Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #117646

Gerald L. Hoff, PhD, FACE¹, Jinwen Cai, MD, MS¹, Felix A. Okah, MD², and Paul Dew, MD, MPH³. (1) Office of Epidemiology & Community Health Monitoring, Kansas City, Missouri, Health Department, 2400 Troost Avenue, Suite 4000, Kansas City, MO 64018, (2) Department of Pediatrics, Section of Neonatal-Perinatal Medicine, Children's Mercy Hospitals and Clinics, University of Missouri Kansas City School of Medicine, 2401 Gillham Road, Kansas City, MO 64108, (3) Department of Preventive Medicine, Kansas City University of Medicine and Biosciences, 1750 Independence Ave, Kansas City, MO 64106, 816.283.2458, PDew@kcumb.edu

We had demonstrated that in the last decade overall smoking rates among pregnant women in Kansas City, Missouri, declined from 18.1 percent to 14.2 percent in the last decade, with a distributional shift toward lighter smoking among smokers. In this study, we determined the pregnancy-smoking quitting rates in subsequent pregnancies among women who smoked during their first pregnancy. In 1999, concerted efforts began in the community to convince women not to smoke during pregnancy. Therefore, we looked at spontaneous quit rates during the two time periods 1994-1999 and 2000-2003. A preliminary analysis of data for 1994 identified 148 women who smoked during their first pregnancy and who had a second pregnancy during the study period. Three women were excluded as smoking information was not available for the second pregnancy. Overall, 15.2 percent of the women did not smoke during their second pregnancy. Therefore, we looked at two time periods 1994-1999 and 2000-2003. For the period 1994-1999, 123 women had their second pregnancy. The spontaneous quit rate rates for 1994-1999 and 2000-2003 were 11.4% (95%CI, 5.6%, 17.2%) and 16.7% (95% Cl, 10.3%, 23.1%), respectively. Additional analyses included smoking rates for those who had additional pregnancies and for those who did not smoke during their initial pregnancy.

Learning Objectives:

• Describe those factors that are associated with pregnancy-smoking quitting rates during successive pregnancies.
• Discuss possible smoking cessation interventions for pregnant women who smoke.

Keywords: Smoking, Pregnancy

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.