A pilot study of concurrent lead and cotinine screening for childhood tobacco smoke exposure: effect on parental smoking.
A pilot study of concurrent lead and cotinine screening for childhood tobacco smoke exposure: effect on parental smoking.
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DOI：
10.4278/ajhp.120912-arb-445
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发表时间：
2014-05
期刊：
影响因子：
--
通讯作者：
Winickoff JP
中科院分区：
文献类型：
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作者：
Joseph A;Murphy S;Thomas J;Okuyemi KS;Hatsukami D;Wang Q;Briggs A;Doyle B;Winickoff JP
研究在健康儿童探视期间同时进行烟草烟雾暴露(TSE)生物标志物筛查方法是否会增加父母戒烟和实施家庭吸烟限制。观察性的，准实验性的。明尼苏达州明尼阿波利斯市的儿科诊所。80名吸烟的父母和他们的孩子前来看望健康的孩子。对干预组儿童进行血铅筛查，测定血清可替宁。实验室结果被发送给服务提供者和家长，一名顾问主动联系家长，提供为期八节的电话干预，帮助家长戒烟。对照组为历史对照组，接受常规护理。父母吸烟，参与烟草治疗，以及8周后在家和汽车内吸烟的政策。连续数据的平均值/标准差或分类数据的频率/百分比。84%的合格父母同意让他们的孩子在进行铅测试的同时进行TSE测试。在93%的儿童中发现了可测量的可替宁。干预组中接受烟草治疗的父母比对照组多(74%比0%)，更多的父母报告在8周时普遍进行7天点戒烟(29%比3%)。这些数据证明了在常规的正常儿童铅筛查中增加可替宁测量以记录儿童TSE的可行性。数据表明，向父母提供这些信息可以增加对烟草治疗的参与度，并促使他们戒烟。
To investigate whether a biomarker screening approach for tobacco smoke exposure (TSE) conducted concurrently with lead screening at well-child visits would increase parental smoking cessation and implementation of home smoking restrictions. Observational, quasi-experimental. Pediatric clinic in Minneapolis, Minnesota. Eighty parents who smoked and their children presenting for well-child visits. Children in the intervention group had serum cotinine measured with lead screening. Laboratory results were sent to providers and parents and a counselor proactively contacted parents to offer an eight-session telephone intervention to help parents stop smoking. The comparison group, a historical control, received usual care. Parental smoking, engagement in tobacco treatment, and home and car smoking policies 8 weeks later. Mean/standard deviation for continuous data or frequency/percentage for categorical data. Eighty-four percent of eligible parents agreed to have their child tested for TSE along with lead testing. Measurable cotinine was identified in 93% of children. More parents in the intervention group received tobacco treatment than in the comparison group (74% vs. 0%) and more parents reported 7-day point-prevalent abstinence from smoking at 8 weeks (29% vs. 3%). These data demonstrate the feasibility of adding cotinine measurement to routine well-child lead screening to document TSE in small children. Data suggest providing this information to parents increases engagement in tobacco treatment and prompts smoking cessation.