, 2010; Okuyemi et al., 2003; Williams et al., 2007). A number of studies have investigated the relationship between menthol use and smoking cessation, and the moderating effects of race/ethnicity on that relationship, with mixed results (Foulds, Hooper, Pletcher, & Okuyemi, 2010; Fu et al., 2008; Gandhi, Foulds, Steinberg, Lu, & Williams, 2009; Gundersen, Delnevo, & Wackowski, 2009; Tofacitinib Citrate Hyland, Garten, Giovino, & Cummings, 2002; Muscat, Richie, & Stellman, 2002; Okuyemi, Faseru, Sanderson Cox, Bronars, & Ahluwalia, 2007; Okuyemi, Lawrence, Hammons, & Alexander, 2010; Pletcher et al., 2006; Stahre, Okuyemi, Joseph, & Fu, 2010; Trinidad, Perez-Stable, Messer, White, & Pierce, 2010). To our knowledge, however, no previous studies have examined the effect of menthol cigarette use on postpartum smoking relapse among women who quit smoking during or immediately prior to pregnancy.
The purpose of this study was to examine the effects of prepartum menthol cigarette use on the maintenance of continuous abstinence through 26 weeks postpartum among pregnant women who quit smoking because of their pregnancy, and to examine whether effects were moderated by race/ethnicity. Participants were racially/ethnically diverse, predominantly low-income women who spontaneously quit smoking prior to the 33rd week of pregnancy. Methods Participants Data were collected as part of a randomized clinical trial evaluating the efficacy of a Motivation and Problem Solving (MAPS) treatment for the prevention of postpartum relapse (Reitzel et al., 2010; Vidrine, Reitzel, Velasquez, Mazas, Cinciripini, & Wetter, 2011).
Women were eligible to participate if they were English speaking, in their 30th to 33rd week of pregnancy at the time of study enrollment, ��18 years old, self-reported smoking ��1 cigarette daily for the year prior to pregnancy, and stopped smoking either during their pregnancy or within 2 months prior to becoming pregnant. Women reporting a high-risk pregnancy were excluded. The parent project used proactive recruitment strategies including newspaper, radio, bus, and clinic advertisements to enroll 251 participants from Houston, TX, between October 2004 and April 2008. Recruitment and flow through the study are detailed elsewhere (Reitzel et al., 2010). Procedures The University of Texas MD Anderson Cancer Center Institutional Review Board approved this study.
Written informed consent was obtained before data collection. Participants attended three in-person assessment visits (baseline [30�C33 weeks pregnant] and weeks 8 and 26 postpartum). Participants were randomized by computer into Usual Care (n = 115), MAPS (n = 68), or Drug_discovery MAPS+ (n = 68) following the baseline visit. All participants were given self-help materials and 5�C10 min of Guideline-based brief relapse prevention advice (Fiore, Jaen, & Baker, 2008).