ACCELERATING PROGRESS OF SMOKING CESSATION IN PREGNANCY

吸烟仍然是最可预防的死亡原因 残疾人在美国。 87%的肺癌患者 吸烟是导致癌症死亡的第二大原因，占所有癌症死亡人数的30%。 女性肺癌死亡率的上升趋势更快 肺癌是癌症死亡的主要原因， 妇女 考虑到女性肺癌的死亡率趋势以及 他们的吸烟模式，癌症预防工作应侧重于针对 高风险的女性母亲，并利用可教育的时刻， 最好加速女性戒烟的进展。 经济上处于不利地位的孕妇都更有可能吸烟 在怀孕之前，不太可能在怀孕期间戒烟， 其他育龄妇女。 即使她们在怀孕期间戒烟， 产后容易复发。 因此，怀孕和 产后期是采取干预措施的重要机会， 激励这些女性，加速她们戒烟的进程。 在怀孕和产后减少吸烟会降低健康 两个人的风险，母亲和孩子，从而促进癌症 《2000年健康人》提出的预防目标。 建议的项目是一个合作的努力，癌症预防 罗得岛大学研究联盟和妇女与 罗得岛婴儿医院，布朗大学教学医院 医学院 拟议的研究旨在评估一项 创新的基于阶段的个性化互动干预 （个体化干预）戒烟与 阶段匹配自助方法（自助干预）和标准 护理条件。 个性化和自助干预将是 基于现有的理论概念和行为改变技术， 跨理论模型 目标人群将是低收入文化 在公立妇产科诊所就诊的孕妇人数众多。 拟议 研究将涉及一项前瞻性随机、三组、重复测量 设计 从项目数据中获得的信息将有助于确定 这种创新的戒烟干预，确定的影响， 对中间或过程变量的干预，并提供对 妊娠和分娩对戒烟意愿的影响 行为。 戒烟的好处是什么？ 怀孕不仅会对个人产生长期影响，而且 对家庭整体健康的影响。

DESCRIPTION: Smoking continues to be the most preventable cause of death and disability in the United States. As many as 87 percent of lung cancer deaths are secondary to smoking, as well as 30 percent of all cancer deaths. The mortality trends in lung cancer rates for women are rising more rapidly than for men and lung cancer is the leading cause of death from cancers in women. Given the mortality trends in lung cancer for women and the link to their smoking patterns, cancer prevention efforts should focus on targeting high risk female mothers as well as take advantage of teachable moments to best accelerate progress toward smoking cessation in women. Economically disadvantaged pregnant women are both more likely to smoke prior to becoming pregnant and less likely to quit during pregnancy than other women of childbearing age. Even when they do quit during pregnancy, they are likely to relapse postpartum. Therefore, pregnancy and the postpartum period is an important window of opportunity for interventions to motivate these women and accelerate their progress toward smoking cessation. Reducing smoking in pregnancy and postpartum would serve to reduce health risks for two individuals, mother and child, thereby, promote the cancer prevention objectives set forth in Healthy People 2000. The proposed project is a collaborative effort of the Cancer Prevention Research Consortium at the University of Rhode Island and the Women and Infants Hospital of Rhode Island, a teaching hospital of Brown University Medical School. The proposed study is designed to evaluate the impact of an innovative stage-based individualized, interactive intervention (Individualized Intervention) on smoking cessation compared with a stage-matched self-help approach (self-help Intervention) and a standard care condition. The Individualized and self-help Interventions will be based on existing theoretical concepts and behavior change techniques of the Transtheoretical Model. The target population will be low-income culturally diverse pregnant women attending public maternity clinics. The proposed study will involve a prospective randomized, three-group, repeated measures design. Information gained from the project data will help determine the efficacy of this innovative smoking cessation intervention, identify the impact of the intervention on intermediate or process variables, and provide insight into the influence of pregnancy and delivery on readiness for changing smoking behaviors. The benefits of promoting smoking cessation programs during pregnancy will not only have a long-range impact on the individual, but also on the overall health of the family.