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Pathways linking socioeconomic status and postpartum smoking relapse
Michael S Businelle1, Darla E Kendzor, Lorraine R Reitzel
1Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, Dallas Regional Campus, 6011 Harry Hines Blvd., V8.112, Dallas, TX 75390-9128, USA. michael.businelle@utsouthwestern.edu
Summary
Low socioeconomic status (SES) increases postpartum smoking relapse in women by raising stress and cigarette cravings. Interventions targeting these factors may help prevent relapse.
Area of Science:
- Reproductive Health
- Addiction Medicine
- Public Health
Background:
- Low socioeconomic status (SES) is linked to higher rates of smoking relapse in women after childbirth.
- Pregnancy cessation is often temporary, with many women relapsing postpartum.
Purpose of the Study:
- To investigate the mechanisms connecting SES and postpartum smoking relapse.
- To evaluate multiple models explaining how SES influences relapse in women who quit smoking for pregnancy.
Main Methods:
- Latent variable modeling was used to analyze data from 251 women in a postpartum smoking relapse prevention trial.
- Four prepartum models linking SES and postpartum relapse were assessed.
Main Results:
- All tested models showed a good fit with the data.
- SES indirectly affected relapse through increased prepartum negative affect/stress, reduced agency, and heightened cigarette cravings.
- A model with craving as the sole final pathway between SES and relapse provided the best fit.
Conclusions:
- Understanding these pathways is crucial for developing effective postpartum smoking relapse prevention strategies.
- Interventions should consider addressing stress, agency, and craving in women of lower SES.
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