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Factors Predicting Pregnancy Smoking in Southern Appalachia

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Objective: To examine sociodemographic, medical, and substance use factors associated with smoking continuation during pregnancy. Methods: Data from 221 consecutive prenatal patients were analyzed. Results: Of the 67% who were pre-pregnancy smokers (n=148), 27% quit during pregnancy, whereas another 43% reduced by > 1/4 pack/day. Women who continued to smoke had lower incomes, more prior pregnancies, were less likely to have adequate prenatal care, and smoked more and for more years than did women who quit during pregnancy. Conclusion: Several characteristics predicted pregnancy smoking in this sample. Results suggest ways to more effectively target pregnant women for successful smoking cessation.
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Keywords: pregnancy; prenatal care; smoking; smoking cessation

Document Type: Research Article

Affiliations: Family Medicine, East Tennessee State University, Johnson City, TN

Publication date: 01 July 2006

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  • 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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