Trial reportMaternal and child health journal2011
Smoking cessation and relapse among pregnant African-American smokers in Washington, DC.
Trial report in Maternal and child health journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- A systematic review of behaviour change techniques within interventions to prevent return to smoking postpartum.Addictive behaviors · 2019Pooled it
- Psychosocial interventions for supporting women to stop smoking in pregnancy.The Cochrane database of systematic reviews · 2017Pooled it
- Psychosocial interventions for supporting women to stop smoking in pregnancy.The Cochrane database of systematic reviews · 2013Pooled it
- Intimate partner violence victimization and cigarette smoking: a meta-analytic review.Trauma, violence & abuse · 2013Pooled it
- Smoking cessation interventions for smokers with current or past depression.The Cochrane database of systematic reviews · 2013Pooled it
- Reproductive Health Knowledge among African American Women Enrolled in a Clinic-Based Randomized Controlled Trial to Reduce Psychosocial and Behavioral Risk: Project DC-HOPE.Women's health issues : official publication of the Jacobs Institute of Women's HealthTrial
- Are psychosocial smoking cessation interventions delivered in pregnancy equally effective? A systematic review, meta-analysis and equity analysis of moderation analyses in randomized controlled trials.Journal of behavioral medicine · 2026Article
- Equity Promoting Features of Smoking Cessation Interventions Delivered in Pregnancy: An Intervention Component Analysis of a Systematic Review.Tobacco use insights · 2026Review
- The Relationship Between Bonding Impairment and Maternal Postpartum Smoking.Maternal and child health journal · 2022Article
- Factors Affecting Smoking Behaviors and Smoking Prevalence in Pregnancy and Postpartum Period of Women.Florence Nightingale journal of nursing · 2020Article
- The role of screening, brief intervention, and referral to treatment in the perinatal period.American journal of obstetrics and gynecology · 2016Review
- Intimate partner violence and maternal cigarette smoking before and during pregnancy.Obstetrics and gynecology · 2015Article
- Smoking cessation in pregnancy: psychosocial interventions and patient-focused perspectives.International journal of women's health · 2015Review
- Global research on smoking and pregnancy-a scientometric and gender analysis.International journal of environmental research and public health · 2014Article
- Preventing postpartum smoking relapse among inner city women: development of a theory-based and evidence-guided text messaging intervention.JMIR research protocols · 2014Article
- Maintenance of smoking cessation in the postpartum period: which interventions work best in the long-term?Maternal and child health journal · 2014Review
- Smoking and pregnancy--a review on the first major environmental risk factor of the unborn.International journal of environmental research and public health · 2013Review
- Sequential screening for psychosocial and behavioural risk during pregnancy in a population of urban African Americans.BJOG : an international journal of obstetrics and gynaecology · 2013Article
- Smoking cessation in pregnant women with mental disorders: a cohort and nested qualitative study.BJOG : an international journal of obstetrics and gynaecology · 2013Article
- Cotinine in human placenta predicts induction of gene expression in fetal tissues.Drug metabolism and disposition: the biological fate of chemicals · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Smoking is the single most preventable cause of perinatal morbidity. This study examines smoking behaviors during pregnancy in a high risk population of African Americans. The study also examines risk factors associated with smoking behaviors and cessation in response to a cognitive behavioral therapy (CBT) intervention. This study is a secondary analysis of data from a randomized controlled trial addressing multiple risks during pregnancy. Five hundred African-American Washington, DC residents who reported smoking in the 6 months preceding pregnancy were randomized to a CBT intervention. Psycho-social and behavioral data were collected. Self-reported smoking and salivary cotinine levels were measured prenatally and postpartum to assess changes in smoking behavior. Comparisons were made between active smokers and those abstaining at baseline and follow-up in pregnancy and postpartum. Sixty percent of participants reported quitting spontaneously during pregnancy. In regression models, smoking at baseline was associated with older age, <a high school education and illicit drug use. At follow-up closest to delivery, smoking was associated with lower education, smoking and cotinine level at baseline and depression. At postpartum, there was a relapse of 34%. Smokers postpartum were significantly more likely to smoke at baseline and use illicit drugs in pregnancy. Mothers in the CBT intervention were less likely to relapse. African-American women had a high spontaneous quit rate and no response to a CBT intervention during pregnancy. Postpartum mothers' resolve to maintain a quit status seems to wane despite their prolonged period of cessation. CBT reduced postpartum relapse rates.
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