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Changes in Smoking Behavior Between First and Second Pregnancies

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Objective : To assess changes in maternal smoking behavior at the second pregnancy.

Methods : First and second birth certificates were matched for 5241 white and black mothers in Kansas City, Mo, who had singleton births between 1994 and 2003.

Results : The pregnancy-smoking quit rate was 24.9, and the pregnancy-smoking initiation rate was 4.8.

Conclusion : Twenty-five percent of women who smoked and 5 of women who did not smoke during their first pregnancy changed their behavior during their second pregnancy. These findings reflect a minimal net shift in pregnancy-smoking between pregnancies and support the importance of persistent antismoking socialization that is independent of a pregnant woman's previous pregnancy-smoking status.

Keywords: maternal alcohol use; maternal smoking; pregnancy; smoking behavior; tobacco use

Document Type: Research Article


Publication date: November 1, 2007

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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