Effectiveness of a Household Environmental Health Intervention Delivered by Rural Public Health Nurses

Effectiveness of a Household Environmental Health Intervention Delivered by Rural Public Health Nurses
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DOI:
10.2105/ajph.2011.300164
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发表时间:
2011-01-01
影响因子:
12.7
通讯作者:
Odom-Maryon, Tamara
Odom-Maryon, Tamara
中科院分区:
医学2区
文献类型:
--
作者:
Butterfield, Patricia G.;Hill, Wade;Odom-Maryon, Tamara

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目标。父母如果要减少对子女的家庭环境健康风险,就需要有意义和可操作的信息。为了解决这一问题,我们测试了多风险社会/认知干预对农村低收入父母(1)环境健康自我效能感和(2)环境健康预防收养阶段的有效性。从蒙大拿州和华盛顿州的235个家庭(399名成人,441名儿童)中收集了生物标志物(铅、可替宁)和家庭样本(一氧化碳、氡、霉菌/霉菌和饮用水污染物)。家庭被随机分配到干预组或对照组;公共卫生护士对干预家庭进行了4次访问,为家长提供了量身定制的信息和指导;对照组接受常规和习惯的公共卫生服务。在3个月时,干预组在(1)所有6个风险特异性自我效能量表(P
Objectives. Parents need meaningful and actionable information if they are to reduce household environmental health risks to their children. To address this issue, we tested the effectiveness of a multi-risk social/cognitive intervention on rural low-income parents' (1) environmental health self-efficacy and (2) stage of environmental health precautionary adoption.Methods. Biomarker (lead, cotinine) and household samples (carbon monoxide, radon, mold/mildew, and drinking water contaminants) were collected from 235 families (399 adults, 441 children) in Montana and Washington states. Families were randomly assigned to intervention or control groups; intervention families received 4 visits from public health nurses who provided tailored information and guidance to parents; controls received usual and customary public health services.Results. At 3 months, the intervention group had significantly higher scores on (1) all 6 risk-specific self-efficacy subscales (P