Reitzel Lorraine R, Vidrine Jennifer I, Li Yisheng, Mullen Patricia D, Velasquez Mary M, Cinciripini Paul M, Cofta-Woerpel Ludmila, Greisinger Anthony, Wetter David W
Department of Health Disparities Research, M. D. Anderson Cancer Center, University of Texas, Houston, TX 77030-4009, USA.
Am J Public Health. 2007 Aug;97(8):1476-82. doi: 10.2105/AJPH.2006.101295. Epub 2007 Jun 28.
Associations between subjective social status, a subjective measure of socioeconomic status, and predictors of risk for postpartum smoking were examined among 123 pregnant women (aged 18-24 years) who stopped smoking because of pregnancy. The goal was to identify how subjective social status might influence the risk for postpartum smoking and to elucidate targets for intervention.
We used multiple regression equations to examine the predictive relations between subjective social status and tobacco dependence, self-rated likelihood of postpartum smoking, confidence, temptations, positive and negative affect, depression, stress, and social support. Adjusted analyses were also conducted with control for race/ethnicity, education, income, and whether participant had a partner or not (partner status).
In unadjusted and adjusted analyses, subjective social status predicted tobacco dependence, likelihood of postpartum smoking, confidence, temptations, positive affect, negative affect, and social support. Adjusted analyses predicting depression and stress approached significance.
Among young pregnant women who quit smoking because of pregnancy, low subjective social status was associated with a constellation of characteristics indicative of increased vulnerability to postpartum smoking. Subjective social status provided unique information on risk for postpartum smoking over and above the effects of race/ethnicity, objective socioeconomic status, and partner status.
在123名因怀孕而戒烟的孕妇（年龄在18 - 24岁之间）中，研究主观社会地位（一种社会经济地位的主观衡量指标）与产后吸烟风险预测因素之间的关联。目标是确定主观社会地位如何影响产后吸烟风险，并阐明干预目标。
我们使用多元回归方程来研究主观社会地位与烟草依赖、产后吸烟的自评可能性、信心、诱惑、积极和消极情绪、抑郁、压力以及社会支持之间的预测关系。还进行了调整分析，控制种族/民族、教育程度、收入以及参与者是否有伴侣（伴侣状况）。
在未调整和调整后的分析中，主观社会地位可预测烟草依赖、产后吸烟的可能性、信心、诱惑、积极情绪、消极情绪和社会支持。预测抑郁和压力的调整分析接近显著水平。
在因怀孕而戒烟的年轻孕妇中，低主观社会地位与一系列表明产后吸烟易感性增加的特征相关。主观社会地位在种族/民族、客观社会经济地位和伴侣状况的影响之外，提供了关于产后吸烟风险的独特信息。
