Streja Leanne, Crespi Catherine M, Bastani Roshan, Wong Glenn C, Jones Craig A, Bernert John T, Tashkin Donald, Hammond S Katharine, Berman Barbara A
Division of Cancer Prevention and Control Research and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, Los Angeles, CA, USA,
J Immigr Minor Health. 2014 Apr;16(2):256-64. doi: 10.1007/s10903-012-9713-4.
We report on the results of a low-intensity behavioral intervention to reduce second hand smoke (SHS) exposure of children with asthma from low income minority households in Los Angeles, California. In this study, 242 child/adult dyads were randomized to a behavioral intervention (video, workbook, minimal counseling) or control condition (brochure). Main outcome measures included child's urine cotinine and parental reports of child's hours of SHS exposure and number of household cigarettes smoked. Implementation of household bans was also considered. No differences in outcomes were detected between intervention and control groups at follow-up. Limitations included high attrition and low rates of collection of objective measures (few children with urine cotinine samples). There continues to be a need for effective culturally and linguistically appropriate strategies that support reduction of household SHS exposure among children with asthma in low income, minority households.
我们报告了一项低强度行为干预的结果，该干预旨在减少加利福尼亚州洛杉矶市低收入少数族裔家庭中患有哮喘的儿童的二手烟暴露。在这项研究中，242对儿童/成人二元组被随机分为行为干预组（视频、工作手册、最少的咨询）或对照组（宣传册）。主要结局指标包括儿童尿可替宁以及父母报告的儿童二手烟暴露时长和家庭吸烟量。还考虑了实施家庭禁烟情况。随访时，干预组和对照组在结局方面未检测到差异。局限性包括高损耗率和客观测量指标的低收集率（很少有儿童提供尿可替宁样本）。仍然需要有效的文化和语言适宜策略，以支持减少低收入少数族裔家庭中患有哮喘的儿童的家庭二手烟暴露。
