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Title of Journal: Matern Child Health J

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Abbravation: Maternal and Child Health Journal

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Springer US

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DOI

10.1002/jaba.311

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1573-6628

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Smoking Among Pregnant Women with Medicaid Insuran

Authors: Jodi Summers Holtrop Cristian Meghea Jennifer E Raffo Lynette Biery Shelby Berkowitz Chartkoff LeeAnne Roman
Publish Date: 2009/10/17
Volume: 14, Issue: 6, Pages: 971-977
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Abstract

Smoking during pregnancy is the single most modifiable risk factor for poor birth outcomes yet it remains prevalent among lowincome women This study examined factors associated with continued smoking and quitting among pregnant women A total of 2203 Medicaideligible pregnant women were screened at their first enhanced prenatal services visit for risk factors including demographics health behaviors smoking alcohol and drug use mental health history of mental health disorders current depressive symptoms and stress Smoking status was divided into nonsmokers quitters quit smoking since learning of pregnancy and continuing smokers Descriptive statistics and logistic regression models were used to describe the sample and analyze relationships between smoking status and other characteristics Overall 57 were nonsmokers 17 quitters and 26 continuing smokers Approximately 18 had severe depressive symptoms 53 had a high stress score and 33 had a history of mental health problems Younger women had lower odds of continued smoking as compared to both nonsmokers OR = 048 p  001 and quitters OR = 056 p  005 Older women with less than a 12th grade education had higher odds of continued smoking OR = 217 p  001 and quitting OR = 162 p  005 as compared to nonsmokers Alcohol use OR = 281 p  005 and drug use before pregnancy OR = 532 p  001 predicted continued smoking compared to nonsmoking Women with a mental health history OR = 181 p  001 and high stress scores OR = 139 p  005 had higher odds of continued smoking compared to nonsmokers Mental health history stress demographics current alcohol and past drug use are strongly related to continued smoking in this population

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  2. A Perspective of Preconception Health Activities in the United States
  3. Birth Characteristics Associated With Early Intervention Referral, Evaluation for Eligibility, and Program Eligibility in the First Year of Life
  4. The Relationship of Depressive Symptoms to Parenting Competence and Social Support in Inner-City Mothers of Young Children
  5. Supporting Pregnant Aboriginal and Torres Strait Islander Women to Quit Smoking: Views of Antenatal Care Providers and Pregnant Indigenous Women
  6. Gestational Age at First Antenatal Care Visit in Malawi
  7. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  8. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  9. Reasons for Mother–Infant Bed-Sharing: A Systematic Narrative Synthesis of the Literature and Implications for Future Research
  10. Dose and Timing of Prenatal Alcohol Exposure and Maternal Nutritional Supplements: Developmental Effects on 6-Month-Old Infants
  11. Pre-pregnancy Obesity as a Modifier of Gestational Diabetes and Birth Defects Associations: A Systematic Review
  12. A Qualitative Study to Understand Nativity Differences in Breastfeeding Behaviors Among Middle-Class African American and African-Born Women
  13. U.S. Provider Reported Folic Acid or Multivitamin Ordering for Non-Pregnant Women of Childbearing Age: NAMCS and NHAMCS, 2005–2006
  14. The Impact of Community Health Professional Contact Postpartum on Breastfeeding at 3 Months: A Cross-Sectional Retrospective Study
  15. The Correlation Between Postpartum Depression and Health Status
  16. Preconception and the Young Cancer Survivor
  17. Infant Feeding Decision-Making and the Influences of Social Support Persons Among First-Time African American Mothers
  18. Formative Research to Examine Collaboration Between Special Supplemental Nutrition Program for Woman, Infants, and Children and Head Start Programs
  19. Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants
  20. Sleep Moderates and Mediates the Relationship Between Acculturation and Depressive Symptoms in Pregnant Mexican-American Women
  21. Ascertainment of Medicaid Payment for Delivery on the Iowa Birth Certificate: Is Accuracy Sufficient for Timely Policy and Program Relevant Analysis?
  22. Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy: Relations with Gestational Diabetes and Hypertension, and Birth Outcomes
  23. A Nationally Representative Study of Early Childhood Home Visiting Service Use in the United States
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  25. Prevalence of Medical Conditions Potentially Amenable to Cellular Therapy among Families Privately Storing Umbilical Cord Blood
  26. Rates and Success Rates of Trial of Labor After Cesarean Delivery in the United States, 1990–2009
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  28. Does a Medical Home Mediate Racial Disparities in Unmet Healthcare Needs Among Children with Special Healthcare Needs?
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