% smoking throughout pregnancy. The calculated smoking prevalence in late pregnancy decreased from 16.4% to 15.6% because of the intervention. CONCLUSIONS: Universal implementation of a best-practice, clinic-based intervention would increase the total number of quitters but would not substantially reduce smoking prevalence among pregnant women. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The contribution of clinic-based interventions to reduce prenatal smoking prevalence among US women.
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  Data: <searchLink fieldCode="AR" term="%22Kim+SY%22">Kim SY</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22England+LJ%22">England LJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kendrick+JS%22">Kendrick JS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dietz+PM%22">Dietz PM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Callaghan+WM%22">Callaghan WM</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. May2009, Vol. 99 Issue 5, p893-898. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Pregnant+women%22">Pregnant women</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+tobacco+use%22">Women's tobacco use</searchLink><br /><searchLink fieldCode="DE" term="%22Maternal+health%22">Maternal health</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health%22">Women's health</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking+cessation%22">Smoking cessation</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosomatic+medicine%22">Psychosomatic medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Cigarette+smokers%22">Cigarette smokers</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: We sought to estimate the effect of universal implementation of a clinic-based, psychosocial smoking cessation intervention for pregnant women. METHODS: We used data from US birth certificates (2005) and the Pregnancy Risk Assessment Monitoring System (2004) to estimate the number of women smoking at conception. To calculate the number of women eligible to receive the cessation intervention, we used estimates from the literature of the percentage of women who quit spontaneously (23%), entered prenatal care before the third trimester (96.5%), and disclosed smoking to their provider (75%). We used the pooled relative risk (RR) for continued smoking from the 2004 Cochrane Review as our measure of the intervention's effectiveness (RR = 0.94). RESULTS: We estimated that 944,240 women smoked at conception. Of these, 23.0% quit spontaneously, 6.3% quit with usual care, and an additional 3.3% quit because of the intervention, leaving 67.4% smoking throughout pregnancy. The calculated smoking prevalence in late pregnancy decreased from 16.4% to 15.6% because of the intervention. CONCLUSIONS: Universal implementation of a best-practice, clinic-based intervention would increase the total number of quitters but would not substantially reduce smoking prevalence among pregnant women. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105542339
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2008.144485
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 893
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      – SubjectFull: Pregnant women
        Type: general
      – SubjectFull: Women's tobacco use
        Type: general
      – SubjectFull: Maternal health
        Type: general
      – SubjectFull: Women's health
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      – SubjectFull: Smoking cessation
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      – SubjectFull: Psychosomatic medicine
        Type: general
      – SubjectFull: Cigarette smokers
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            NameFull: Kim SY
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            NameFull: England LJ
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            NameFull: Kendrick JS
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            NameFull: Dietz PM
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              Text: May2009
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              Y: 2009
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