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Qualitative Health Research
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Smoking and Harm-Reduction Efforts Among Postpartum Women

Mimi Nichter

University of Arizona, Tucson, Arizona, USA

Mark Nichter

University of Arizona, Tucson, Arizona, USA

Shelly Adrian

University of Arizona, Tucson, Arizona, USA

Kate Goldade

University of Arizona, Tucson, Arizona, USA

Laura Tesler

University of California, San Francisco, California, USA

Myra Muramoto

University of Arizona, Tucson, Arizona, USA

The authors present findings from a qualitative study on postpartum smoking among low-income women ( N = 44) who had been smokers at the onset of pregnancy. Interview data collected after delivery at Months 1, 3, and 6 postpartum are discussed to explore contextual factors contributing to smoking abstinence, relapse, and harm-reduction practices. By 6 months postpartum, 10 women (23%) had completely quit, 21 women (48%) had reduced their smoking by 50% of their prepregnancy levels, and 7 women (16%) had reduced their smoking by one third of their prepregnancy levels. Thus, the majority of the women were engaging in significant harm-reduction efforts despite being entrenched in high-risk smoking environments where they were provided with few messages to quit. Many mothers were concerned about their moral identity as a smoker and expressed concerns that their child might initiate smoking at an early age. Future programs targeting this population should acknowledge women's harm-reduction efforts in environments where smoking is normative.

Key Words: postpartum care • smoking • tobacco and health • women's health

Qualitative Health Research, Vol. 18, No. 9, 1184-1194 (2008)
DOI: 10.1177/1049732308321738


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