Brief intervention on maternal smoking:: a randomized controlled trial
Brief intervention on maternal smoking:: a randomized controlled trial
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DOI：
10.1111/j.1365-2214.2006.00570.x
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发表时间：
2006-01-01
影响因子：
1.9
通讯作者：
Yilmaz, T
中科院分区：
文献类型：
--
作者：
Yilmaz, G;Karacan, C;Yilmaz, T
目的为了确定是否母亲接受戒烟干预强调环境烟草烟雾（ETS）对他们的孩子的健康风险有较高的戒烟率比母亲谁收到常规戒烟的建议，侧重于自己的健康，或对照组的mothers.Setting三级转诊centration.Methods随机对照试验。共有363名母亲被随机分配到一个戒烟干预，目的是他们的孩子的健康（n = 111）或自己的健康（n = 131），或对照组，不接受戒烟建议（n = 121）结果向两组母亲提供烟草烟雾的健康风险导致戒烟率和吸烟地点显著增加儿童干预组戒烟率和吸烟场所改变率均显著高于母亲干预组（P < 0.05）。干预后各组知识得分差异有统计学意义，但儿童干预组是唯一显著优于其他组（P < 0.05）。多因素分析结果显示，干预分组和有吸烟朋友是影响戒烟的独立因素（P < 0.05）。干预分组、干预后知识、是否有其他吸烟家庭成员、家庭收入是影响吸烟地点改变的独立因素（P < 0.05）。家庭收入、干预分组和是否有吸烟朋友是影响干预后知识的独立因素（P < 0.05）。结论在儿童短期访视中讨论吸烟对儿童或母亲健康的影响可能会导致显著的戒烟率、吸烟地点改变率或知识改变。那些无法戒烟的人通常会改变吸烟的地点。提供关于吸烟对儿童健康而不是对母亲健康的影响的信息，可能会导致行为或知识方面更重大的变化。关于吸烟的孕产妇教育应包括关于吸烟对儿童和孕产妇健康影响的信息，但应特别侧重于儿童健康。
Objectives To determine if mothers receiving a smoking cessation intervention emphasizing health risks of environmental tobacco smoke (ETS) for their children have a higher quit rate than mothers who received routine smoking cessation advice, which focused on their own health, or a control group of mothers.Setting Tertiary referral centre.Methods Randomized control trial. A total of 363 mothers were randomly assigned to a smoking cessation intervention either aimed at their children's health (n = 111) or their own health (n = 131), or to a control group receiving no smoking cessation advice (n = 121).Results Provision to mothers of both groups of health risks of tobacco smoke resulted in significantly higher rate of cessation of smoking and smoking location change than those of the control group, with child intervention group having significantly higher rate of cessation of smoking and smoking location change than those of the maternal intervention group (P < 0.05). Post-intervention knowledge scores differed significantly for all groups; however, child intervention group was the only significantly better group than the others (P < 0.05). According to the multivariate analysis results, intervention grouping and presence of smoking friends were independent factors determining smoking cessation (P < 0.05). Intervention grouping, post-intervention knowledge, presence of other household members who smoked and family income were independent factors determining smoking location change (P < 0.05). Family income, intervention grouping and presence of smoking friends were significant independent factors influencing post-intervention knowledge (P < 0.05).Conclusion Discussion during short paediatric visits on effects of smoking on child's or maternal health may result in a significant smoking cessation, smoking location change rate or knowledge change. Those who cannot give up smoking usually change their location of smoking. Provision of information on effects of smoking on child's health, rather than maternal, may result in more significant changes in behaviour or knowledge. Maternal education on smoking should include information on effects of smoking on both child's and maternal health, but should be especially focused on child's health.