Using Arizona Tobacco Tax revenue, 4 counties piloted a tobacco cessation program for low-income pregnant and post-partum women. The goal was to decrease tobacco use among pregnant women and prevent relapse until at least 6 months after delivery.
Objectives included
1) Identifying the number of women in WIC who smoked 3 months prior to pregnancy, at WIC enrollment, in the last 3 months of pregnancy, and at 6 weeks and 6 months post-partum. 2) Having 50% of smokers quit by delivery. 3) Preventing relapse until 6 months post-partum in 50% of women who quit during pregnancy.
Methods
The Arizona Tobacco Education and Prevention Program (TEPP) receives state tobacco tax revenue. To reach pregnant women, TEPP contracted with the Women, Infant and Children Nutrition Program (WIC) to develop a pilot in 4 counties (3 rural).
The Arizona Program for Nicotine and Tobacco Research (APNTR) trained Community Nutrition Workers to help their pregnant participants quit using tobacco.
Results
Between July 1998 and October 1999, 7,801 pregnant women enrolled. Preliminary results show smoking in 28% 3 months before pregnancy, 12.6% in the last 3 months of pregnancy, and 11.1% at 6 months post-partum. Not all women have delivered yet; data will be updated before November.
Conclusions
The brief intervention model works particularly well in WIC. TEPP, WIC, and APNTR together delivered immediate cost savings in reduced low birth weight rates.
Learning Objectives: By the end of the session, participants will: 1) List key elements of the pilot program which contributed to the program's success in decreasing smoking in pregnant women and preventing relapse. 2) List the contributions of each of the partners in the pilot program. 3) Compare the success rates to national quit and relapse rates
Keywords: Tobacco, Prenatal Interventions
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Arizona Department of Health Services
County Health Departments in Yavapai, Mohave, Pinal, and Maricopa County
Arizona Program for Nicotine and Tobacco Research
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: I am employed by the Yavapai County Health Department, and this project is funded by the Tobacco Education and Prevention Program