Predictors of smoking relapse after delivery: prospective study in central Poland.

Maternal and Child Health Journal
Kinga PolanskaJouni J K Jaakkola

Abstract

The objective of the study was to identify factors which predispose women to smoking relapse postpartum and the factors that prevent the relapse, in order to design effective interventions to reduce the rate of smoking relapse after delivery. A prospective cohort study was conducted in 2004 and 2005 in Lodz, Poland. One hundred thirty-eight women who quit smoking for the pregnancy period were enrolled into the study between 32 and 36 weeks of pregnancy and were followed up at 3 months after delivery. Self-reported non-smoking status at enrollment and postpartum was verified using saliva cotinine level analyzed by liquid chromatography with tandem mass spectrometry (LC-MS/MS). The cut-off point of 10 ng/ml was adopted for the saliva cotinine level. About half of the study population relapsed into smoking within 3 months after delivery. Most (49%) relapses occurred in the first 4 weeks postpartum. Three factors were identified as directly influencing smoking relapse after delivery: need to cope with stressful situations (OR = 4.7; 95% CI 1.7-14.3), type of quitting attempt (OR = 4.0; 95% CI 1.1-16.1), and smoking environment at home (OR = 7.2; 95% CI 2.2-28.3). These three factors accounted for 84.0% (95% CI 52.7-96.1) of relapse...Continue Reading

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Citations

Jun 5, 2019·Journal of Addictions Nursing·Mesude DumanYeter Durgun Ozan
Feb 15, 2017·The Cochrane Database of Systematic Reviews·Catherine ChamberlainJoanne E McKenzie
Mar 20, 2013·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Elisabete AlvesHenrique Barros
Feb 9, 2012·Australian and New Zealand Journal of Public Health·John B LoweStephanie Sutherns
Jul 3, 2013·Nursing Research·Lorraine O WalkerMichael J Mahometa
Jul 6, 2014·Maternal and Child Health Journal·John B CorreaThomas H Brandon
Oct 23, 2012·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Michael S BusinelleDavid W Wetter
Oct 25, 2017·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Sophie OrtonMichael Ussher
Nov 19, 2020·Maternal and Child Health Journal·M Carmen Míguez, Beatriz Pereira
Feb 25, 2021·Journal of Advanced Nursing·Siqi Zhang, Maria Jose Duaso

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