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The European Journal of Public Health Advance Access originally published online on January 12, 2009
The European Journal of Public Health 2009 19(2):218-221; doi:10.1093/eurpub/ckn133
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© The Author 2009. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Smoking

Intention to change smoking in pregnant and postpartum women according to number of pregnancies

Grit Händel1, Wolfgang Hannöver2, Kathrin Röske3, Jochen R. Thyrian1, Hans-J. Rumpf4, Christoph Fusch5, Ulrich John1 and Ulfert Hapke6

1 Ernst-Moritz-Arndt-University Greifswald, Institute of Epidemiology and Social Medicine, 17487 Greifswald, Germany
2 Institute for Medical Psychology, 17487 Greifswald, Germany
3 Institute for Medical Psychology and Institute of Epidemiology and Social Medicine, 17487 Greifswald, Germany
4 University of Lübeck, Department of Psychiatry and Psychotherapy, 23538 Lübeck, Germany
5 University Children's Hospital, 17487 Greifswald, Germany
6 Robert Koch Institute, 13353 Berlin, Germany

Correspondence: Grit Händel, Institute of Epidemiology and Social Medicine, Ernst-Moritz-Arndt-University Greifswald, Walther-Rathenau-Str. 48, D-17487 Greifswald, Germany, tel: +49-3834-867722, fax: +49-3834-867701, e-mail: grit.haendel{at}gmx.de

Received July 14, 2008 , accepted December 8, 2008

Background: The status of a pregnant woman might add to the motivation to stop smoking. However, little is known about whether women who are pregnant for the first time (primigravidae) show a motivation to quit smoking that is different from women who are pregnant at least the second time (multigravidae). The goal of the current study was to compare smoking status, urge to smoke and intention to change smoking behaviour of primigravidae and multigravidae. We hypothesized that amongst primigravidae there are less current smokers, that the smokers consume less cigarettes per day, have less urge to smoke and that more stop smoking after delivery when compared with multigravidae. Methods: Among 642 women postpartum who had smoked before pregnancy smoking status, the Fagerström Test for Nicotine Dependence and intention to change smoking behaviour were assessed. The data were analysed with the Chi-square test, Mann–Whitney's U-test and the Sign-test. Results: Primigravidae smoked less cigarettes (P < 0.01) and showed less urge to smoke (P < 0.05) than multigravidae. They did not differ according to the intention to change smoking behaviour (P > 0.05). Conclusion: Experience of first pregnancy does not seem to automatically induce more smoking cessation compared to multigravidae. Prevention measures are needed for primigravida women and multigravida women to the same extent.

Keywords: nicotine dependence, smoking, women postpartum


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