Evidence map›Paper›PMID 27977563›Full record

ArticleNursing research

Pathways From Socioeconomic Status to Prenatal Smoking: A Test of the Reserve Capacity Model.

Irene Yang, Lynne A Hall, Kristin Ashford, Sudeshna Paul, Barbara Polivka, S Lee Ridner

Open access · greenAbstract read
In one paragraph

Article in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 21% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

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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 1 institution in 2 countries.

Irene YangIrene Yang, PhD, RN, is Postdoctoral Fellow, Emory University School of Nursing, Atlanta, Georgia. Lynne A. Hall, DrPH, RN, is Professor and Associate Dean for Research, University of Louisville School of Nursing, Kentucky. Kristin Ashford, PhD, APRN, is Associate Professor, University of Kentucky College of Nursing, Lexington. Sudeshna Paul, PhD, is Assistant Research Professor, Emory University School of Nursing, Atlanta, Georgia. Barbara Polivka, PhD, RN, is Professor and Shirley B. Powers Chair in Nursing, University of Louisville School of Nursing, Kentucky. S. Lee Ridner, PhD, FNP-BC, is Associate Dean for Graduate Programs, University of Louisville School of Nursing, Kentucky.
Lynne A Hall
Kristin Ashford
Sudeshna Paul
Barbara Polivka
S Lee Ridner
Apple (Israel) · IL

Funding

OHPP Oral Health Pilot Program P30GM110788 · NIGMS · UNIVERSITY OF KENTUCKY · PI EBERSOLE, JEFFREY L · 2014 to 2018
$5.4M
Training in Interventions to Improve Outcomes in Chronic ConditionsT32NR012715 · NINR · EMORY UNIVERSITY · PI GARY, REBECCA A, SONG, MI-KYUNG · 2012 to 2022
$3.2M
NIGMS NIH HHS P30 GM110788NINR NIH HHS T32 NR012715
6 · The paper itself

Abstract

backgroundLow-income, unemployed women with low levels of education are more likely to smoke during pregnancy compared to their higher-income, employed, and well-educated counterparts. The reserve capacity model (RCM) offers a theoretical framework to explain how psychosocial factors may serve as pathways connecting socioeconomic status (SES) to health behaviors. Research supports the link between prenatal smoking and several psychosocial variables such as chronic stressors, depressive symptoms, and social support. How these variables interrelate to explain the predominance of prenatal smoking in lower socioeconomic groups of pregnant women has not been fully elucidated.

objectiveThe aim of this study was to test the RCM to evaluate the roles of early pregnancy levels of chronic stress, quality of the primary intimate relationship, and depressive symptoms in explaining the relationship between SES and persistent prenatal smoking.

methodsA secondary analysis of data from 370 pregnant nonsmokers, spontaneous quitters, and persistent prenatal smokers was conducted. On the basis of the RCM, chronic stressors, depressive symptoms, and the quality of the primary intimate relationship were evaluated as potential mediating variables linking SES with persistent prenatal smoking using path analysis.

resultsPath analyses indicated that a simple model with all three psychosocial variables as mediators of the relationship between SES and persistent prenatal smoking provided the best fit. DISCUSSION: Findings indicated that chronic stressors, depressive symptoms, and the quality of the primary intimate relationship play important roles in the pathway from SES to prenatal smoking status. This knowledge can assist in the development of prevention and intervention strategies to target these variables and ultimately reduce prenatal smoking.

Indexed as

Models, PsychologicalAttitude to HealthFemaleHumansMaternal BehaviorMothersPregnancyPregnancy ComplicationsPrenatal CarePrenatal Exposure Delayed EffectsRisk FactorsSmokingSmoking PreventionSocioeconomic Factors

Identifiers

PMID27977563
PMCPMC5171236
OpenAlexW2561403272

What OpenQuestion holds

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Registered trials

None linked

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.