Document Detail


An assessment of nicotine dependence among pregnant adolescents.
MedLine Citation:
PMID:  10349607     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Studies have reported that between 28 and 62% of pregnant teenagers smoke (Cornelius, Taylor, Geva, & Day, 1995; Trollestrup, Frost, & Starzyk, 1992). Because smoking is prevalent among pregnant teenagers, the purpose of this research is to assess nicotine dependence in this high-risk group. This study analyzed baseline data from a sample of pregnant teen smokers who had volunteered to participate in a smoking cessation study (N = 94). Nicotine dependence was measured by adapting the Fagerstrom Tolerance Questionnaire (FTQ; Prokhorov, Pallonen, Fava, Ding, & Niaura, 1996), and by a 6-item withdrawal symptom scale. The overall FTQ score found among pregnant adolescents was 3.10 (SD = 2.3) compared to the mean overall FTQ score among vocational-technical students of 4.27 (SD = 2.2) (Prokhorov et al., 1996). Duration of smoking in years was significantly correlated with the overall FTQ score (r = 0.43, p < .01). Quantity of smoking, as measured by average number of cigarettes smoked, significantly correlated with overall FTQ scores (r = 0.67, p < .01). Lighter smokers were more likely to have previously attempted to quit, however, among the quit attempters, those who smoked 10+ cigarettes per day reported greater severity of withdrawal symptoms than those who smoked less per day. Prenatal education and smoking cessation programs for pregnant teenagers, and pregnant women in general, need to consider that nicotine dependence is an important issue. Early pregnancy may be an opportune time to intervene among pregnant smokers; incentives may be necessary to attract those women who are the heaviest smokers, and possibly the most dependent on nicotine.
This study assessed nicotine dependence among pregnant adolescent smokers in order to enhance the efficacy of smoking-cessation programs. This study analyzed baseline data from a sample of 94 pregnant teen smokers who had volunteered to participate in a smoking cessation study. Nicotine dependence was measured by adapting Fagerstrom Tolerance Questionnaire (FTQ), and by a 6-item withdrawal symptom scale. The overall FTQ score found among pregnant adolescents was 3.10 (SD = 2.3) compared to the mean overall FTQ score among vocational-technical students of 4.27 (SD = 2.2). Duration of smoking in years was significantly correlated with the overall FTQ score. Quantity of smoking, as measured by average number of cigarettes smoked, significantly correlated with overall FTQ scores. Lighter smokers were more likely to have previously attempted to quit. However, among the attempters to quit, those who smoked 10+ cigarettes per day reported greater severity of withdrawal symptoms than those who smoked fewer per day. Prenatal education and smoking cessation programs for pregnant teenagers, and pregnant women in general, need to consider that nicotine dependence is an important issue. Early pregnancy may be an opportune time to intervene among pregnant smokers; incentives may be necessary to attract those women who are heaviest smokers, and possibly the most dependent on nicotine.
Authors:
S A Albrecht; M D Cornelius; B Braxter; M D Reynolds; C Stone; B Cassidy
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of substance abuse treatment     Volume:  16     ISSN:  0740-5472     ISO Abbreviation:  J Subst Abuse Treat     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-07-21     Completed Date:  1999-07-21     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8500909     Medline TA:  J Subst Abuse Treat     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  337-44     Citation Subset:  IM; J    
Affiliation:
University of Pittsburgh, School of Nursing, PA 15261, USA. saa01+@pitt.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Psychology*
Adult
African Americans / statistics & numerical data
Cotinine / analysis
Data Interpretation, Statistical
European Continental Ancestry Group / statistics & numerical data
Female
Humans
Pregnancy
Pregnancy in Adolescence / ethnology,  psychology*
Psychological Tests
Smoking Cessation / ethnology,  psychology*
Substance Withdrawal Syndrome / psychology
Tobacco Use Disorder / psychology*
United States
Grant Support
ID/Acronym/Agency:
NR03233/NR/NINR NIH HHS
Chemical
Reg. No./Substance:
486-56-6/Cotinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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