Predictors of intentions to stop smoking early in prenatal care
Daniel H Ershoffa, Laura J Solomonb, Patricia Dolan-Mullenc
a University
of California Los Angeles, School of Public Health, Los Angeles,
California, USA, b Department
of Psychology, University of Vermont, Burlington, Vermont, USA, c Center for Health Promotion
Research and Prevention, University of Texas-Houston Health Science
Center, School of Public Health, Houston, Texas, USA
Correspondence to: Laura J Solomon, PhD, Department of Psychology, Dewey Hall, University of Vermont, Burlington, VT 05405, USA; Lsolomon{at}zoo.uvm.edu
Received 8 December
1999; Revision received 7 March 2000;
Accepted 10 March 2000
OBJECTIVE
To determine
baseline variables associated with low intentions of stopping smoking
early in pregnancy.
DESIGNCross sectional survey.
PARTICIPANTSPregnant
smokers pooled across seven Smoke-Free Families trials (n = 1314).
RESULTS36% of
pregnant smokers had low intentions of stopping smoking within the next
30 days. In contrast to pregnant smokers with higher intentions of
quitting, pregnant smokers with low intentions were less confident in
their ability to quit, less likely to have private health insurance,
and less likely to agree that smoking harms the unborn child. They were
more likely to smoke heavily, more likely to have fewer years of
education, and more likely to have friends and family members who smoke.
CONCLUSIONSThree
options to smoking cessation assistance are proposed for pregnant
smokers with low intentions of quitting: targeting, triage, and
tailoring. Further research is needed to determine which approach is
most appropriate.
Keywords: smoking cessation; pregnancy; intentions
© 2000 by Tobacco Control
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