Maternal and Child Health Journal

, Volume 17, Issue 6, pp 989–995 | Cite as

Telephone Smoking Cessation Quitline Use Among Pregnant and Non-pregnant Women

  • Jennifer M. Bombard
  • Sherry L. Farr
  • Patricia M. Dietz
  • Van T. Tong
  • Lei Zhang
  • Vance Rabius
Article

Abstract

To describe characteristics, referrals, service utilization, and self-reported quit rates among pregnant and non-pregnant women enrolled in a smoking cessation quitline. This information can be used to improve strategies to increase pregnant and non-pregnant smokers’ use of quitlines. We examined tobacco use characteristics, referral sources, and use of services among 1,718 pregnant and 24,321 non-pregnant women aged 18–44 years enrolled in quitline services in 10 states during 2006–2008. We examined self-reported 30-day quit rates 7 months after enrollment among 246 pregnant and 4,123 non-pregnant women and, within groups, used Chi-square tests to compare quit rates by type of service received. The majority of pregnant and non-pregnant callers, respectively, smoked ≥10 cigarettes per day (62 %; 83 %), had recently attempted to quit (55 %; 58 %), smoked 5 or minutes after waking (59 %; 55 %), and lived with a smoker (63 %; 48 %). Of callers, 24.3 % of pregnant and 36.4 % of non-pregnant women were uninsured. Pregnant callers heard about the quitline most often from a health care provider (50 %) and non-pregnant callers most often through mass media (59 %). Over half of pregnant (52 %) and non-pregnant (57 %) women received self-help materials only, the remainder received counseling. Self-reported quit rates at 7 months after enrollment in the subsample were 26.4 % for pregnant women and 22.6 % for non-pregnant women. Quitlines provide needed services for pregnant and non-pregnant smokers, many of whom are uninsured. Smokers should be encouraged to access counseling services.

