Despite the known dangers of pregnancy smoking, rates remain high, especially in the rural, Southern United States. Interventions are effective, but few have been developed and tested in regions with high rates of pregnancy smoking, a culture that normalizes smoking, and a hard-to-reach prenatal population. The goals were to describe a smoking…

Surveys of 3,346 rural and small-town residents of Kentucky and 138 rural prenatal service providers found that neither males nor females were knowledgeable about the harmful effects of alcohol use during pregnancy, with males having significantly less knowledge. Service providers identified barriers to health promotion and prevention efforts and…