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Post-partum intention to resume smoking.
Kathrin Röske1, W Hannöver, J Grempler
1Institute for Medical Psychology, Ernst-Moritz-Arndt-University Greifswald, Walther-Rathenau-Strasse 48, 17487 Greifswald, Germany. roeske@uni-griefswald.de
Health Education Research
|November 19, 2005
Summary
Mothers who intended to resume smoking post-partum were four times more likely to relapse. Intention to resume smoking (IRS) is a key predictor of relapse, guiding tailored interventions for pregnant smokers.
Area of Science:
- Reproductive Health
- Addiction Medicine
- Public Health
Background:
- Nicotine abstinence during pregnancy is common, but postpartum smoking relapse is a significant concern.
- Understanding the motivations behind postpartum smoking resumption is crucial for effective interventions.
- The intention to resume smoking (IRS) post-partum is understudied in relation to relapse.
Purpose of the Study:
- To examine the intention to resume smoking (IRS) in the postpartum period.
- To determine the predictive value of IRS for smoking relapse within 12 months postpartum.
- To identify factors influencing postpartum smoking behavior.
Main Methods:
- A cohort of 301 women who quit smoking during pregnancy was recruited from obstetric wards.
- Data collected included IRS, sociodemographics, recent smoking, and social network smoking.
- Smoking status was assessed at 6 and 12 months postpartum.
Main Results:
- 13% of women intended to resume smoking postpartum; 87% intended to maintain abstinence.
- Women with IRS were significantly more likely to resume smoking (77% vs. 45%, OR=4.1).
- IRS (OR=3.7) and duration of abstinence (OR=0.9) were significant predictors of relapse in logistic regression.
Conclusions:
- Intention to resume smoking (IRS) is a primary predictor of postpartum smoking relapse.
- Even women without IRS are at risk for relapse, highlighting the need for ongoing support.
- IRS serves as a valuable cue for developing targeted interventions to prevent smoking relapse.