Weight concerns affect motivation to remain abstinent from smoking postpartum

Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, PA 15213, USA.
Annals of Behavioral Medicine (Impact Factor: 4.2). 11/2006; 32(2):147-53. DOI: 10.1207/s15324796abm3202_12
Source: PubMed


Although many women quit smoking during pregnancy, most resume smoking postpartum. One factor that may be important in postpartum relapse is a pregnant woman's motivation to remain abstinent after delivery.
We assessed motivation for postpartum abstinence among pregnant women who had quit smoking and examined the relationship of weight concerns and mood to abstinence motivation.
Pregnant former smokers, recruited between February 2000 and November 2004, completed assessments of smoking, weight concerns, depressive symptoms, and perceived stress.
Sixty-five percent were highly motivated to remain abstinent postpartum. Women who were and were not motivated were similar in age, race, and nicotine dependence. However, motivated women reported more stress, greater self-efficacy for weight management, less hunger, and less smoking for weight control than did less motivated women. After controlling for intention to breast-feed, nicotine dependence, years of smoking, partner smoking, and race, self-efficacy for weight control was related to motivation to maintain postpartum abstinence.
These data suggest that weight concerns are associated with motivation for postpartum smoking abstinence, and interventions designed to prevent postpartum smoking relapse may need to target eating, weight, and shape concerns.

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    • "To take an example of a physiological pathway, adoption of physical activity may motivate individuals to reduce dietary fat [7]; another outcome may be that it limits weight concerns and hence encourages a successful quit attempt [8]. A contrasting psychological pathway may follow where unsuccessful efforts to reduce weight gain lower self-efficacy and decrease the likelihood of individuals engaging in smoking cessation programmes [23,24]. Equally, success in one outcome may have no impact on another [25,26]. "
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    ABSTRACT: This paper explores smoking cessation participants' perceptions of attempting weight management alongside smoking cessation within the context of a health improvement intervention implemented in Glasgow, Scotland. One hundred and thirty-eight participants were recruited from smoking cessation classes in areas of multiple deprivation in Glasgow and randomised to intervention, receiving dietary advice, or to control groups. The primary outcome of the study was to determine the % change in body weight. Semi-structured interviews were conducted with a purposive sample of 15 intervention and 15 control participants at weeks 6 (during the intervention) and 24 (at the end of the intervention). The current paper, though predominantly qualitative, links perceptions of behaviour modification to % weight change and cessation rates at week 24 thereby enabling a better understanding of the mediators influencing multiple behaviour change. Our findings suggest that participants who perceive separate behaviour changes as part of a broader approach to a healthier lifestyle, and hence attempt behaviour changes concurrently, may be at comparative advantage in positively achieving dual outcomes. These findings highlight the need to assess participants' preference for attempting multiple behaviour changes sequentially or simultaneously in addition to assessing their readiness to change. Further testing of this hypothesis is warranted. ISRCTN94961361.
    BMC Public Health 07/2012; 12(1):500. DOI:10.1186/1471-2458-12-500 · 2.26 Impact Factor
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    • "differences related to smoking (see Perkins, 2001 for review), women derive more pleasure from the smell and taste of cigarettes (Perkins et al., 2001, 2002), have a stronger motivation to use nicotine to avoid or reduce negative affect (Hogle and Curtin, 2006), and are more likely to smoke to control their body weight (Levine et al., 2006; Perkins, 2001). In fact, relapse often occurs because of concerns with postcessation weight gain (Levine et al., 2006). "
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    ABSTRACT: This chapter will focus on workplace interventions for tobacco awareness and smoking cessation, with a particular focus on women. The first section of this chapter defines this public health problem; details the epidemiologic characteristics, socioeconomic impact, and future perspectives; and presents the institutional and legislative framework, including nonsmokers' rights, compliance with the law, health warnings, and smoking bans. The second section identifies the related risk factors, explaining why women tend to smoke, the population at risk, causal factors, and promoters, as well as preventable risk factors. Section three also looks at whether smoking is related to worksite factors, and how smoking may affect a woman's professional life. The role of working women as mothers, where they act as role models and convey healthy lifestyles to the family, is explored in the fourth section. The fifth section presents examples of prevention, such as best practice in promoting tobacco awareness and smoking cessation, avoidance of exposure, healthy lifestyles, and general guidelines. Available resources, including online and publishedmaterial, is available in the sixth section. The chapter concludeswith three case studies provided in Appendix 1.
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