Correlates of smoking cessation at pregnancy onset among Hispanic women in Massachusetts

Am J Health Promot. 2010 Nov-Dec;25(2):100-8. doi: 10.4278/ajhp.090223-QUAN-77.


Purpose: To examine factors associated with smoking cessation at pregnancy onset in Hispanic women.

Design: Cross-sectional analysis of baseline data from the prospective Latina Gestational Diabetes Mellitus Study.

Setting: Public obstetrical practices of a medical center in Massachusetts, 2000-2004.

Subjects: A total of 351 Hispanic (predominantly Puerto Rican) prenatal care patients who smoked in the year prior to pregnancy.

Measures: At enrollment, interviewers collected self-reported cigarette smoking prior to and during pregnancy and sociodemographic, health, and acculturation factors.

Analysis: Logistic regression and backward elimination procedures were used to determine factors independently associated with quitting.

Results: Forty-five percent of women reported quitting smoking at pregnancy onset. In multivariate analyses, women born outside the United States, women with a family history of diabetes, and non-Puerto Rican Hispanics were 32% to 54% more likely to quit smoking. Women with high stress, women with marijuana use, and parous women were 23% to 49% less likely to quit. Women who smoked 20+ cigarettes/d in prepregnancy were less likely to quit smoking (relative risk = .44; 95% confidence interval .27, .65) compared with light smokers. Age, income, body mass index, language preference, prepregnancy exercise, and alcohol consumption were not associated with quitting.

Conclusions: Non-U.S. birthplace, family history of diabetes, and non-Puerto Rican ethnicity were associated with quitting smoking at pregnancy onset in Hispanic women. Prepregnancy marijuana use and smoking, parity, and stress were associated with continued smoking.

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Female
  • Hispanic or Latino / psychology*
  • Humans
  • Logistic Models
  • Massachusetts
  • Pregnancy
  • Pregnant Women / ethnology*
  • Pregnant Women / psychology
  • Puerto Rico / ethnology
  • Risk Factors
  • Self Report
  • Smoking / ethnology*
  • Smoking Cessation / ethnology*
  • Smoking Cessation / psychology
  • Socioeconomic Factors
  • Young Adult