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Assessment of Pregnancy Cigarette Smoking and Factors That Predict Denial

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Objectives : 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.

Keywords: behavioral observation; pregnancy smoking; rural health; smoking assessment; smoking denial

Document Type: Research Article


Publication date: March 1, 2010

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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