将社会经济地位与产后吸烟复发联系起来的途径。
Pathways linking socioeconomic status and postpartum smoking relapse.
机构信息
Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, Dallas Regional Campus, 6011 Harry Hines Blvd., V8.112, Dallas, TX 75390-9128, USA.
出版信息
Ann Behav Med. 2013 Apr;45(2):180-91. doi: 10.1007/s12160-012-9434-x.
BACKGROUND
Low socioeconomic status (SES) exacerbates the high rate of smoking relapse in women following childbirth.
PURPOSE
This study examined multiple models of potential mechanisms linking SES and postpartum smoking relapse among women who quit smoking due to pregnancy.
METHODS
Participants were 251 women enrolled in a randomized clinical trial of a new postpartum smoking relapse prevention intervention. Four models of the prepartum mechanisms linking SES and postpartum smoking relapse were evaluated using a latent variable modeling approach.
RESULTS
Each of the hypothesized models were a good fit for the data. As hypothesized, SES indirectly influenced postpartum smoking relapse through increased prepartum negative affect/stress, reduced sense of agency, and increased craving for cigarettes. However, the model that included craving as the sole final pathway between SES and relapse demonstrated superior fit when compared with all other models.
CONCLUSIONS
Findings have implications for future interventions that aim to reduce postpartum relapse.
背景
低社会经济地位（SES）会加剧女性产后戒烟后复吸的高比率。
目的
本研究旨在探讨 SES 与因怀孕而戒烟的女性产后复吸之间的潜在机制。
方法
参与者为 251 名参加一种新的产后吸烟复发预防干预措施的随机临床试验的女性。采用潜在变量建模方法评估了与 SES 和产后吸烟复发相关的产前机制的四个模型。
结果
假设的模型均与数据拟合良好。正如假设的那样，SES 通过增加产前的负面情绪/压力、降低自主性和增加对香烟的渴望，间接地影响产后吸烟的复发。然而，与所有其他模型相比，将渴望作为 SES 和复吸之间唯一的最终途径的模型表现出更好的拟合度。
结论
这些发现对旨在降低产后复发的未来干预措施具有重要意义。
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