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  1. Fulltext. Integrating smoking cessation into routine public prenatal care : the smoking cessation in pregnancy project.

    Article - En anglais

    Fulltext.

    Objectives

    In 1986, the state health departments of Colorado, Maryland, and Missouri conducted a federally-funded demonstration project to increase smoking cessation among pregnant women receiving prenatal care and services from the Women, Infants, and Children (WIC) program in public clinics.

    Methods

    Low-intensity interventions were designed to be integrated into routine prenatal care.

    Clinics were randomly assigned to intervention or control status ; pregnant smokers filled out questionnaires and gave urine specimens at enrollment, in the eighth month of pregnancy, and postparturm.

    Urine cotinine concentrations were determined at CDC by enzyme-linked immunosorbent assay and were used to verify-self-reported smoking status.

    Results

    At the eighth month of pregnancy, self-reported quitting was higher for intervention clinics than control clinics in all three states.

    However, the cotinine-verified quit rates were not significantly different.

    Conclusions

    Biochemical verification of self-reported quitting is essential to the evaluation of smoking cessation interventions.

    Achieving changes in smoking behavior in pregnant women with low-intensity interventions is difficult.

    Mots-clés Pascal : Programme sanitaire, Education sanitaire, Tabagisme, Sevrage toxique, Homme, Femelle, Gestation, Evaluation, Colorado, Maryland, Missouri, Promotion santé, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Sanitary program, Health education, Tobacco smoking, Poison withdrawal, Human, Female, Pregnancy, Evaluation, Colorado, Maryland, Missouri, Health promotion, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0250102

    Code Inist : 002B30A03A. Création : 01/03/1996.