Annals of Behavioral Medicine

, Volume 45, Issue 2, pp 180–191 | Cite as

Pathways Linking Socioeconomic Status and Postpartum Smoking Relapse

  • Michael S. Businelle
  • Darla E. Kendzor
  • Lorraine R. Reitzel
  • Jennifer Irvin Vidrine
  • Yessenia Castro
  • Patricia Dolan Mullen
  • Mary M. Velasquez
  • Ludmila Cofta-Woerpel
  • Paul M. Cinciripini
  • Anthony J. Greisinger
  • David W. Wetter
Original Article



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


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


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.


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.


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


Smoking Postpartum Structural equation modeling Relapse Socioeconomic status 


Conflict of Interest Statement

The authors have no conflict of interest to disclose.


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Copyright information

© The Society of Behavioral Medicine 2012

Authors and Affiliations

  • Michael S. Businelle
    • 1
  • Darla E. Kendzor
    • 1
  • Lorraine R. Reitzel
    • 2
  • Jennifer Irvin Vidrine
    • 2
  • Yessenia Castro
    • 2
  • Patricia Dolan Mullen
    • 3
  • Mary M. Velasquez
    • 4
  • Ludmila Cofta-Woerpel
    • 5
  • Paul M. Cinciripini
    • 5
  • Anthony J. Greisinger
    • 6
  • David W. Wetter
    • 2
  1. 1.Division of Health Promotion and Behavioral SciencesUniversity of Texas School of Public HealthDallasUSA
  2. 2.Department of Health Disparities ResearchUniversity of Texas M.D. Anderson Cancer CenterHoustonUSA
  3. 3.Division of Health Promotion and Behavioral SciencesUniversity of Texas School of Public HealthHoustonUSA
  4. 4.Center for Social Work ResearchUniversity of Texas at AustinAustinUSA
  5. 5.Department of Behavioral ScienceUniversity of Texas M.D. Anderson Cancer CenterHoustonUSA
  6. 6.Kelsey Research FoundationHoustonUSA

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