Pregnant smokers who quit, pregnant smokers who don't: does history of problem behavior make a difference?
Pregnant smokers who quit, pregnant smokers who don't: does history of problem behavior make a difference?
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DOI：
10.1016/s0277-9536(02)00248-4
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发表时间：
2003-06-01
影响因子：
5.4
通讯作者：
Leventhal, BL
中科院分区：
文献类型：
--
作者：
Wakschlag, LS;Pickett, KE;Leventhal, BL
在美国，超过一半的吸烟妇女在怀孕期间继续吸烟。虽然社会经济和人口统计学因素已经确定了区分怀孕戒烟者和持续吸烟者的因素，但对与持续吸烟相关的行为因素知之甚少。因为怀孕期间吸烟不仅是一个个体，而且是一种母亲行为，它可能具有与女性吸烟不同的行为相关性。我们提出了一个概念框架，在怀孕期间吸烟被视为一个母亲的问题行为。我们通过研究怀孕期间持续吸烟是否与多个领域的心理社会风险和健康危害行为模式相关来探索这一概念，并从一个小型诊所样本中获得试点数据。数据主要为96名白人，工人阶级孕妇在美国的产前诊所招募。采用自评法和生化分析法对孕妇孕期吸烟情况进行重复测量。参与者是非吸烟者（37%），怀孕戒烟者（17%）和持续吸烟者（46%）。这些群体的问题行为的历史进行了比较，在三个领域：人际关系的困难，在适应功能和问题的健康行为的问题。除了少数例外，吸烟者比怀孕戒烟者和非吸烟者更容易有问题的关系，更差的适应功能和从事有问题的健康行为。这种问题行为的模式可能会干扰标准的公共卫生产前戒烟干预的有效性，为一个亚组的妇女。检查怀孕吸烟作为一个更广泛的问题行为矩阵的一部分，可能有助于确定孕妇最有可能持续吸烟，并告知有针对性的干预措施的发展。(C)2003爱思唯尔科技有限公司版权所有。
More than half of women who smoke in the USA continue to do so while pregnant. While socioeconomic and demographic factors that distinguish pregnancy quitters from persistent smokers have been identified, less is known about behavioral factors that are associated with persistent smoking. Because smoking during pregnancy is not only an individual, but also a maternal behavior, it may have different behavioral correlates than women's smoking has in general. We propose a conceptual framework in which smoking during pregnancy is viewed as a maternal problem behavior. We explore this conceptualization by examining whether persistent smoking during pregnancy is associated with a pattern of psychosocial risk- and health-compromising behaviors in multiple domains, with pilot data from a small clinic-based sample. Data are presented for 96 predominantly Caucasian, working-class pregnant women recruited from prenatal clinics in the USA. Smoking during pregnancy was measured repeatedly by self-report and biochemical assay. Participants were non-smokers (37%), pregnancy quitters (17%), and persistent smokers (46%). These groups were compared in terms of their history of problem behavior in three domains: interpersonal difficulties, problems in adaptive functioning and problematic health behaviors. With few exceptions, smokers were more likely to have problematic relationships, poorer adaptive functioning and to engage in problematic health behaviors, than both pregnancy quitters and non-smokers. This pattern of problem behavior may interfere with the effectiveness of standard public health prenatal cessation interventions for a sub-group of women. Examining pregnancy smoking as part of a broader matrix of problem behavior may help to identify pregnant women most at risk for persistent smoking and inform the development of targeted interventions. (C) 2003 Elsevier Science Ltd. All rights reserved.