Author

Sam Hermes

Date

August 2013

Document Type

Thesis

Degree Name

M.P.H.

Department

Dept. of Public Health and Preventive Medicine

Institution

Oregon Health & Science University

Abstract

There is a growing literature reporting a pattern of associations between the built environment and the initiation or continuance of consumptive behaviors such as drinking and smoking. We investigated the role of the tobacco retail environment on smoking behaviors, particularly smoking cessation attempts of pregnant women. Home residences of participants in the Oregon Pregnancy Risk Assessment Monitoring System and tobacco retailers were geocoded and linked in a geographic information system. A multinomial logistic regression was utilized to model the relationship between smoking behaviors and tobacco retailers within participant-specific neighborhoods, comparing women that relapsed postpartum and women that smoked throughout pregnancy and postpartum with women that maintained successful cessation attempts 2 to 6 months postpartum. When compared with women who successfully quit smoking during pregnancy, the density of tobacco retailers was not associated with women relapsing (Relative

Identifier

doi:10.6083/M4TH8JQH

School

School of Medicine

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