Kate E. Pickett|Richard G. Wilkinson|Lauren S. Wakschlag
The psychosocial context of pregnancy smoking and quitting in the Millennium Cohort Study
University of York|University of Nottingham|University of Illinois at Chicago|University of York
although pregnancy time women increased motivation quit smoking approximately half female smokers persist smoking throughout pregnancies persistent pregnancy smokers known nicotine dependent greater sociodemographic disadvantage less known psychosocial context persistent pregnancy smokers factors distinguish pregnancy quittersa crosssectional study conducted within uk millennium cohort study participants 18 225 women including 133 quitters 12 light smokers 8 heavy smokers data collected infants 9 months old maternal psychosocial problems assessed three domains interpersonal adaptive functioning healthrelated behavioursin general psychosocial problems domains increased across pregnancy smoking continuum nonsmoker quitter light smoker heavy smoker three psychosocial domains added incremental utility prediction pregnancy smoking status adjustment sociodemographic riskproblems multiple psychosocial domains systematically distinguish women along pregnancy smoking gradient heavy smokers problematic psychosocial context subgroup pregnant smokers unlikely able benefit usualcare antenatal cessation interventions rely womens capacity selfinitiation selfcontrol social resources consideration given tiered interventions provide intensive targeted interventions pregnant women unable quit usual care