Evidence map›Paper›PMID 19442460›Full record

Trial reportDrug and alcohol dependence2009

Educational disadvantage and cigarette smoking during pregnancy.

Stephen T Higgins, Sarah H Heil, Gary J Badger, Joan M Skelly, Laura J Solomon, Ira M Bernstein

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01801384 (Phase 2 Study of the Efficacy of Voucher-Based Incentives to Treat Pregnant Smokers), which is not on this map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01801384 nacompletednot on this map

Phase 2 Study of the Efficacy of Voucher-Based Incentives to Treat Pregnant Smokers

TypeinterventionalSponsorUniversity of VermontRan2006 to 2011Enrolled166ConditionsEfficacy of Financial IncentivesArmsVoucher-based incentives
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Competitions for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Illicit drug use among pregnant women enrolled in treatment for cigarette smoking cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2013
    Trial
  9. Trial
  10. Associations of maternal alcohol and non-prescribed substance use with early child growth.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Stephen T HigginsDepartment of Psychiatry, University of Vermont, Burlington, VT 05401, USA. stephen.higgins@uvm.edu
Sarah H Heil
Gary J Badger
Joan M Skelly
Laura J Solomon
Ira M Bernstein
University of Vermont · USUniversity of Vermont Medical Center · US

Funding

WEIGHT MAINTENANCE AND PSYCHOLOGICAL BENEFITS OF EXERCISEM01RR000109 · NCRR · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI STAPLETON, RENEE D · 1985 to 2010
$24.3M
TRAINING IN BEHAV. PHARMACOLOGY OF HUMAN DRUG DEPENDENCET32DA007242 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HEIL, SARAH H, HIGGINS, STEPHEN T · 1990 to 2025
$8.2M
Voucher-based incentives to treat pregnant smokersR01DA014028 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2001 to 2010
$6.0M
PHARMACOLOGY OF OPIOID RECEPTOR SUBTYPESR01DA007242 · NIDA · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PAN, YING-XIAN · 1991 to 2022
$6.0M
TREATING COCAINE ABUSE: A BEHAVIORAL APPROACHR37DA009378 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2001 to 2007
$4.1M
TREATING COCAINE ABUSE: A BEHAVIORAL APPROACHR01DA009378 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 1994 to 2012
$3.9M
PHARMACOLOGY OF OPIOID RECEPTOR SUBTYPESR37DA007242 · NIDA · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PASTERNAK, GAVRIL W · 1996 to 2004
$1.5M
NCRR NIH HHS M01 RR000109NCRR NIH HHS M01RR109NIDA NIH HHS DA07242NIDA NIH HHS DA09378NIDA NIH HHS DA14028NIDA NIH HHS R01 DA007242NIDA NIH HHS R01 DA009378NIDA NIH HHS R01 DA014028NIDA NIH HHS R37 DA007242NIDA NIH HHS R37 DA009378NIDA NIH HHS T32 DA007242
6 · The paper itself

Abstract

This study examined the influence of education on smoking status in a cohort (n=316) of pregnant women who were smokers at the time they learned of the current pregnancy. Subjects were participants in clinical trials examining the efficacy of monetary-based incentives for smoking-cessation and relapse prevention. In multivariate analyses, educational achievement was a robust predictor of smoking status upon entering prenatal care, of achieving abstinence antepartum among those still smoking at entry into prenatal care, and of smoking status at 6-month postpartum in the entire cohort and the subsample who received smoking-cessation treatment. In addition to educational attainment, other predictors of smoking status included smoking-related characteristics (e.g., number of cigarettes/day smoked pre-pregnancy), treatment, maternal age, and stress ratings. We suggest that strategies to increase educational attainment be included with more conventional tobacco-control policies in efforts to reduce smoking among girls and young women.

Indexed as

Vulnerable PopulationsAdultEducational StatusFemaleHumansPostpartum PeriodPregnancyPrenatal CareSmokingSmoking CessationYoung Adult

Identifiers

PMID19442460
PMCPMC2763386
OpenAlexW2082187101

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.