Reducing maternal smoking and relapse: long-term evaluation of a pediatric intervention.
Reducing maternal smoking and relapse: long-term evaluation of a pediatric intervention.
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减少母亲吸烟和复吸：儿科干预的长期评估。
DOI：
10.1006/pmed.1996.9983
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Akers,L
中科院分区：
文献类型：
--
作者：
Severson,HH;Andrews,JA;Lichtenstein,E;Wall,M;Akers,L
背景儿科健康护理访问提供了一个临床机会，就吸烟和环境烟草烟雾(ETS)对婴儿健康的有害影响向新妈妈提供咨询。方法俄勒冈州49个儿科办公室招募了2901名正在吸烟或因怀孕而戒烟的妇女，在新生儿第一次办公室访问时进行了简短的调查。随机分配的办公室在产后6个月的每一次良好护理访问中向母亲提供建议和材料，以促进戒烟或预防复发。结果干预措施在6个月时减少了吸烟(5.9%比2.7%)和复发(55%比45%)，但12个月的Logistic回归分析显示没有显著的治疗效果。干预对次要结果变量有积极影响，如戒烟意愿、对ETS的态度和知识。多因素Logistic回归分析显示，丈夫/伴侣吸烟是母亲戒烟或复发的最强预测因素。结论儿科办公室干预对新生儿母亲吸烟和预防复发有显著影响，但效果随时间延长而减弱。持续不断地提示提供者在护理访问中提供简短的建议和材料，可以提供一种低成本的干预措施，以减少婴儿ETS的暴露。
BackgroundPediatric well-care visits provide a clinical opportunity to counsel new mothers about their smoking and the deleterious effects of environmental tobacco smoke (ETS) on infant health.MethodsForty-nine Oregon pediatric offices enrolled 2,901 women who were currently smoking or had quit for pregnancy, using a brief survey at the newborn's first office visit. Randomly assigned offices provided advice and materials to mothers at each well-care visit during the first 6 months postpartum to promote quitting or relapse prevention.ResultsThe intervention reduced smoking (5.9% vs 2.7%) and relapse (55% vs 45%) at 6-month follow-up, but logistic regression analysis at 12 months revealed no significant treatment effect. The intervention had a positive effect on secondary outcome variables, such as readiness to quit and attitude toward and knowledge of ETS. Multiple logistic regression analysis indicated that husband/partner smoking was the strongest predictor of maternal quitting or relapse.ConclusionsA pediatric office-based intervention can significantly affect smoking and relapse prevention for mothers of newborns, but the effect decreases with time. Consistent prompting of the provider to give brief advice and materials at well-care visits could provide a low-cost intervention to reduce infant ETS exposure.