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Pathways Linking Socioeconomic Status and Postpartum Smoking Relapse

  • Original Article
  • Published:
Annals of Behavioral Medicine

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.

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Conflict of Interest Statement

The authors have no conflict of interest to disclose.

Author information

Authors and Affiliations

  1. Division 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 S. Businelle Ph.D. & Darla E. Kendzor Ph.D.

  2. Department of Health Disparities Research, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA

    Lorraine R. Reitzel Ph.D., Jennifer Irvin Vidrine Ph.D., Yessenia Castro Ph.D. & David W. Wetter Ph.D.

  3. Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, Houston, TX, USA

    Patricia Dolan Mullen Dr.P.H.

  4. Center for Social Work Research, University of Texas at Austin, Austin, TX, USA

    Mary M. Velasquez Ph.D.

  5. Department of Behavioral Science, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA

    Ludmila Cofta-Woerpel Ph.D. & Paul M. Cinciripini Ph.D.

  6. Kelsey Research Foundation, Houston, TX, USA

    Anthony J. Greisinger Ph.D.

Authors
  1. Michael S. Businelle Ph.D.
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  2. Darla E. Kendzor Ph.D.
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  3. Lorraine R. Reitzel Ph.D.
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  6. Patricia Dolan Mullen Dr.P.H.
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  7. Mary M. Velasquez Ph.D.
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  11. David W. Wetter Ph.D.
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Corresponding author

Correspondence to Michael S. Businelle Ph.D..

Additional information

This manuscript was supported by grants from the National Cancer Institute (R01CA89350 to DWW; R25TCA57730 to MSB and DEK), the American Cancer Society (MRSGT-12-114-01-CPPB to MSB, MRSGT-10-104-01-CPHPS to DEK), and the CDC (K01DP001120 to LRR; K01DP000086 to JIV). This research was also supported in part by the National Institutes of Health through MD Anderson's Cancer Center Support Grant CA016672.

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Businelle, M.S., Kendzor, D.E., Reitzel, L.R. et al. Pathways Linking Socioeconomic Status and Postpartum Smoking Relapse. ann. behav. med. 45, 180–191 (2013). https://doi.org/10.1007/s12160-012-9434-x

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  • DOI: https://doi.org/10.1007/s12160-012-9434-x

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