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Integrating smoking cessation into routine public prenatal care: the Smoking Cessation in Pregnancy project.

1995; American Public Health Association; Volume: 85; Issue: 2 Linguagem: Inglês

10.2105/ajph.85.2.217

1541-0048

Juliette S. Kendrick, S. Christine Zahniser, Nancy Houston Miller, Nancy M. Salas, J Stine, Paul Gargiullo, R. Louise Floyd, F W Spierto, Melissa M. Sexton, Raphael Metzger,

Obesity, Physical Activity, Diet

OBJECTIVES. In 1986, the state health departments of Colorado, Maryland, and Missouri conducted a federally-funded demonstration project to increase smoking cessation among pregnant women receiving prenatal care and services from the Women, Infants, and Children (WIC) program in public clinics. METHODS. Low-intensity interventions were designed to be integrated into routine prenatal care. Clinics were randomly assigned to intervention or control status; pregnant smokers filled out questionnaires and gave urine specimens at enrollment, in the eighth month of pregnancy, and postpartum. Urine cotinine concentrations were determined at CDC by enzyme-linked immunosorbent assay and were used to verify self-reported smoking status. RESULTS. At the eighth month of pregnancy, self-reported quitting was higher for intervention clinics than control clinics in all three states. However, the cotinine-verified quit rates were not significantly different. CONCLUSIONS. Biochemical verification of self-reported quitting is essential to the evaluation of smoking cessation interventions. Achieving changes in smoking behavior in pregnant women with low-intensity interventions is difficult.