INTEGRATING SMOKING CESSATION INTO ROUTINE PUBLIC PRENATAL-CARE - THE SMOKING CESSATION IN PREGNANCY PROJECT
INTEGRATING SMOKING CESSATION INTO ROUTINE PUBLIC PRENATAL-CARE - THE SMOKING CESSATION IN PREGNANCY PROJECT
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DOI：
10.2105/ajph.85.2.217
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发表时间：
1995-02-01
影响因子：
12.7
通讯作者：
DALMAT, ME
中科院分区：
文献类型：
--
作者：
KENDRICK, JS;ZAHNISER, SC;DALMAT, ME
目的。1986年，科罗拉多州、马里兰州和密苏里州的州卫生部门开展了一个由联邦政府资助的示范项目，旨在提高在公共诊所接受妇女、婴儿和儿童（WIC）项目产前护理和服务的孕妇的戒烟率。
方法。低强度干预措施旨在融入常规产前护理。诊所被随机分配为干预组或对照组；怀孕的吸烟者在登记时、怀孕第八个月和产后填写问卷并提供尿液样本。疾病预防控制中心通过酶联免疫吸附测定法测定尿可替宁浓度，并用于验证自我报告的吸烟状况。
结果。在怀孕第八个月时，在所有三个州，干预诊所自我报告的戒烟率均高于对照诊所。然而，可替宁验证的戒烟率没有显著差异。
结论。对自我报告的戒烟情况进行生化验证对于评估戒烟干预措施至关重要。通过低强度干预措施改变孕妇的吸烟行为是困难的。
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.