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Factors associated with post-partum smoking relapse in Taiwan: A trial of Smoker's helpline.

Abstract：

OBJECTIVE:Many women quit smoking during pregnancy resume in postpartum period and difficult to prevent. No studies had focused on their psychosocial response in Taiwan. We analyzed data from a trial of Taiwan Smoker's Helpline (TSH) to determine factors associated with smoking relapse after delivery. MATERIALS AND METHODS:A prospective cohort was conducted at Taipei City Hospital during Sep. 2014 and Nov. 2015 period. We collected data by self-developed questionnaire combining theory of planned behavior (TPB), Fagerstrom test for nicotine dependence (FTND) and Edinburgh Postnatal Depression Scale (EPDS) from 68 women immediately after delivery, 2 months later and followed up until 6 months. Multivariable logistic models for relapse of smoking at the end of 3rd month and 6th month were created. RESULTS:At 6th month, 42.6% participants relapsed with odds lower among first parity (OR = 0.04, 95% CI = <0.01-0.54, p = 0.015), having quitting experience in past (OR = 0.09, 95% CI = 0.01-0.84, p = 0.019) and higher perceived behavior control (PBC) (OR = 0.99, 95% CI = 0.98-1.00, p = 0.035), but greater for those with longer smoking duration in past (OR = 1.29, 95% CI = 1.04-1.58, p = 0.018). CONCLUSION:Protective and precipitating factors to post-partum's smoking relapse were identified in our study.

journal_name

Taiwan J Obstet Gynecol

journal_title

Taiwanese journal of obstetrics & gynecology

authors

Lin CL,Lee TS,Hsu CC,Chen CY,Chao E,Shih SF,Hu HY

doi

10.1016/j.tjog.2019.07.015

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

667-672

issue

5

eissn

1028-4559

issn

1875-6263

pii

S1028-4559(19)30170-6

journal_volume

58

pub_type

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