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Cited by 250

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Health education for pregnant smokers: its behavioral impact and cost benefit.

Windsor, R A, Lowe, J B, Perkins, L L, Smith-Yoder, D, Artz, L, Crawford, M, Amburgy, K, Boyd, N R·1993·American Journal of Public Health

Abstract

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.

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Research works printed but not linked: 26

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Metadata

Authors
Windsor, R. A., Lowe, J. B., Perkins, L. L., Smith-Yoder, D., Artz, L., Crawford, M., Amburgy, K., & Boyd, N. R.
Venue
American Journal of Public Health
Published
1993-02
Volume
83
Issue
2
Pages
201-206
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
OpenAlex
W2007006847
Cited by
250
References
0
FWCI
5.62
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Health education for pregnant smokers: its behavioral impact and cost benefit. https://app.cochat.ai/papers/10.2105/ajph.83.2.201
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Windsor, R. A., Lowe, J. B., Perkins, L. L., Smith-Yoder, D., Artz, L., Crawford, M., Amburgy, K., & Boyd, N. R. (1993). Health education for pregnant smokers: its behavioral impact and cost benefit. American Journal of Public Health. https://doi.org/10.2105/ajph.83.2.201

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