Pathways Linking Socioeconomic Status and Postpartum Smoking Relapse

Details

• Alternative Title:
  Ann Behav Med
• Personal Author:
  Businelle, Michael S. ; Kendzor, Darla E. ; Reitzel, Lorraine R. ; Vidrine, Jennifer Irvin ; Castro, Yessenia ; Mullen, Patricia Dolan ; Velasquez, Mary M. ; Cofta-Woerpel, Ludmila ; Cinciripini, Paul M. ; Greisinger, Anthony J. ; Wetter, David W.
• Description:
  Background
  
  Low socioeconomic status (SES) exacerbates the high rate of smoking relapse in women following childbirth.
  
  Purpose
  
  This study examined multiple models of potential mechanisms linking SES and postpartum smoking relapse among women who quit smoking due to pregnancy.
  
  Methods
  
  Participants were 251 women enrolled in a randomized clinical trial of a new postpartum smoking relapse prevention intervention. Four models of the prepartum mechanisms linking SES and postpartum smoking relapse were evaluated using a latent variable modeling approach.
  
  Results
  
  Each of the hypothesized models were a good fit for the data. As hypothesized, SES indirectly influenced postpartum smoking relapse through increased prepartum negative affect/stress, reduced sense of agency, and increased craving for cigarettes. However, the model that included craving as the sole final pathway between SES and relapse demonstrated superior fit when compared with all other models.
  
  Conclusions
  
  Findings have implications for future interventions that aim to reduce postpartum relapse.
  
  
• Subjects:
  Adolescent Adult Affect Behavior, Addictive Female Humans Models, Psychological Postpartum Period Smoking Social Class
• Keywords:
  Postpartum Relapse Socioeconomic Status Structural Equation Modeling
• Source:
  Ann Behav Med. 45(2)
• Pubmed ID:
  23086590
• Pubmed Central ID:
  PMC3854787
• Document Type:
  Journal Article
• Funding:
  P30 CA016672/CA/NCI NIH HHSUnited States/ ; R25 CA057730/CA/NCI NIH HHSUnited States/ ; R01 CA089350/CA/NCI NIH HHSUnited States/ ; K01 DP000086/DP/NCCDPHP CDC HHSUnited States/ ; K01 DP001120/DP/NCCDPHP CDC HHSUnited States/ ; K01 CA157689/CA/NCI NIH HHSUnited States/
• Volume:
  45
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:119dcb2d1c1c101fe8e4b1a3b69ce2376b4b403573f4918500892aa1c17524e2
• Download URL:
  https://stacks.cdc.gov/view/cdc/41929/cdc_41929_DS1.pdf
• File Type:
  [PDF - 957.71 KB ]