Assessment of pregnancy cigarette smoking and factors that predict denial

Beth A. Bailey, Heather N. Wright

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Objectives: To determine rates of pregnancy smoking concealment compared to behavioral observation and to identify factors predicting untruthful denial. Methods: Review of 843 delivery charts. Results: Based on observation during delivery hospitalization, 8% of smokers denied at hospital admission, 16% denied throughout prenatal care. Compared with those admitting smoking, false deniers had higher levels of education, incomes and adequate prenatal care utilization; and were less likely to have drug use, STDs, or hepatitis C. Observation was a valid tool for assessing smoking status. Conclusions: Typical concealers were those considered lower risk, increasing the chance they would go undetected as smokers.

Original languageEnglish
Pages (from-to)166-176
Number of pages11
JournalAmerican Journal of Health Behavior
Issue number1
StatePublished - 2010


  • Behavioral observation
  • Pregnancy smoking
  • Rural health
  • Smoking assessment
  • Smoking denial


Dive into the research topics of 'Assessment of pregnancy cigarette smoking and factors that predict denial'. Together they form a unique fingerprint.

Cite this