Health education for pregnant smokers: its behavioral impact and cost benefit

R A Windsor; John B Lowe; L Perkins; D Smith-Yoder; L Artz; M Crawford; K Amburgy; N R Jnr Boyd

doi:10.2105/ajph.83.2.201

Back

Health education for pregnant smokers: its behavioral impact and cost benefit

Journal article

Peer reviewed

Health education for pregnant smokers: its behavioral impact and cost benefit

R A Windsor, John B Lowe, L Perkins, D Smith-Yoder, L Artz, M Crawford, K Amburgy and N R Jnr Boyd

American Journal of Public Health, Vol.83(2), pp.201-206

1993

DOI: https://doi.org/10.2105/ajph.83.2.201

Files and links (1)

url

https://doi.org/10.2105/ajph.83.2.201View

Published Version

Abstract

Public Health and Health Services

pregnant women

smoking

OBJECTIVES. A randomized trial (the Birmingham Trial II) was conducted to evaluate the behavioral impact of health education methods among 814 female smokers at four public health maternity clinics. METHODS. Four hundred patients were randomly assigned to an Experimental (E) Group, and 414 were assigned to a Control (C) Group. Self-reports and saliva cotinine tests confirmed smoking status at the first visit, at midpregnancy, and at end of pregnancy. RESULTS. The E Group exhibited a 14.3% quit rate and the C Group an 8.5% quit rate. A Historical Comparison (C) Group exhibited a 3.0% quit rate. Black E and C Group patients had higher quit rates than White E and C Group patients. A cost-benefit analysis found cost-to-benefit ratios of $1:$6.72 (low estimate) and $1:$17.18 (high estimate) and an estimated savings of $247,296 (low estimate) and $699,240 (high estimate). CONCLUSION. Health education methods are efficacious and cost beneficial for pregnant smokers in public health maternity clinics.

Details

Title: Health education for pregnant smokers: its behavioral impact and cost benefit
Authors: R A Windsor (Author) - University of Alabama
John B Lowe (Author) - University of the Sunshine Coast - Faculty of Science, Health and Education
L Perkins (Author) - University of Alabama
D Smith-Yoder (Author) - Alabama Department of Public Health
L Artz (Author) - University of Alabama
M Crawford (Author) - University of Alabama
K Amburgy (Author) - State of Washington Department of Health
N R Jnr Boyd (Author) - National Cancer Institute
Publication details: American Journal of Public Health, Vol.83(2), pp.201-206
Publisher: American Public Health Association
Date published: 1993
DOI: 10.2105/ajph.83.2.201
ISSN: 0090-0036
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99449522902621
Output Type: Journal article

Metrics

4 File views/ downloads

941 Record Views