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Nurs Clin North Am. 2002 Jun;37(2):315-29, viii.

Reduction of primary and secondary smoke exposure for low-income black pregnant women.

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School of Nursing, University of Wisconsin-Milwaukee, P.O. Box 413, Milwaukee, WI 53201, USA.


Cigarette smoking by women during pregnancy continues to be a substantial contributor to poor perinatal outcomes in the United States. Decreasing tobacco smoke exposure for women and children is a lifestyle change that will improve perinatal health. A study was conducted with a sample of 74 low-income black women to evaluate the effectiveness of the Smoke Free Families intervention in moving pregnant women forward in the stages of change toward becoming a non-smoker and reducing exposure to second-hand smoke. Transtheoretical model variables were measured at intake, postintervention, and during the last month of pregnancy. There were no statistically significant differences between treatment and control group in movement forward in the stages of change. The findings raise questions about the conceptual fit of the transtheoretical model with pregnant women. We discuss additional interventions and suggest types of studies that would provide new insight into tobacco exposure issues for pregnant women.

[Indexed for MEDLINE]

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