Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy

Introduction: Previous studies have found partners’ smoking status, multiparity, and nicotine dependence to be associated with smoking cessation in pregnancy. However, no studies have investigated influences on cessation among women using nicotine replacement therapy (NRT). We analyzed data from a t...

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Main Authors: Vaz, Luis R., Leonardi-Bee, Jo, Aveyard, Paul, Cooper, Sue, Grainge, Matthew, Coleman, Tim
Format: Article
Published: Oxford University Press 2014
Online Access:https://eprints.nottingham.ac.uk/2828/
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author Vaz, Luis R.
Leonardi-Bee, Jo
Aveyard, Paul
Cooper, Sue
Grainge, Matthew
Coleman, Tim
author_facet Vaz, Luis R.
Leonardi-Bee, Jo
Aveyard, Paul
Cooper, Sue
Grainge, Matthew
Coleman, Tim
author_sort Vaz, Luis R.
building Nottingham Research Data Repository
collection Online Access
description Introduction: Previous studies have found partners’ smoking status, multiparity, and nicotine dependence to be associated with smoking cessation in pregnancy. However, no studies have investigated influences on cessation among women using nicotine replacement therapy (NRT). We analyzed data from a trial of NRT in pregnancy to determine factors associated with shorter- and longer-term cessation. Methods: Data were collected at baseline, 1 month, and delivery from 1,050 pregnant women. Two multivariable logistic models for validated cessation at 1 month and delivery were created with a systematic strategy for selection of included factors. Results: All findings are from multivariable analyses. At 1 month, odds of cessation were greater among those who completed full time education at >16 years of age (odds ratio [OR] = 1.82, 95% confidence interval CI = 1.24–2.67, p = .002) but they were lower in women with higher baseline cotinine levels (OR = 0.93, 95% CI = 0.90–0.95, p < .001). At delivery, the odds of cessation were greater among those who completed full time education at >16 years of age (OR = 1.89, 95% CI = 1.16–3.07, p = 0.010) but were inversely associated with higher baseline cotinine levels (OR = 0.96, 95% CI = 0.92–0.99, p = .010). Conclusions: Women who are better educated and have lower pretreatment cotinine concentrations had higher odds of stopping smoking and factors associated with shorter and longer term cessation were similar.
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spelling nottingham-28282020-05-04T16:56:00Z https://eprints.nottingham.ac.uk/2828/ Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy Vaz, Luis R. Leonardi-Bee, Jo Aveyard, Paul Cooper, Sue Grainge, Matthew Coleman, Tim Introduction: Previous studies have found partners’ smoking status, multiparity, and nicotine dependence to be associated with smoking cessation in pregnancy. However, no studies have investigated influences on cessation among women using nicotine replacement therapy (NRT). We analyzed data from a trial of NRT in pregnancy to determine factors associated with shorter- and longer-term cessation. Methods: Data were collected at baseline, 1 month, and delivery from 1,050 pregnant women. Two multivariable logistic models for validated cessation at 1 month and delivery were created with a systematic strategy for selection of included factors. Results: All findings are from multivariable analyses. At 1 month, odds of cessation were greater among those who completed full time education at >16 years of age (odds ratio [OR] = 1.82, 95% confidence interval CI = 1.24–2.67, p = .002) but they were lower in women with higher baseline cotinine levels (OR = 0.93, 95% CI = 0.90–0.95, p < .001). At delivery, the odds of cessation were greater among those who completed full time education at >16 years of age (OR = 1.89, 95% CI = 1.16–3.07, p = 0.010) but were inversely associated with higher baseline cotinine levels (OR = 0.96, 95% CI = 0.92–0.99, p = .010). Conclusions: Women who are better educated and have lower pretreatment cotinine concentrations had higher odds of stopping smoking and factors associated with shorter and longer term cessation were similar. Oxford University Press 2014-10-14 Article PeerReviewed Vaz, Luis R., Leonardi-Bee, Jo, Aveyard, Paul, Cooper, Sue, Grainge, Matthew and Coleman, Tim (2014) Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy. Nicotine & Tobacco Research, 16 (4). pp. 381-389. ISSN 1462-2203 http://ntr.oxfordjournals.org/content/16/4/381.long doi:10.1093/ntr/ntt156 doi:10.1093/ntr/ntt156
spellingShingle Vaz, Luis R.
Leonardi-Bee, Jo
Aveyard, Paul
Cooper, Sue
Grainge, Matthew
Coleman, Tim
Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy
title Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy
title_full Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy
title_fullStr Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy
title_full_unstemmed Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy
title_short Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy
title_sort factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: a trial of nicotine replacement therapy
url https://eprints.nottingham.ac.uk/2828/
https://eprints.nottingham.ac.uk/2828/
https://eprints.nottingham.ac.uk/2828/