Pathways Linking Socioeconomic Status and Postpartum Smoking Relapse

被引:30
作者
Businelle, Michael S. [1 ]
Kendzor, Darla E. [1 ]
Reitzel, Lorraine R. [2 ]
Vidrine, Jennifer Irvin [2 ]
Castro, Yessenia [2 ]
Mullen, Patricia Dolan [3 ]
Velasquez, Mary M. [4 ]
Cofta-Woerpel, Ludmila [5 ]
Cinciripini, Paul M. [5 ]
Greisinger, Anthony J. [6 ]
Wetter, David W. [2 ]
机构
[1] Univ Texas Sch Publ Hlth, Div Hlth Promot & Behav Sci, Dallas, TX 75390 USA
[2] Univ Texas MD Anderson Canc Ctr, Dept Hlth Dispar Res, Houston, TX 77030 USA
[3] Univ Texas Sch Publ Hlth, Div Hlth Promot & Behav Sci, Houston, TX USA
[4] Univ Texas Austin, Ctr Social Work Res, Austin, TX 78712 USA
[5] Univ Texas MD Anderson Canc Ctr, Dept Behav Sci, Houston, TX 77030 USA
[6] Kelsey Res Fdn, Houston, TX USA
基金
美国国家卫生研究院;
关键词
Smoking; Postpartum; Structural equation modeling; Relapse; Socioeconomic status; ENVIRONMENTAL TOBACCO-SMOKE; LOW-INCOME; NICOTINE DEPENDENCE; SELF-EFFICACY; PREGNANCY; CESSATION; HEALTH; MODEL; PREDICTORS; PREVENTION;
D O I
10.1007/s12160-012-9434-x
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
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.
引用
收藏
页码:180 / 191
页数:12
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