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Stages of change in smoking during pregnancy in low-income women

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Abstract

This study examined the effects of a smoking cessation intervention on stages of change in 349 low-income, pregnant women. At first prenatal visit, women were randomized into experimental or usual care condition and classified by stage of change: precontemplation, contemplation, preparation, or action. For each stage of change at the first prenatal visit, the stage distributions of the experimental and usual care groups were compared at the second and 36-week prenatal visits. Kruskal-Wallis tests revealed significant differences at the second visit in the stage distributions by condition for subjects who were initially in precontemplation or in preparation. In each case, a greater proportion of experimental than usual care subjects advanced through the stages. The shift was not maintained at the 36-week visit.

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Authors and Affiliations

  1. Department of Psychology, University of Vermont, Dewey Hall, 05405, Burlington, Vermont

    Laura J. Solomon

  2. Office of Health Promotion Research, University of Vermont, 1 South Prospect Street, 05401, Burlington, Vermont

    Roger H. Secker-Walker & Brian S. Flynn

  3. Biometry Facility, University of Vermont, Hills Building, 05405, Burlington, Vermont

    Joan M. Skelly

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  1. Laura J. Solomon
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  2. Roger H. Secker-Walker
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  3. Joan M. Skelly
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Solomon, L.J., Secker-Walker, R.H., Skelly, J.M. et al. Stages of change in smoking during pregnancy in low-income women. J Behav Med 19, 350–366 (1996). https://doi.org/10.1007/BF01904762

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