Wakefield Melanie, Banham David, McCaul Kieran, Martin James, Ruffin Richard, Badcock Neil, Roberts Lyn
Center for Behavioral Research in Cancer, Cancer Control Research Institute, Anti-Cancer Council of Victoria, Carlton, Victoria 3053, Australia.
Prev Med. 2002 Jan;34(1):58-65. doi: 10.1006/pmed.2001.0953.
Since most smoker parents of children with asthma are unable to quit, an alternative measure that would reduce their children's exposure to environmental tobacco smoke (ETS) is to ban smoking in the home.
Compared with 136 usual-care controls, 128 intervention-group parents recruited from South Australian pediatric hospital outpatient waiting rooms were given written and verbal feedback about their 1- to 11-year-old child's urinary cotinine-to-creatinine level, information booklets, and two telephone calls encouraging a ban on smoking at home.
At 6 months, 49.2% of the intervention group reported having banned smoking in the home compared with 41.9% of controls, but the differential rate of change from baseline was not significant (P = 0.40). At follow-up, there were no significant differences between groups in the percentage reporting bans on smoking in the car, the mean reduction from baseline in total daily consumption or consumption in front of the child, children's urinary cotinine level, or parental smoking cessation.
The intervention did not change parents' propensity to create or maintain bans on smoking in their homes or otherwise change smoking habits to reduce their children's exposure to ETS. More intensive interventions may be required to achieve change among low-income smoker parents of children with asthma.
由于大多数患有哮喘的儿童的吸烟父母无法戒烟，一项能够减少其子女接触环境烟草烟雾（ETS）的替代措施是在家中禁止吸烟。
从南澳大利亚州儿童医院门诊候诊室招募了128名干预组家长，并与136名常规护理对照组进行比较，向他们提供有关其1至11岁孩子尿中可替宁与肌酐水平的书面和口头反馈、信息手册，以及两次鼓励在家中禁止吸烟的电话。
6个月时，干预组中有49.2%的家长报告已在家中禁止吸烟，而对照组为41.9%，但与基线相比的变化差异率并不显著（P = 0.40）。在随访时，两组在报告禁止在车内吸烟的百分比、每日总消费量或在孩子面前的消费量较基线的平均减少量、孩子尿中可替宁水平或家长戒烟方面，均无显著差异。
该干预措施并未改变家长在家中制定或维持吸烟禁令的倾向，也未以其他方式改变吸烟习惯以减少其子女接触环境烟草烟雾的情况。可能需要更强化的干预措施才能在低收入的患有哮喘儿童的吸烟家长中实现改变。
