The 130th Annual Meeting of APHA

4086.0: Tuesday, November 12, 2002 - Board 1

Abstract #44981

Lack of self-efficacy may compromise smoking cessation intervention

Myra A. Crawford, PhD, MPH1, Lesa L. Woodby, PhD, MPH2, Chastity Roberts, MPH, CHES3, Richard A. Windsor, PhD4, and Wendy Horn, MPH, CHES2. (1) Department of Family & Community Medicine, University of Alabama at Birmingham, 930 South 20th Street, Room 325, Birmingham, AL 35205, (2) Family and Community Medicine, University of Alabama at Birmingham, 930 20th Street South, 371 CH20, Birmingham, AL 35294-2042, (3) Department of Family and Community Medicine, University of Alabama at Birmingham, 930 20th Street South, 371 CH20, Birmingham, AL 35294-2042, (205) 975-1973, jwhite@fms.uab.edu, (4) School of Public Health and Health Services, George Washington University, 2175 K Street NW #810, Washington, DC 20037

INTRODUCTION: Coping with stress, loneliness, powerlessness, low self-efficacy, living with or associating with a smoker, and addiction are sociopsychological factors associated with smoking and cessation among disadvantaged women. The purpose of this study is to determine to what extent self-efficacy correlates with smoking cessation in pregnant women. METHODS: Survey participants (n=381) were drawn from a representative sample of Alabamas population of pregnant smokers receiving care at 12 public health clinics in 8 counties. Descriptive statistics were used to define the population, and univariate analysis of variance was used to test for an association between cessation and self-efficacy. RESULTS: Of the 87 pregnant women who reduced the number of cigarettes smoked per day, 88.0 % believed that it was very harmful to the health of unborn babies for their mothers to smoke while pregnant, and 88.5% indicated that they wanted to quit smoking. Less than 60% actually believed they could quit smoking for 24 hours at this time or had planned to quit within the next 30 days (64.4%). A significant association (p=.023 at alpha=.05) between smoking reduction and self-efficacy was found. CONCLUSION: Although aware of the risks, women who lack self-efficacy appear to be unable to quit during pregnancy. These women may make attempts to reduce their cigarette consumption, believing they are reducing the risks to their unborn child. Smoking cessation programs that focus on self-efficacy skill building may be more effective than traditional education-based programs alone.

Learning Objectives: At the conclusion of this session, the participant will be able to

Keywords: Smoking Cessation, Self-Efficacy

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Tobacco Addiction Treatment (Cessation) Poster Session

The 130th Annual Meeting of APHA