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

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.

Patterns of Tobacco Product Use and Correlates Among Adults in the Population Assessment of Tobacco and Health (PATH) Study: A Latent Class Analysis

“…Our results also highlight how the four classes of tobacco use differ as a function of demographics and tobacco use-related characteristics. Consistent with previous research, 10 , 31 , 32 age was associated with tobacco product use. Older individuals were more likely to be members of the cigarette user class while the e-cig/hookah user class was more likely to be the youngest among the four classes.…”

Update and extension of the Brazil SimSmoke model to estimate the health impact of cigarette smoking by pregnant women in Brazil

“…For example, demand studies 30,31,32,33,34 have obtained prenatal prevalence price elasticities between -0.13 and -0.7, which are consistent with the elasticities used in SimSmoke, and a recent study 34 found higher elasticities for those of low socioeconomic status. Studies have found that other tobacco control policies, including cessation treatment 35,36 , smoke-free air laws 26 , and media campaigns 37 , are effective at reducing prenatal smoking.…”

Timing of Prenatal Smoking Cessation or Reduction and Infant Birth Weight: Evidence from the United Kingdom Millennium Cohort Study

“…These services cover a variety of recommended strategies, such as individual counseling, group behavior therapy, pharmacotherapies (for instance, nicotine replacement therapy), self-help materials, and telephone quitlines [12]. Similar strategies are used in other industrial countries such as the United States [13][14]. However, the guidance for the wide range of cessation treatments has been vague or silent in the timing issue of prenatal smoking cessation or reduction.…”