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Wen KY , Miller SM , Lazev A , Fang Z , Hernandez E
Predictors of smoking cessation counseling adherence in a socioeconomically disadvantaged sample of pregnant women
J Health Care Poor Underserved. 2012 Aug;23(3) :1222-38
AbstractImplementing and evaluating smoking cessation interventions in underserved populations has been found difficult due to high rates of non-adherence to the prescribed protocol. To understand better the barriers to cessation participation, we studied low-income inner-city pregnant women who were enrolled in either a standard or highly intensive quit smoking counseling program. The results showed that 1) in the prenatal phase, non-attendance was predicted by a greater number of cigarettes smoked per day; 2) in the postpartum follow-up phase, non-attendance was predicted by lower educational level and higher self-efficacy for quitting smoking; and 3) participants with more children living at home were at increased risk of rescheduling the postpartum follow-up session. These findings suggest that innovative delivery strategies are needed more effectively to assess and address risk factors for non-adherence to smoking cessation trials among underserved minority pregnant/postpartum smokers.
Notes1548-6869 Wen, Kuang-Yi Miller, Suzanne M Lazev, Amy Fang, Zhu Hernandez, Enrique P30 CA006927/CA/NCI NIH HHS/United States R01 CA076644/CA/NCI NIH HHS/United States R01 CA104979/CA/NCI NIH HHS/United States Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't United States J Health Care Poor Underserved. 2012 Aug;23(3):1222-38. doi: 10.1353/hpu.2012.0096.