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Obstet Gynecol. 2003 Mar;101(3):504-10.
The effects of peer counseling on
smoking cessation and reduction.
Malchodi CS, Oncken C, Dornelas EA, Caramanica L, Gregonis E,
Curry SL.
Division of Cardiology, Hartford Hospital, 80 Seymour Street,
Hartford, CT 06102, USA. cmalcho@harthosp.org
OBJECTIVE: To evaluate a peer counseling intervention for
pregnant smokers. METHODS: One hundred forty-two pregnant,
predominantly Hispanic women were assigned to a peer-led smoking
cessation program or to usual care. RESULTS: Compared with usual
care, peer counseling reduced smoking (-9.1 versus -4.5
cigarettes daily, P =.03), but did not affect absolute quit
rates (24% versus 21%) at 36 weeks' gestation. Infant birth
weight negatively correlated with cigarettes smoked per day (r =
-0.29, P <.01) and expired carbon monoxide (r = -0.39, (P
<.001) at delivery. Birth weight for infants born to women
who quit smoking averaged 7.2 lb versus 6.8 and 6.3 lb for
mothers smoking one to six and more than six cigarettes per day
at delivery (P <.01). CONCLUSION: Peer counseling reduced the
number of cigarettes smoked daily but did not increase cigarette
abstinence rates. Infant birth weight increases with both
smoking cessation and smoking reduction, suggesting that peer
counseling intervention programs may improve newborn health
despite their failure to affect smoking cessation.
Publication Types: Clinical Trial Randomized Controlled Trial
PMID: 12636954 [PubMed - indexed for MEDLINE]
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