Thursday, October 25, 2007
Exhibit Hall
Use of smoking cessation methods among pregnant women in New Jersey, 2004.
Van Tong, MPH, Centers for Disease Control and Prevention, Division of Reproductive Health, vtong@cdc.gov, Lisa Asare, MPH, Lisa.Asare@doh.state.nj.us, Patricia Dietz, DrPH, PDietz@cdc.gov, Lucinda England, MD, LEngland@cdc.gov.
Learning Objectives: State the proportion of women who smoke during the last trimester of pregnancy and use any tobacco cessation intervention for one state
Problem/Objective: To characterize women who smoked during pregnancy and used any tobacco cessation method in a population-based sample. Methods: We analyzed data from the population-based New Jersey (NJ) Pregnancy Risk Assessment Monitoring System (PRAMS) for women who had a live birth in 2004. Data were weighted to represent all women delivering live infants, and descriptive statistics were computed using SAS callable SUDAAN. Results: Of those women who smoked in the three months before pregnancy, 47.5% quit on or before they learned they were pregnant, 4.8% quit after they learned they were pregnant and 47.7% smoked in the last trimester of pregnancy. Compared with women who quit earlier in pregnancy, women who smoked in the last trimester of pregnancy were more likely to be non-Hispanic white, single, nulliparous, enter prenatal care late, Medicaid-insured, less educated and smoke heavily. Of women who continued to smoke in the last trimester of pregnancy, 10.9% reported using any tobacco cessation method (self help materials, counseling, medications, hotlines or websites), 53% tried to quit without a method, 24% did not report a method, and 11% did not try to quit or cut back at all. The most frequently reported barriers to quitting were ‘cravings for a cigarette' (77.5%), ‘loss of a way to handle stress' (57.8%) and ‘other people around me smoke' (57%). Conclusions: Very few NJ women who smoked during pregnancy used tobacco cessation method to help them quit. Proven tobacco cessation methods need to be promoted and accessible to pregnant women.