Keywords

Female Pregnancy Smoking cessation Telephone counseling 

References

  1. 1.
    USDHHS. (2001). Women and smoking: A report of the Surgeon General. Atlanta, GA: USDHHS, CDC, National Center for Chronic Disease and Health Promotion, Office on Smoking and Health.Google Scholar
  2. 2.
    USDHHS. (2004). The health consequences of smoking: A report of the Surgeon General. Atlanta, GA: USDHHS, CDC, National Center for Chronic Disease and Health Promotion, Office on Smoking and Health.Google Scholar
  3. 3.
    Osterman, J. K., Martin, J. A., Matthews, T. J., et al. (2008). Expanded data from the new birth certificate, 2008. National Vital Statistics Report, 59, 1–5.Google Scholar
  4. 4.
    Hayes, D. K., Fan, A. Z., Smith, R. A., & Bombard, J. M. (2011). Trends in selected chronic conditions and behavioral risk factors among women of reproductive age, behavioral risk factor surveillance system, 2001–2009. Preventing Chronic Disease, 8(6), A120.PubMedGoogle Scholar
  5. 5.
    Tzelepis, F., Paul, C. L., Walsh, R. A., et al. (2011). Proactive telephone counseling for smoking cessation: Meta-analysis by recruitment channel and methodological quality. Journal of the National Cancer Institute, 103, 922–941.PubMedCrossRefGoogle Scholar
  6. 6.
    Guide to Community Preventive Services. (2012). Increasing tobacco use cessation: Multicomponent interventions that include telephone support. Retrieved January 27, 2012, from http://www.thecommunityguide.org/tobacco/cessation/multicomponentinterventions.html.
  7. 7.
    Stead, L. F., Perera, R., & Lancaster, T. (2006). Telephone counseling for smoking cessation. Cochrane Database System Review, (3), CD002850.Google Scholar
  8. 8.
    Fiore, M. C., Jaen, C. R., Baker, T. B., et al. (2008). Treating tobacco use and dependence: 2008 Update. Clinical practice guideline. Rockville, MD: USDHHS, Public Health Service.Google Scholar
  9. 9.
    Rohweder, C., DiBiase, L., & Schell D. (2011). Pregnancy and post-partum quitline toolkit. Retrieved November 18, 2011, from http://www.tobacco-cessation.org/PDFs/QuitlineToolkit.pdf.
  10. 10.
    ACOG Committees on Health Care for Underserved Women and Obstetric Practice. (2010). ACOG practice bulletin: Smoking cessation during pregnancy. Obstetrics & Gynecology, 471, 1241–1244.Google Scholar
  11. 11.
    Rabius, V., Pike, K. J., Hunter, J., et al. (2007). Effects of frequency and duration in telephone counselling for smoking cessation. Tobacco Control, 16(S), i71–i74.PubMedCrossRefGoogle Scholar
  12. 12.
    North American Quitline Consortium, An, L., Betzner, A., et al. (2009). Measuring quit rates. Quality improvement initiative. Retrieved August 1, 2011, from http://www.naquitline.org/resource/resmgr/docs/naqc_issuepaper_measuringqui.pdf.
  13. 13.
    Ershoff, D. H., Quinn, V. P., Boyd, N. R., et al. (1999). The Kaiser Permanente prenatal smoking-cessation trial: When more isn’t better, what is enough? American Journal of Preventive Medicine, 17, 161–168.PubMedCrossRefGoogle Scholar
  14. 14.
    Rigotti, N. A., Park, E. R., Regan, S., et al. (2006). Efficacy of telephone counseling for pregnant smokers: A randomized controlled trial. Obstetrics & Gynecology, 108, 83–92.CrossRefGoogle Scholar
  15. 15.
    Dietz, P. M., Homa, D., England, L. J., et al. (2011). Estimates of nondisclosure of cigarette smoking among pregnant and nonpregnant women of reproductive age in the United States. American Journal of Epidemiology, 173, 355–359.PubMedCrossRefGoogle Scholar
  16. 16.
    Tong, V. T., England, L. J., Dietz, P. M., & Asare, L. A. (2008). Smoking patterns and use of cessation interventions during pregnancy. American Journal of Preventive Medicine, 35, 327–333.PubMedCrossRefGoogle Scholar
  17. 17.
    Lumley, J., Chamberlain, C., Dowswell, T., Oliver, S., Oakley, L., & Watson, L. (2009) Interventions for promoting smoking cessation during pregnancy. Cochrane Database System Review, 3, 14.Google Scholar
  18. 18.
    Solomon, L., & Quinn, V. (2004). Spontaneous quitting: Self-initiated smoking cessation in early pregnancy. Nicotine & Tobacco Research, 6(suppl 2), S203–S216.CrossRefGoogle Scholar
  19. 19.
    CDC. (2008). Smoking prevalence among women of reproductive age—United States, 2006. Morbidity and Mortality Weekly Report, 57, 849–852.Google Scholar
  20. 20.
    Sheffer, C. E., Brackman, S. L., Cottoms, N., et al. (2011). Understanding the barriers to use of free, proactive telephone counseling for tobacco dependence. Qualitative Health Research, 21, 1075–1085.PubMedCrossRefGoogle Scholar
  21. 21.
    CDC. (2011). Quitting smoking among adults—United States, 2001–2010. Morbidity and Mortality Weekly Report, 60, 1513–1519.Google Scholar
  22. 22.
    Zhu, S. H., Anderson, C. M., Johnson, C. E., et al. (2000). A centralized telephone service for tobacco cessation: The California experience. Tobacco Control, 9(Suppl II), ii48–ii55.PubMedGoogle Scholar
  23. 23.
    Swartz, S. H., Cowan, T. M., Klayman, J. E., et al. (2005). Use and effectiveness of tobacco telephone counseling and nicotine therapy in Maine. American Journal of Preventive Medicine, 29, 288–294.PubMedCrossRefGoogle Scholar
  24. 24.
    An, L. C., Schillo, B. A., Kavanaugh, A. M., et al. (2006). Increased reach and effectiveness of a statewide tobacco quitline after the addition of access to free nicotine replacement therapy. Tobacco Control, 15, 286–293.PubMedCrossRefGoogle Scholar
  25. 25.
    Hughes, J. R. (2003). Motivating and helping smokers to stop smoking. Journal of General Internal Medicine, 18, 1053–1057.PubMedCrossRefGoogle Scholar
  26. 26.
    Hymowitz, N., Cummings, K. M., Hyland, A., et al. (1997). Predictors of smoking cessation in a cohort of adult smokers followed for five years. Tobacco Control, 6(suppl 2), S57–S62.PubMedCrossRefGoogle Scholar
  27. 27.
    Doll, R., Peto, R., Boreham, J., et al. (2004). Mortality in relation to smoking: 50 Years’ observations on male British doctors. British Medical Journal, 328, 1519–1528.PubMedCrossRefGoogle Scholar
  28. 28.
    Mosher, W. D., Martinez, G. M., Abma, C. A., & Wilson, S. J. (2004). Use of contraception and use of family planning services in the United States, 19922002. Advance data from vital and health statistics; no. 350. Hyatsville, MD: National Center for Health Statistics.Google Scholar

Copyright information

© Springer Science+Business Media, LLC (outside the USA)  2012

Authors and Affiliations

  • Jennifer M. Bombard
    • 1
  • Sherry L. Farr
    • 1
  • Patricia M. Dietz
    • 1
  • Van T. Tong
    • 1
  • Lei Zhang
    • 2
  • Vance Rabius
    • 3
  1. 1.Division of Reproductive Health, National Center for Chronic Disease Prevention and Health PromotionCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Office of Smoking and Health, National Center for Chronic Disease Prevention and Health PromotionCenters for Disease Control and PreventionAtlantaUSA
  3. 3.Department of Behavioral Science, MD Anderson Cancer CenterUniversity of TexasHoustonUSA

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