Original Article

Annals of Behavioral Medicine

, Volume 45, Issue 2, pp 180-191

First online:

Pathways Linking Socioeconomic Status and Postpartum Smoking Relapse

  • Michael S. BusinelleAffiliated withDivision of Health Promotion and Behavioral Sciences, University of Texas School of Public Health Email author 
  • , Darla E. KendzorAffiliated withDivision of Health Promotion and Behavioral Sciences, University of Texas School of Public Health
  • , Lorraine R. ReitzelAffiliated withDepartment of Health Disparities Research, University of Texas M.D. Anderson Cancer Center
  • , Jennifer Irvin VidrineAffiliated withDepartment of Health Disparities Research, University of Texas M.D. Anderson Cancer Center
  • , Yessenia CastroAffiliated withDepartment of Health Disparities Research, University of Texas M.D. Anderson Cancer Center
  • , Patricia Dolan MullenAffiliated withDivision of Health Promotion and Behavioral Sciences, University of Texas School of Public Health
  • , Mary M. VelasquezAffiliated withCenter for Social Work Research, University of Texas at Austin
  • , Ludmila Cofta-WoerpelAffiliated withDepartment of Behavioral Science, University of Texas M.D. Anderson Cancer Center
  • , Paul M. CinciripiniAffiliated withDepartment of Behavioral Science, University of Texas M.D. Anderson Cancer Center
    • , Anthony J. GreisingerAffiliated withKelsey Research Foundation
    • , David W. WetterAffiliated withDepartment of Health Disparities Research, University of Texas M.D. Anderson Cancer Center

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Abstract

Background

Low socioeconomic status (SES) exacerbates the high rate of smoking relapse in women following childbirth.

Purpose

This study examined multiple models of potential mechanisms linking SES and postpartum smoking relapse among women who quit smoking due to pregnancy.

Methods

Participants were 251 women enrolled in a randomized clinical trial of a new postpartum smoking relapse prevention intervention. Four models of the prepartum mechanisms linking SES and postpartum smoking relapse were evaluated using a latent variable modeling approach.

Results

Each of the hypothesized models were a good fit for the data. As hypothesized, SES indirectly influenced postpartum smoking relapse through increased prepartum negative affect/stress, reduced sense of agency, and increased craving for cigarettes. However, the model that included craving as the sole final pathway between SES and relapse demonstrated superior fit when compared with all other models.

Conclusions

Findings have implications for future interventions that aim to reduce postpartum relapse.

Keywords

Smoking Postpartum Structural equation modeling Relapse Socioeconomic status