Lorraine R. Reitzel ^1*, Jennifer I. Vidrine ¹, Yisheng Li ¹, Patricia D. Mullen ², Mary M. Velasquez ³, Paul M. Cinciripini ¹, Ludmila Cofta-Woerpel ¹, Anthony Greisinger ⁴, David W. Wetter ¹

¹ University of Texas, M. D. Anderson Cancer Center
² University of Texas - Houston, School of Public Health
³ University of Texas - Austin, Center for Social Work Research
⁴ Kelsey Research Foundation

^* To whom correspondence should be addressed. E-mail: lrreitze{at}mdanderson.org.

	Abstract

Objectives. Associations between subjective social status, a subjective measure of socioeconomic status, and predictors of risk for postpartum smoking in the 6 months following birth 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.

Key Words: Maternal and Infant Health, Pregnancy, Smoking Cessation, Tobacco, Women's Health