Old Dominion University School of Community and Environmental Health, 1014 W. 46th Street, Norfolk, VA 23529, United States.
The Ohio State University College of Public Health, 1841 Neil Ave., Cunz Hall, Columbus, OH 43210, United States.
Disabil Health J. 2018 Jul;11(3):461-465. doi: 10.1016/j.dhjo.2018.01.007. Epub 2018 Feb 4.
People with developmental disabilities are not immune from the addictive effects and poor health outcomes associated with cigarette use. Direct support professionals often play a large role in the social environments of people with developmental disabilities and the literature suggests that one's environment can influence behavior.
To examine the relationship between the smoking behaviors of people with developmental disabilities and their direct support professional providers. Two exploratory aims of the study were to assess how direct support professionals facilitate smoking behaviors and to describe the use of home smoking policies.
The Ohio Department of Disabilities' online provider search database was used to randomly select participants. A total of 398 direct support professionals completed an online survey about smoking. Direct support professionals served as proxy reporters for the smoking behaviors of those with developmental disabilities. Descriptive statistics were calculated and Chi-Square tests were used.
Findings suggest that there was no significant relationship (χ = 0.300, p = 0.584) between the current smoking behaviors of people with developmental disabilities and their direct support providers. Direct support professionals were most likely to facilitate smoking behaviors by allowing people with developmental disabilities to smoke in front of them and waiting for them to finish smoking before moving on to a new activity. Approximately 46% of people with developmental disabilities were reported to have some type of home smoking policy.
Future research is needed to better understand the reasons why people with developmental disabilities initially start smoking and continue to smoke.
发展障碍人士并非免受吸烟相关成瘾影响和健康不良后果的影响。直接支持专业人员通常在发展障碍人士的社会环境中扮演重要角色，并且文献表明，一个人的环境可以影响行为。
研究发展障碍人士的吸烟行为与其直接支持专业人员之间的关系。该研究有两个探索性目的，评估直接支持专业人员如何促进吸烟行为，并描述家庭吸烟政策的使用。
俄亥俄州残疾部门的在线提供商搜索数据库被用来随机选择参与者。共有 398 名直接支持专业人员完成了一项关于吸烟的在线调查。直接支持专业人员作为发展障碍人士吸烟行为的代理报告人。计算了描述性统计数据，并使用了卡方检验。
研究结果表明，发展障碍人士的当前吸烟行为与其直接支持提供者之间没有显著关系（χ=0.300，p=0.584）。直接支持专业人员最有可能通过允许发展障碍人士在他们面前吸烟并等待他们吸烟完毕后再进行新活动来促进吸烟行为。大约 46%的发展障碍人士被报告有某种类型的家庭吸烟政策。
需要进一步研究以更好地了解发展障碍人士最初开始吸烟并持续吸烟的原因。
