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Predictors of postpartum relapse to smoking
Laura J Solomon1, Stephen T Higgins, Sarah H Heil
1Department of Psychology, University of Vermont, Burlington, VT 05405-0134, USA. Laura.Solomon@uvm.edu
Drug and Alcohol Dependence
|May 4, 2007
Summary
Many women who quit smoking during pregnancy relapse postpartum. Key predictors include social smoking, pre-pregnancy smoking intensity, depression, and weight concerns, suggesting intervention targets.
Area of Science:
- Reproductive Health
- Addiction Medicine
- Public Health
Background:
- Postpartum relapse to smoking is a significant public health concern.
- Many women quit smoking during pregnancy but resume postpartum.
- Understanding relapse predictors is crucial for effective interventions.
Purpose of the Study:
- To identify predictors of postpartum smoking relapse.
- To explore the circumstances surrounding the first postpartum cigarette.
- To inform targeted interventions for relapse prevention.
Main Methods:
- A cohort of 87 women who quit smoking during pregnancy was studied.
- Postpartum relapse rates were assessed up to 6 months.
- Multivariate analyses identified significant risk factors for relapse.
Main Results:
- 48% of women relapsed by 6 months postpartum.
- Predictors of relapse included social smoking, higher pre-pregnancy smoking, depression, and lower weight concern.
- First postpartum cigarettes were often unplanned, triggered by negative affect and social cues.
Conclusions:
- Postpartum smoking relapse is common and influenced by multiple factors.
- Interventions should address social influences, mental health, and weight concerns.
- Targeted support can help women maintain smoking cessation postpartum.
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