Suteerangkul Peeraya, Lagampan Sunee, Kalampakorn Surintorn, Auemaneekul Naruemon
School of Nursing, Eastern Asia University, Pathumthani, Thailand.
Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Tob Induc Dis. 2021 May 10;19:35. doi: 10.18332/tid/133876. eCollection 2021.
Smoking inside the home affects the health of both the smoker and family members via secondhand exposure. This research examined the impact of a community participation program on creating smoke-free homes in a suburban community in Thanyaburi district, Pathumthani province in Thailand.
The study involved families, with a smoker in the home, that were randomly assigned to intervention and control groups each containing 27 families. The intervention group was administered with the community participation program for smoke-free homes for 5 sessions during the 6-month period of study. The program included providing information on secondhand smoking and harms, knowledge about quitting smoking and healthcare support, practice skills, campaigns in the community, visiting and encouraging, and reflecting and evaluation. The control group was normally treated by the community committee and health volunteers. Data collection was undertaken at baseline and at 6 months after implementation by an interview with questionnaires.
Our results show that after the implementation, the intervention group reported significantly higher mean score on skills in negotiating with smokers for a smoking-ban inside home and mean score on emotional support for non-smoking inside the home than those at baseline and those of the control group. The proportion having smoking ban home rules in the intervention group was significantly higher than at baseline and that of the control group (92.6% vs 18.5%). The proportion of smoke-free homes was higher in the intervention than in the control group (75% vs 0%).
These findings suggest that community participation programs for smoke-free home may be effective in raising awareness on the impact of secondhand smoke among family members and in working together to manage smoke-free home environments. The program may be applicable for further development within communities to achieve smoke-free homes.
在家中吸烟会通过二手烟暴露影响吸烟者和家庭成员的健康。本研究考察了一项社区参与计划对泰国巴吞他尼府塔亚布里区一个郊区社区创建无烟家庭的影响。
该研究涉及家中有吸烟者的家庭，这些家庭被随机分为干预组和对照组，每组各有27个家庭。在为期6个月的研究期间，干预组接受了为期5次的无烟家庭社区参与计划。该计划包括提供二手烟及其危害的信息、戒烟知识和医疗支持、实践技能、社区宣传活动、走访与鼓励，以及反思与评估。对照组由社区委员会和健康志愿者进行常规治疗。通过问卷调查访谈在基线期和实施后6个月进行数据收集。
我们的结果表明，实施该计划后，干预组在与吸烟者协商在家中禁烟的技能以及对家中非吸烟行为的情感支持方面的平均得分显著高于基线期得分以及对照组得分。干预组制定家中禁烟规定的比例显著高于基线期和对照组（92.6%对18.5%）。干预组的无烟家庭比例高于对照组（75%对0%）。
这些发现表明，无烟家庭社区参与计划可能有效地提高家庭成员对二手烟影响的认识，并共同努力营造无烟家庭环境。该计划可能适用于在社区内进一步开展，以实现无烟家庭。
