Kegler Michelle C, Bundy Lucja, Haardörfer Regine, Escoffery Cam, Berg Carla, Yembra Debbie, Kreuter Matthew, Hovell Mel, Williams Rebecca, Mullen Patricia Dolan, Ribisl Kurt, Burnham Donna
Michelle C. Kegler, Regine Haardörfer, Cam Escoffery, and Carla Berg are with the Department of Behavioral Sciences and Health Education, Emory Prevention Research Center, Rollins School of Public Health, Emory University, Atlanta, GA. Lucja Bundy and Debbie Yembra are with the Emory Prevention Research Center, Rollins School of Public Health, Emory University, Atlanta. Matthew Kreuter is with the George Warren Brown School of Social Work, Washington University, St. Louis, MO. Mel Hovell is with the Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, CA. Rebecca Williams is with the Gillings School of Global Public Health, Chapel Hill, NC. Patricia Dolan Mullen is with the School of Public Health, University of Texas Health Sciences Center, Houston. Kurt Ribisl is with the Department of Health Behavior, Gillings School of Global Public Health, Chapel Hill. Donna Burnham is with the United Way of Greater Atlanta, GA.
Am J Public Health. 2015 Mar;105(3):530-7. doi: 10.2105/AJPH.2014.302260. Epub 2015 Jan 20.
We tested the efficacy of a minimal intervention to create smoke-free homes in low-income households recruited through the United Way of Greater Atlanta 2-1-1, an information and referral system that connects callers to local social services.
We conducted a randomized controlled trial (n=498) from June 2012 through June 2013, with follow-up at 3 and 6 months. The intervention consisted of 3 mailings and 1 coaching call.
Participants were mostly smokers (79.7%), women (82.7%), African American (83.3%), and not employed (76.5%), with an annual household income of $10,000 or less (55.6%). At 6-months postbaseline, significantly more intervention participants reported a full ban on smoking in the home than did control participants (40.0% vs 25.4%; P=.002). The intervention worked for smokers and nonsmokers, as well as those with or without children.
Minimal intervention was effective in promoting smoke-free homes in low income households and offers a potentially scalable model for protecting children and adult nonsmokers from secondhand smoke exposure in their homes.
我们测试了一种最小化干预措施在通过大亚特兰大联合劝募会2-1-1招募的低收入家庭中创建无烟家庭的效果，2-1-1是一个将来电者与当地社会服务联系起来的信息和转介系统。
我们在2012年6月至2013年6月期间进行了一项随机对照试验（n = 498），并在3个月和6个月时进行随访。干预措施包括3次邮件发送和1次指导电话。
参与者大多为吸烟者（79.7%）、女性（82.7%）、非裔美国人（83.3%）且未就业（76.5%），家庭年收入为10,000美元或更低（55.6%）。在基线后6个月时，报告家中完全禁止吸烟的干预组参与者显著多于对照组参与者（40.0%对25.4%；P = 0.002）。该干预措施对吸烟者和非吸烟者均有效，无论有无子女的家庭也都有效。
最小化干预措施在促进低收入家庭创建无烟家庭方面有效，并为保护儿童和成年非吸烟者在家中免受二手烟暴露提供了一个潜在可扩展的模式。
