NNTPP LISTSERV
NNTPP is a program of the Health Education Council
Friday January 7, 2005
In this edition:
1) Getting
Focused: Missed Opportunities for Smoking Interventions for Pregnant Women
Receiving Medicaid
2) BabyCenter.com Launches Online
Effort to Help Pregnant Smokers
3) Socioeconomic Disadvantage,
Parenting Responsibility, and Women’s Smoking in the United States
4) Woman Tapes Anti-Smoking Ads in
Last Days
5) NNTPP – Case Studies
and Focus Group Summary Now Available
6) Funding Announcement
7) Upcoming
Events
1) Getting Focused:
Missed Opportunities for Smoking Interventions for Pregnant Women
Receiving Medicaid
Petersen R, Clark KA,
Hartmann KE, Melvin CL.
Prev Med. 2005 Feb;40(2):209-15.
BACKGROUND: The prevalence of smoking, and cessation and
relapse rates for pregnant women have health and
financial implications. Our objectives were to describe smoking among pregnant
smokers receiving Medicaid including characteristics associated with reporting
discussion of smoking with providers and the association between those
discussions with quitting and maintenance. METHODS: Analysis of Pregnancy Risk
Assessment Monitoring System (PRAMS) data from 15 states for 20,287 women with
Medicaid for prenatal care during 1998-2000. RESULTS: Thirty-four percent of
women smoked before pregnancy (N = 7,686). Most smokers (93%) and nonsmokers
(88%) reported discussions about smoking during prenatal care. Women were less
likely to have discussed smoking if they were lighter smokers (OR = 1.47; CI =
1.03, 2.12), or reported a previous low-birth weight infant (OR = 1.72; CI =
1.03-2.86). Women reporting discussions (compared to those not) were less
likely to quit (ARR = 0.70: CI = 0.59-0.91). Quitters reporting discussions
(compared to those not) were no more likely to maintain cessation (ARR = 0.89;
CI = 0.7, 1.21).
CONCLUSIONS: Smoking cessation interventions can be improved
for pregnant women receiving Medicaid, especially if focused to address
individual needs of light smokers, those with previous low-birth weight
infants, or those who find it most difficult to quit.
2) BabyCenter.com
Launches Online Effort to Help Pregnant Smokers
The web site, www.BabyCenter.com, a resource for new and
expectant parents, has launched “Quitting Smoking During Pregnancy,”
an online resource focused on helping moms-to-be quit smoking.
3) Socioeconomic Disadvantage,
Parenting Responsibility, and Women’s Smoking in the United
States
Hee-Jin
Jun, ScD, S.V. Subramanian, PhD, Steven Gortmaker, PhD and Ichiro Kawachi, MD, PhD
Source: American Journal of Public Health, 2004-12-01
Objectives: We carried out analyses of smoking
in relation to poverty and child care responsibility among women
aged 18–54 years residing in the United States.
Methods: With data from the Behavioral Risk
Factor Surveillance System, we assessed the interaction effects of
poverty and living with young children on maternal smoking behavior
among 61 700 women aged 18–54 years in 4 different
racial/ethnic groups.
Results: For non-White racial/ethnic groups,
the prevalence of smoking among women with small children in the
household was lower than that among women without small children.
However, White women were more likely to smoke if they were poor and
living with small children (odds ratio=1.14, 95% confidence interval=1.03,
1.26).
Conclusions: These results suggest that child
care responsibility confers an increased risk of smoking among
low-income White women.
4) Women Tapes Anti-Smoking Ads in Last Days
CNN.Com
Tuesday, January 4, 2005
Janet Wells
died of lung cancer
RAINELLE, West Virginia (AP) --
The 42-year-old woman made her point quickly, because she had so little time
left. "I
have lung cancer," Janet Wells said. "They told me that I would die
within a matter of a few months."
The doctors were right, although they underestimated her
death. The wife and mother got nine months instead of six to tell her story in
television ads warning of the dangers of smoking.
After learning that her cancer had spread to her spinal cord
and brain, Wells sat down last February to tape several interviews for the
state Division of Tobacco Prevention, funded by money paid by the tobacco
industry through an agreement that settled lawsuits in 46 states. "I hope
some people, especially other mothers of young children, can come to understand
just how deadly their smoking is," Wells said in one of the two ads.
"I didn't know lung cancer spread to your brain. I didn't know cigarette
smoking would cause brain cancer. It does."
