Document Detail

Health education for pregnant smokers: its behavioral impact and cost benefit.
MedLine Citation:
PMID:  8427323     Owner:  NLM     Status:  MEDLINE    
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.
R A Windsor; J B Lowe; L L Perkins; D Smith-Yoder; L Artz; M Crawford; K Amburgy; N R Boyd
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of public health     Volume:  83     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-03-04     Completed Date:  1993-03-04     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  201-6     Citation Subset:  AIM; IM    
School of Public Health, University of Alabama, Birmingham.
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MeSH Terms
Cost-Benefit Analysis
Health Behavior
Health Education* / economics
Maternal Health Services / economics
Patient Compliance
Pregnancy / psychology*
Program Evaluation
Prospective Studies
Random Allocation
Sensitivity and Specificity
Smoking Cessation* / economics,  psychology
Grant Support

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