000000958 001__ 958 000000958 005__ 20251205125115.0 000000958 0247_ $$2DOI$$a10.6083/M4TH8JQH 000000958 037__ $$aETD 000000958 245__ $$aDoes tobacco retailer availability influence changes in smoking from pregnancy to postpartum? 000000958 260__ $$bOregon Health and Science University 000000958 269__ $$a2013 000000958 336__ $$aThesis 000000958 502__ $$bM.P.H. 000000958 502__ $$gEpidemiology 000000958 502__ $$gBiostatistics 000000958 520__ $$aEvidence suggests that built environments influence consumptive behaviors such as smoking. This study examined whether tobacco retailer density affects smoking cessation among pregnant women in Oregon. Using geocoded data from the Pregnancy Risk Assessment Monitoring System and tobacco retailer locations, we applied multinomial logistic regression to compare women who relapsed postpartum or smoked throughout pregnancy with those who maintained cessation 2–6 months postpartum. In high-density urban areas, retailer density was not associated with relapse (RRR=1.02, 95% CI: 0.93–1.14) or continued smoking (RRR=1.04, 95% CI: 0.93–1.15). Conversely, in low-density areas, retailer presence was inversely associated with relapse (RRR=0.22, 95% CI: 0.05–0.99) and showed a similar trend for sustained smoking. Findings suggest that tobacco retail environments may influence initiation more than cessation in urban settings, while relationships in rural areas are complex. 000000958 540__ $$fCC BY 000000958 542__ $$fIn copyright - single owner 000000958 650__ $$aSmoking Cessation$$029204 000000958 650__ $$aCommerce$$016926 000000958 650__ $$aPostpartum Period$$036216 000000958 650__ $$aPregnancy$$024523 000000958 650__ $$aTobacco Products$$040120 000000958 650__ $$aTobacco$$027130 000000958 650__ $$aLogistic Models$$028819 000000958 650__ $$aRisk Assessment$$030914 000000958 650__ $$aSmoking$$026083 000000958 650__ $$aPregnant Women$$034853 000000958 651__ $$aOregon$$041094 000000958 6531_ $$aretail trade 000000958 6531_ $$apuerperium 000000958 691__ $$aSchool of Medicine$$041369 000000958 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000000958 7001_ $$aHermes, Sam$$uOregon Health and Science University$$041354 000000958 7201_ $$aBoone-Heinonen, Janne$$uOregon Health and Science University$$041354$$7Personal$$eMentor 000000958 8564_ $$9d8b26c34-475c-48d3-a08c-3086c0b6ea6d$$s602221$$uhttps://digitalcollections.ohsu.edu/record/958/files/961_etd.pdf$$ePublic$$20f95d5b17e3c28688c74b686c294bb2d$$31 000000958 905__ $$a/rest/prod/89/10/jt/62/8910jt62q 000000958 909CO $$ooai:digitalcollections.ohsu.edu:958$$pstudent-work 000000958 980__ $$aTheses and Dissertations