The first advertisement aired just before Wells died on
November 24.
Wells said "it put her mind at ease" to find out
that calls to the state's quit lines had surged by 40 percent after the ad
aired in 21 eastern counties, said Jean Tenney, regional coordinator with an anti-smoking
group. Like many West Virginians, Wells began smoking in her early
teens; the state Department of Health and Human Resources says 28.5 percent of
high school teens smoke, and that continues through
adulthood with the state consistently ranked near the nation's top for adult
smoking, with a rate of 28.4 percent in 2002, fourth-highest in America.
The department estimates smokers cost West Virginia $1.8
billion a year in health care and occupational costs and that more than one in
five residents die each year because of smoking-related illnesses.
Wells was initially reluctant about the campaign. She
approached Tenney's group shortly after finding out the cancer had spread to
her brain, but wasn't immediately enthusiastic about going on camera. "She
felt she already looked too bad to do anything," Tenney said. "But to
me she was very beautiful." In the interviews, Wells discussed a future
that she knew she would not get to experience. "I've got projects that I
never got around to, and need to get done. I can't do them now," she said.
"I have a very long to-do list that that lung-cancer has really fouled up
in a big way."
The state is preparing to rebroadcast the ads to more state
television markets this month to encourage New Year's resolutions, and plans to
share the recordings with other states' anti-tobacco campaigns.
Wells, who coordinated reading programs at Rainelle's
elementary school, knew how hard it'll be to convince anyone to break the
habit. She tried unsuccessfully to quit
many times before finally stopping along with her husband, Dwight Wells, with
help of state-supplied nicotine patches. By then, though, it was too late. The
cancer had taken hold.
"I know what it's like to be a smoker," she said,
"and know how hard it is to quit."
5) NNTPP – Case Studies and
Focus Group Summary Now Available
The National Network on Tobacco Prevention and Poverty
announces the release of two case studies written in collaboration with two of
our national Stakeholder organizations. Tobacco
Policy, Cessation, and Education in Correctional Facilities Case Study
highlights NNTPP’s collaboration with the National Commission on
Correctional Health Care and a joint survey conducted among correctional
facilities across the United States to examine tobacco use policies and
cessation programming. Integrating
Tobacco Control into The Salvation Army’s
Substance Abuse Training Curriculum Case Study focuses on NNTPP’s
collaboration with The Salvation Army.
It describes our efforts to integrate nicotine addition treatment into
The Salvations Army’s alcohol and substance abuse treatment programs.
In addition, NNTPP also released a summary report of our
focus group data collected in collaboration with West Virginia University-Prevention Research Center titled Smoking Habits and
Prevention Strategies in Low Socio-economic Status Populations. The
objectives of the focus groups were to review the social and cultural nuances
that support/encourage smoking in low SES populations, identify communication
channels most effective in reaching this population with tobacco
cessation/prevention messages, and to tailor prevention messages to reach low
SES adults.
Copies of the case studies and the focus group summary may
be obtained by calling the Health Education Council, toll-free at 1(888)
442-2836 or emailing nntpp@healthedcouncil.org
..
6) Funding Announcement
The American Legacy Foundation has announced funding for several
initiatives to support tobacco cessation activities. New awards to nine
organizations totaling more than $680,000 are a part of the program
“Circle of Friends: Uniting to Be Smoke-Free,” which will support
tobacco education, cessation, and prevention efforts involving women. In
addition, Legacy will support a collaborative care project developed by the
University of New England/Spurwick Center for Research in Portland, ME and Counseling Services,
Inc. The effort will address tobacco and its link to mental illness in
underserved communities.
7) Upcoming Events
19th National
Conference on Chronic Disease Prevention and Control
Health Disparities: Progress, Challenges, and Opportunities
March
1-3, 2005 – Atlanta, GA
Updates in Correctional Health Care
Presented by the National Commission on Correctional Health
Care
April 9-12, 2005 - Flamingo Hotel Las Vegas, NV (773) 880-1460
New England Regional Minority Health
Conference
April 10 & 11 and 12, 2005 - Portland, Maine
Information:
michellesurdoval@yahoo.com
National
Conference on Tobacco or Health
May
4-6, 2005 – Chicago, IL
American Public Health
Association Annual Meeting
Evidence-Based
Policy and Practice
November 5-9, 2005 - New Orleans, LA
Abstract
submission begins: December
17, 2004
Abstract submission deadline: February 7-11, 2005
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