Minority Health Archive

The Pittsburgh STOP Program: Disseminating an Evidence-Informed Intervention for Low-Income Pregnant Smokers

Cluss, Patricia A. and Levine, Michele D. and Landsittel, Douglas (2011) The Pittsburgh STOP Program: Disseminating an Evidence-Informed Intervention for Low-Income Pregnant Smokers. American Journal of Health Promotion, 25 (sp5). S75-S81. ISSN 0890-1171

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Purpose. Prenatal smoking is a preventable risk factor for poor perinatal outcomes and is more prevalent in pregnant smokers of low socioeconomic status (SES). We describe the intervention model and factors associated with quitting from the Pittsburgh STOP Program, an evidence-informed dissemination intervention for low-SES pregnant smokers. Setting. STOP is delivered in community health care clinics serving economically disadvantaged women. Participants. Participants were 856 pregnant women who were current smokers (93%) and recent quitters (7%). Most were white (59%) or black (35%), single (74%), young (mean age = 25), and experiencing an unplanned pregnancy (84%); 90% were insured by Medicaid/uninsured. Methods. An evidence-informed intervention for community pregnant women was delivered individually in a single-group pre-post evaluation design. Measures were demographics, participation and retention, smoking status, satisfaction, and cost. Analyses included descriptive statistics and logistic regression. Results. Participants attended an average of 4.7 sessions. Dropout rate after the first session was 5%. Over 11% of smokers quit; 48% of preenrollment spontaneous quitters remained abstinent. Factors significantly associated with quitting included race, mother's age, nicotine dependence, and number of sessions attended. Limitations. STOP is a community program with self-selected participants and no control group. Conclusion. Low-income pregnant smokers will engage in an evidence-informed cessation program tailored for this group, with quit rates that compare to controlled research results.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: Pregnant Women, Smoking Cessation, Low Socioeconomic Status, Risk Factors, Prevention Research. Manuscript format: research, Research purpose: modeling/relationship testing, Study design: nonexperimental, Outcome measure: behavioral, other financial/economic, Setting: clinical/health care, local community, Health focus: smoking control, Strategy: behavior change, Target population age: adults, Target population circumstances: education/income level, race/ethnicity
Subjects: Health > Prenatal & Pediatric Health
Health > Public Health > Health Risk Factors > Smoking & Tobacco Use
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Depositing User: Users 141 not found.
Date Deposited: 05 May 2011 16:27
Last Modified: 30 Jun 2011 15:52
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2426

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