HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2006.101295v1 97/8/1476    most recent Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Reitzel, L. R. Articles by Wetter, D. W. Search for Related Content PubMed PubMed Citation Articles by Reitzel, L. R. Articles by Wetter, D. W. Related Collections Other Maternal and Infant Health Socioeconomic Factors Other Tobacco Smoking Cessation Women's Health

Lorraine R. Reitzel, PhD, Jennifer I. Vidrine, PhD, Yisheng Li, PhD, Patricia D. Mullen, DrPH, Mary M. Velasquez, PhD, Paul M. Cinciripini, PhD, Ludmila Cofta-Woerpel, PhD, Anthony Greisinger, PhD and David W. Wetter, PhD

At the time of this study, Lorraine R. Reitzel, Jennifer I. Vidrine, and David W. Wetter were with the Department of Health Disparities Research, M. D. Anderson Cancer Center, University of Texas, Houston. Yisheng Li was with the Department of Biostatistics and Applied Mathematics, M. D. Anderson Cancer Center, University of Texas, Houston. Patricia D. Mullen was with the Center for Health Promotion and Prevention Research, School of Public Health, University of Texas, Houston. Mary M. Velasquez was with the Center for Social Work Research, University of Texas, Austin. Paul M. Cinciripini and Ludmila Cofta-Woerpel were with the Department of Behavioral Science, M. D. Anderson Cancer Center, University of Texas. Anthony Greisinger was with the Kelsey Research Foundation Houston.

Correspondence: Requests for reprints should be sent to Lorraine R. Reitzel, PhD, University of Texas, M.D. Anderson Cancer Center, Department of Health Disparities Research, Unit 125, 1515 Holcombe Blvd, Houston, TX 77030-4009 (e-mail: lrreitze{at}mdanderson.org).

Objectives. 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.

Methods. 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).

Results. 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.

Conclusions. 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.