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伊朗伊斯法罕基于家庭关系开展女性教育以创建无烟家庭的研究方案

The Study Protocol of Women's Education to Create Smoke-free Home on the Basis of Family Ties in Isfahan, Iran.

作者信息

Zamani Ahmadreza, Golshiri Parastou, Moqtader Babak

机构信息

Department of Community Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Prev Med. 2013 Nov;4(11):1312-7.

Abstract

BACKGROUND

Tobacco smoke is the leading cause of preventable death world-wide. Unfortunately, the risk is not limited to smokers. It is dangerous for non-smokers particularly women, kids and elderly. Despite the remarkable reduction of tobacco exposure in public places, it is still continuing at homes as the most common places. Interventions to create a smoke-free home are needed, but little is known about them. The aim of this study is to explain the field randomized controlled trial that is designed to examine the role of non-smoker women to create a smoke-free home through establishing complete agreement on ban smoking at home.

METHODS

In this field randomized controlled trial, the effectiveness of women's education will be evaluated in primary health-care centers. A total of 136 non-smoker women who exposed to second-hand smoke by their husbands at home will be included (68 intervention/non-intervention group). The intervention arm will receive an educational package including a consultation visit individually, a peer group session, a booklet, a "no smoking" sign. The primary outcome is the frequency of smoke-free home (no exposure to second-hand smoke at home). Mediator outcomes include a complete agreement to ban smoking at home, second-hand smoke exposure rate and self-assertiveness rate. All measurements will be conducted on baseline, 1 and 3 months after intervention.

CONCLUSIONS

Outcomes will present the effects of implementing multi-component women's education intervention program to ban smoking at home. If the effectiveness of the trial is confirmed, it will be suggested to merge this package to routine care in primary health-care centers.

摘要

背景

烟草烟雾是全球可预防死亡的主要原因。不幸的是,这种风险不仅限于吸烟者。对非吸烟者尤其是女性、儿童和老年人来说是危险的。尽管公共场所的烟草暴露显著减少,但在家庭这一最常见场所仍在持续。需要采取干预措施营造无烟家庭,但对此了解甚少。本研究的目的是解释一项现场随机对照试验,该试验旨在通过就家中禁烟达成完全一致来检验非吸烟女性在营造无烟家庭中的作用。

方法

在这项现场随机对照试验中,将在初级卫生保健中心评估女性教育的效果。总共将纳入136名在家中遭受丈夫二手烟暴露的非吸烟女性(68名干预组/非干预组)。干预组将接受一套教育资料,包括一次单独的咨询访问、一次同伴小组会议、一本小册子、一个“禁止吸烟”标志。主要结局是无烟家庭的频率(在家中无二手烟暴露)。中介结局包括在家中禁烟的完全一致、二手烟暴露率和自信率。所有测量将在基线、干预后1个月和3个月进行。

结论

研究结果将呈现实施多成分女性教育干预计划以在家中禁烟的效果。如果试验的有效性得到证实,建议将此方案纳入初级卫生保健中心的常规护理。

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