Amsterdam UMC, Department of Public Health, Amsterdam Public Health Research Institute, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Department of Public Health, Public Health Service Kennemerland, Zijlweg 200, 2015 CK Haarlem, The Netherlands.
Int J Environ Res Public Health. 2019 Dec 27;17(1):222. doi: 10.3390/ijerph17010222.
With the aim of preventing children from being exposed to secondhand smoke, we examined to which level lower socio-economic status (SES) households had implemented home smoking rules and the factors that hampered parents in their process of change toward a complete smoke-free home (SFH). We conducted a qualitative study including semi-structured in-depth interviews with 14 parents of young children living in a lower SES neighborhood of a provincial town in the Netherlands. Interview transcripts were subjected to a qualitative content analysis. Three distinct levels of SFH implementation emerged: complete SFH, flexible SFH, and partial SFH. Differences between parents at these three levels essentially concerned: (1) the role of child-related moral considerations in their motivation for an SFH; (2) whether they felt they had the agency to set and enforce home smoking rules; (3) the difficulties they experienced in changing their smoking habit from smoking indoors to smoking outdoors. Parents also had different opinions about the role their children could play in facilitating the parental process of change. We conclude that the current level of SFH implementation may serve as a starting point for developing tailored interventions. Such interventions should probably address other factors than the commonly used awareness-knowledge-commitment approach.
为了防止儿童接触二手烟，我们研究了社会经济地位（SES）较低的家庭在多大程度上实施了家庭吸烟规定，以及哪些因素阻碍了父母将家庭完全禁烟（SFH）的过程。我们进行了一项定性研究，包括对 14 名居住在荷兰一个省级城镇 SES 较低社区的幼儿家长进行半结构化深入访谈。访谈记录进行了定性内容分析。出现了三种不同水平的 SFH 实施：完全 SFH、灵活 SFH 和部分 SFH。处于这三个水平的父母之间的差异主要涉及：（1）与孩子相关的道德考虑在其 SFH 动机中的作用；（2）他们是否认为自己有能力制定和执行家庭吸烟规定；（3）他们在将吸烟习惯从室内吸烟改为室外吸烟时所经历的困难。父母们对孩子在促进父母改变过程中可以发挥的作用也有不同的看法。我们得出结论，当前 SFH 的实施水平可以作为制定定制干预措施的起点。这些干预措施可能需要解决比常用的意识-知识-承诺方法更广泛的因素。
