Strict smoke-free home policies among smoking parents in pediatric settings.
Strict smoke-free home policies among smoking parents in pediatric settings.
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DOI：
10.1016/j.acap.2013.06.003
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发表时间：
2013-11
影响因子：
3.1
通讯作者：
Winickoff, Jonathan P.
中科院分区：
文献类型：
--
作者：
Ossip, Deborah J.;Chang, Yuchiao;Nabi-Burza, Emara;Drehmer, Jeremy;Finch, Stacia;Hipple, Bethany;Rigotti, Nancy A.;Klein, Jonathan D.;Winickoff, Jonathan P.
研究在儿科办公室评估的吸烟父母中严格的无烟家庭政策。我们分析了在一项全国性的儿科办公室烟草控制干预试验（防止二手烟暴露的临床努力，CEASE）中来自10个控制实践的基线家长调查数据。我们使用逻辑回归模型与广义估计方程来研究与严格的无烟家庭政策相关的因素。研究对象为952名目前吸烟的父母。超过一半（54.3%）的受访者表示，他们的家中有严格的无烟政策。很少有人报告被儿科医生询问（19.9%）或建议（17.1%）有关政策。与政策几率较高相关的因素是5岁或以下的儿童（校正比值比[aOR] 2.43，95%置信区间[CI] 1.53，3.86），非黑人人种/种族（aOR 2.17-2.60，95% CI 1.25-5.00），非Medicaid（HMO/私立（aOR 1.84，95% CI 1.31，2.58）;自费/其他aOR 1.76，95% CI 1.12，2.78）;健康儿童与患病儿童访视（aOR 1.61，95% CI 1.11，2.34），每天少于10支烟（aOR 1.80，95% CI 1.31，2.47），无其他家庭吸烟者（aOR 1.68，95% CI 1.26，2.25）、只有父亲吸烟（aOR 1.73，95% CI 1.06，2.83）和严格的无烟车政策（aOR 3.51，95% CI 2.19，5.64）。近一半的吸烟父母没有严格的无烟家庭政策。如果父母是重度吸烟者，黑人，与其他吸烟者一起生活，或参加生病的儿童访问，如果他们没有年幼的孩子或无烟汽车政策，如果他们有一个孩子在医疗补助计划中，如果除了父亲之外的任何人吸烟，父母不太可能报告政策。很少有儿科医生在办公室访问中提到或建议严格的无烟家庭政策。儿科办公室的遭遇代表了目前错过的关于无烟家庭干预的机会，特别是对高危人群。
To examine strict smoke-free home policies among smoking parents assessed in pediatric offices. We analyzed baseline parental survey data from 10 control practices in a national trial of pediatric office-based tobacco control interventions (Clinical Effort Against Second-hand Smoke Exposure, CEASE). We used logistic regression models with generalized estimating equations to examine factors associated with strict smoke-free home policies. Subjects were 952 parents who were current smokers. Just over half (54.3%) reported strict smoke-free home policies. Few reported being asked (19.9%) or advised (17.1%) regarding policies by pediatricians. Factors associated with higher odds of policies were child 5 years or younger (adjusted odds ratio [aOR] 2.43, 95% confidence interval [CI] 1.53, 3.86), nonblack race/ethnicity (aORs 2.17–2.60, 95% CIs 1.25–5.00), non-Medicaid (HMO/private (aOR 1.84, 95% CI 1.31, 2.58); self-pay/other aOR 1.76, 95% CI 1.12, 2.78); well-child versus sick child visit (aOR 1.61, 95% CI 1.11, 2.34), fewer than 10 cigarettes per day (aOR 1.80, 95% CI 1.31, 2.47), no other home smokers (aOR 1.68, 95% CI 1.26, 2.25), only father smoking (aOR 1.73, 95% CI 1.06, 2.83), and strict smoke-free car policy (aOR 3.51, 95% CI 2.19, 5.64). Nearly half of smoking parents did not have strict smoke-free home policies. Parents were less likely to report policies if they were heavier smokers, black, living with other smokers, or attending a sick child visit; if they did not have a young child or smoke-free car policy; if they had a child on Medicaid; and if anyone other than only the father smoked. Few pediatricians addressed or recommended strict smoke-free home policies in an office visit. The pediatric office encounter represents a currently missed opportunity to intervene regarding smoke-free homes, particularly for high-risk groups.
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DOI：
10.3390/ijerph8020411
发表时间：
2011-02
影响因子：
--
作者：
King BA;Hyland AJ;Borland R;McNeill A;Cummings KM
通讯作者：
Cummings KM
影响因子：
10.4
作者：
Matt GE;Quintana PJ;Destaillats H;Gundel LA;Sleiman M;Singer BC;Jacob P;Benowitz N;Winickoff JP;Rehan V;Talbot P;Schick S;Samet J;Wang Y;Hang B;Martins-Green M;Pankow JF;Hovell MF
通讯作者：
Hovell MF
影响因子：
5.2
作者：
Borland, R.;Yong, H-H;Fong, G. T.
通讯作者：
Fong, G. T.
影响因子：
2.7
作者：
Fisher, Laurie B.;Winickoff, Jonathan P.;Frazier, A. Lindsay
通讯作者：
Frazier, A. Lindsay
影响因子：
2.7
作者：
Hang, Bo;Sarker, Altaf H.;Gundel, Lara A.
通讯作者：
Gundel, Lara A.