Curry Susan J, Ludman Evette J, Graham Elinor, Stout James, Grothaus Louis, Lozano Paula
Center for Health Studies, Group Health Cooperative, University of Illinois at Chicago, 60607, USA.
Arch Pediatr Adolesc Med. 2003 Mar;157(3):295-302. doi: 10.1001/archpedi.157.3.295.
Continued high rates of smoking among socioeconomically disadvantaged women lead to increases in children's health problems associated with exposure to tobacco smoke. The pediatric clinic is a "teachable setting" in which to provide advice and assistance to parents who smoke.
To evaluate a smoking cessation intervention for women.
Two-arm (usual care vs intervention) randomized trial.
Pediatric clinics serving an ethnically diverse population of low-income families in the greater Seattle, Wash, area.
During the clinic visit, women received a motivational message from the child's clinician, a guide to quitting smoking, and a 10-minute motivational interview with a nurse or study interventionist. Women received as many as 3 outreach telephone counseling calls from the clinic nurse or interventionist in the 3 months following the visit.
Self-identified women smokers (n = 303) whose children received care at participating clinics.
Self-reported abstinence from smoking 12 months after enrollment in the study, defined as not smoking, even a puff, during the 7 days prior to assessment.
Response rates at 3 and 12 months were 80% and 81%. At both follow-ups, abstinence rates were twice as great in the intervention group as in the control group (7.7% vs 3.4% and 13.5% vs 6.9%, respectively). The 12-month difference was statistically significant.
A pediatric clinic smoking cessation intervention has long-term effects in a socioeconomically disadvantaged sample of women smokers. The results encourage implementation of evidence-based clinical guidelines for smoking cessation in pediatric practice.
社会经济地位不利的女性中持续的高吸烟率导致与接触烟草烟雾相关的儿童健康问题增加。儿科诊所是一个“可教育场所”，可以在此为吸烟的父母提供建议和帮助。
评估针对女性的戒烟干预措施。
双臂（常规护理与干预）随机试验。
华盛顿州大西雅图地区为低收入家庭的不同种族人群提供服务的儿科诊所。
在诊所就诊期间，女性从孩子的临床医生那里收到一条激励信息、一份戒烟指南，并与护士或研究干预人员进行10分钟的激励访谈。在就诊后的3个月内，女性会收到诊所护士或干预人员多达3次的外展电话咨询。
自我认定为吸烟的女性（n = 303），其子女在参与研究的诊所接受治疗。
研究入组12个月后自我报告的戒烟情况，定义为在评估前7天内不吸烟，哪怕是一口。
3个月和12个月时的回复率分别为80%和81%。在两次随访中，干预组的戒烟率都是对照组的两倍（分别为7.7%对3.4%和13.5%对6.9%）。12个月时的差异具有统计学意义。
儿科诊所戒烟干预措施对社会经济地位不利的女性吸烟者样本具有长期效果。研究结果鼓励在儿科实践中实施基于证据的戒烟临床指南。
