Motivation to quit smoking among parents of urban children with asthma
Motivation to quit smoking among parents of urban children with asthma
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DOI：
10.1016/j.pec.2009.09.004
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发表时间：
2010-05-01
影响因子：
3.5
通讯作者：
Blaakman, Susan
中科院分区：
文献类型：
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作者：
Halterman, Jill S.;Borrelli, Belinda;Blaakman, Susan
目的：探讨影响城市哮喘患儿家长戒烟动机的因素。方法：我们分析了参加以学校为基础的哮喘治疗（SBAT）试验的吸烟和有孩子的父母的数据。我们评估了哮喘症状、儿童的可替宁和父母的吸烟行为。戒烟的动机是通过10分的连续测量来评估的（1分，完全没有动机；10分，非常有动机）。结果：209名家长吸烟（占样本的39%），儿童平均可替宁为2.48 ng/ml。戒烟动机平均为6.9分，47%的父母在量表上得分为bb0 = 8分。认为孩子的哮喘没有得到很好的控制的父母，以及强烈同意孩子的哮喘症状如果戒烟会减轻的父母，与其他父母相比，戒烟的动机更高（p < 0.05）。在一项多变量分析中，那些认为孩子的哮喘没有得到控制的父母有两倍多的几率报告说他们有很高的戒烟动机。结论：家长对吸烟对哮喘患儿危害的认知与戒烟动机相关。实践启示：提高对吸烟和戒烟对儿童哮喘影响的认识可能会增加父母戒烟的动机。2009爱思唯尔爱尔兰有限公司版权所有。
Objective: To identify factors associated with motivation to quit smoking among parents of urban Children with asthma.Methods: We analyzed data from parents who smoke and had a child enrolled in the School-Based Asthma Therapy (SBAT) trial. We assessed asthma symptoms, children's cotinine, and parent smoking behaviors. Motivation to quit smoking was assessed by a 10-point continuous measure (1, not at all motivated; 10, very motivated).Results: 209 parents smoked (39% of sample), and children's mean cotinine was 2.48 ng/ml. Motivation to quit was on average 6.9, and 47% of parents scored >= 8 on the scale. Parents who believed their child's asthma was not under good control, and parents who strongly agreed their child's asthma symptoms would decrease if they stop smoking had higher motivation to quit compared to their counterparts (p < .05). In a multivariate analysis, parents who believed their child's asthma was not under control had more than twice the odds of reporting high motivation to quit.Conclusion: Parents' perception of the risks of smoking to their child with asthma is associated with motivation to quit.Practice implications: Raising awareness about the effect of smoking and quitting on children's asthma might increase motivation to quit among parents. (C) 2009 Elsevier Ireland Ltd. All rights reserved.