REDUCING MATERNAL SMOKING AT THE PEDIATRIC HEALTH VISIT

这项研究的目的是改善母亲和她们的健康 通过鼓励母亲在他们的孩子 儿科健康探视。该项目使用了 卫生局局长(1980)--成功戒烟可能发生在 当女性对吸烟的态度从普遍关注的 他们自己的健康对个人来说很重要--他们孩子的健康。 两项旨在激励儿科患者母亲 戒烟将被相互比较，并与控制干预进行比较 这将衡量基线戒烟率。 哥伦布儿童医院病人的母亲 初级保健中心(PCC)将符合条件。委员会在很大程度上服务于 贫困人口；38%的母亲在以前的调查中认为自己 成为吸烟者。同意参加的吸烟者将被随机分配 到以下三个组之一：儿童健康组(CHG)、产妇健康组 (MHG)或对照组(CG)。信息将从所有人那里获得 母亲对人口统计变量、尼古丁依赖、对健康的感知 儿童，戒烟阶段，选定的健康和安全 行为，以及对被动吸烟危害的认识。 所有受试者将接受简短的(5-10分钟)干预：信息 对于CHG母亲来说，吸烟对健康的风险只有 他们的孩子，对于MHG的母亲来说吸烟的负面影响 吸烟者本人，以及CG母亲对儿童安全的关注。 我们假设CHG母亲的长期戒烟率 将显著大于MHG母亲，并且CHG和MHG都 母亲在戒烟方面会比对照组更成功。 受试者将在注册后1个月和6个月重新联系。全是自己人- 报告戒烟的人将进行唾液可替宁检测，以确认他们的 身份为非吸烟者。每组中放弃者的比例为 比较，将分析基线变量，以查看哪些是 与成功戒烟有关。

The purpose of this study is to improve the health of mothers and their children by encouraging maternal smoking cessation during their child's pediatric health visit. The project uses a rationale mentioned by the Surgeon General (1980) -- that successful smoking cessation may occur in women when their attitudes about smoking shift from a general concern for their own health to one of personal significance -- their child's health. Two interventions designed to motivate mothers of pediatric patients to quit smoking will be compared to each other and to a control intervention which will measure the baseline quit rate. Mothers of children who are patients at the Columbus Children's Hospital Primary Care Center (PCC) will be eligible. The PCC serves a largely indigent population; 38% of mothers in prior surveys considered themselves to be smokers. Smokers who agree to participate will be randomly assigned to one of three groups: Child Health Group (CHG), Maternal Health Group (MHG) or Control Group (CG). Information will be obtained from all mothers on demographic variables, nicotine dependence, perceived health of the child, stage of smoking cessation, selected health and safety behaviors, and knowledge of risks of passive smoking. All subjects will receive a brief (5-10 minute) intervention: Information for CHG mothers will be only on the health risks of their smoking for their children, for MHG mothers on the negative effects of smoking for the smoker herself, and for CG mothers on child safety. We hypothesize that long-term smoking cessation rates among CHG mothers will be significantly greater than MHG mothers, and that both CHG and MHG mothers will be more successful at quitting than controls. Subjects will be recontacted at 1 and 6 months post enrollment. All self- reported quitters will have a saliva cotinine assay to confirm their status as non-smokers. The proportion of quitters in each group will be compared, and baseline variables will be analyzed to see which are associated with successful smoking cessation.