Quitting Smoking before and after Pregnancy: Study Methods and Baseline Data from a Prospective Cohort Study

Erica Cruvinel, Kimber P. Richter, Kathryn I. Pollak, Edward Ellerbeck, Nicole L. Nollen, Byron Gajewski, Zoe Sullivan-Blum, Chuanwu Zhang, Elena Shergina and Taneisha S. Scheuermann ()
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Erica Cruvinel: Department of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
Kimber P. Richter: Department of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
Kathryn I. Pollak: Department of Population Health Sciences, and Cancer Prevention and Control Program, Duke Cancer Institute, Duke University School of Medicine, Durham, NC 27705, USA
Edward Ellerbeck: Department of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
Nicole L. Nollen: Department of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
Byron Gajewski: Department of Biostatistics & Data Science, University of Kansas Medical Center, Kansas City, KS 66160, USA
Zoe Sullivan-Blum: Department of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
Chuanwu Zhang: Department of Biostatistics & Data Science, University of Kansas Medical Center, Kansas City, KS 66160, USA
Elena Shergina: Department of Biostatistics & Data Science, University of Kansas Medical Center, Kansas City, KS 66160, USA
Taneisha S. Scheuermann: Department of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, USA

IJERPH, 2022, vol. 19, issue 16, 1-14

Abstract: Smoking during pregnancy and postpartum remains an important public health problem. No known prior study has prospectively examined mutual changes in risk factors and women’s smoking trajectory across pregnancy and postpartum. The objective of this study was to report methods used to implement a prospective cohort (Msgs4Moms), present participant baseline characteristics, and compare our sample characteristics to pregnant women from national birth record data. The cohort study was designed to investigate smoking patterns, variables related to tobacco use and abstinence, and tobacco treatment quality across pregnancy through 1-year postpartum. Current smokers or recent quitters were recruited from obstetrics clinics. Analyses included Chi-square and independent sample t-tests using Cohen’s d . A total of 62 participants (41 smokers and 21 quitters) were enrolled. Participants were Black (45.2%), White (35.5%), and multiracial (19.3%); 46.8% had post-secondary education; and most were Medicaid-insured (64.5%). Compared with quitters, fewer smokers were employed (65.9 vs 90.5%, Cohen’s d = 0.88) and more reported financial strain (61.1% vs 28.6%; Cohen’s d = 0.75). Women who continue to smoke during pregnancy cope with multiple social determinants of health. Longitudinal data from this cohort provide intensive data to identify treatment gaps, critical time points, and potential psychosocial variables warranting intervention.

Keywords: longitudinal studies; smoking; pregnant women; postpartum period; methods (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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