The Influence of Health Messaging Source and Frequency on Maternal Smoking and Child Exposure among Low-Income Mothers.
The Influence of Health Messaging Source and Frequency on Maternal Smoking and Child Exposure among Low-Income Mothers.
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DOI：
10.1080/17538068.2016.1231858
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发表时间：
2016
影响因子：
--
通讯作者：
Collins BN
中科院分区：
文献类型：
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作者：
Lavery AM;Nair U;Bass SB;Collins BN
解决母亲吸烟和儿童烟草烟雾暴露问题仍然是一个公共卫生优先事项，特别是在低收入、服务不足的人群中，这些人群已知经历了最高的烟草烟雾暴露发生率和与烟草相关的发病率/死亡率。关于高危人群收到的TSE信息的类型，以及哪些沟通渠道在促进吸烟者保护儿童免受TSE感染方面具有影响力，人们知之甚少。这项研究的目的是检查报告的来源和减少TSE的频率之间的联系，母亲吸烟者收到的健康信息，以及信息对吸烟和TSE减少相关行为的影响。来自宾夕法尼亚州费城低收入社区的母亲吸烟者参加了家庭无烟家庭规则(FRESH)试验(N=359)，她们是在基线上登记的。每个参与者都完成了60分钟的家庭基线访谈，其中包括关于他们的吸烟史、当前的吸烟模式、儿童的TSE以及他们在注册之前收到的与TSE相关的健康信息的问题。多变量分析被用来确定来源信息对母亲关于婴儿TSE的知识、行为和意图的影响。结果表明，不同的信息来源可能会对吸烟行为和改变意图产生不同的影响。例如，来自医疗保健和牙科提供者的消息可能会影响保护儿童免受TSE影响的努力，而朋友和家人可能会影响戒烟的意愿。未来的研究可能会检验多层次健康沟通策略的价值，利用医疗保健提供者的建议，并得到家人和同龄人的支持，以帮助促进这一产后吸烟者这一高危群体的吸烟行为改变。
Addressing maternal smoking and child tobacco smoke exposure (TSE) remains a public health priority, particularly in low-income, underserved populations which are known to experience the highest TSE rates and tobacco-related morbidity/mortality. Little is known about the types of TSE messaging received in high-risk populations, and which communication channels are influential in promoting smokers’ efforts to protect children from TSE. The purpose of this study was to examine associations between reported sources and frequency of TSE-reduction health messages maternal smokers received and the effects of the messaging on smoking-and TSE-reduction related behaviors. Maternal smokers from low-income communities in Philadelphia, Pennsylvania who were enrolled at baseline in the Family Rules for Establishing Smokefree Homes (FRESH) trial (N=359) were included in this study. Each participant completed a 60-minute in-home baseline interview, which included questions about their smoking history, current smoking patterns, children’s TSE, and the TSE-related health messaging they had received prior to enrollment. Multivariable analyses were conducted to determine the effect of source messaging on mothers’ knowledge, behavior, and intention regarding their baby’s TSE. Results suggest that different sources of messaging may differentially impact smoking behavior and intention to change. For example, messaging from healthcare and dental providers may influence efforts to protect children from TSE whereas friends and family may influence intention to quit. Future studies could examine the value of multilevel health communication strategies, utilizing advice from healthcare providers that is augmented by family and peers to help promote smoking behavior change in this high-risk group of underserved postpartum smokers.