Correlates of Smoking Cessation at Pregnancy Onset Among Hispanic Women in Massachusetts

Purpose To examine factors associated with smoking cessation at pregnancy onset in Hispanic women Design Cross sectional analysts of baseline data from the prospective Latina Gestational Diabetes Mellitus Study Setting Public obstetrical practices of a medical center in Massachusetts, 2000-2004 Subjects A total of 351 Hispanic (predominantly Puerto Rican) prenatal care patients who smoked in the year prior to pregnancy Measures At enrollment, interviewers collected self reported cigarette smoking prior to and during pregnancy and sociodemographic health and acculturation factors Analysts Logistu regression and backward elimination procedures woe used to determine factors independently associated with quitting Results Forty five percent of women reported quitting smoking at pregnancy onset In multivariate analyses women born outside the United States women with a family history of diabetes and non Puerto Rican Hispanics view 32% to 54% more likely to quit smoking Women with high stress women with marijuana use and parous women were 23% to 49% less likely to quit Women who smoked 20+ agarettes/d in prepregnancy were less likely to quit smoking (relative risk = 44 95% confidence interval 27 65) compared with light smokers Age income body mass index language preference prepregnancy exercise and alcohol consumption were not associated with quitting Conclusions Non US birthplace family history of diabetes, and non Puerto Rican ethnicity woe associated with quitting smoking at pregnancy onset in Hispanic women Prepregnancy marijuana use and smoking parity and stress were associated with continued smoking (Am J Health Promot 2010 25[2] 100-108)