REDUCING MATERNAL SMOKING AT THE PEDIATRIC HEALTH VISIT

这项研究的目的是改善母亲及其子女的健康。 通过鼓励母亲在孩子出生期间戒烟， 儿科健康访视。 该项目使用了 外科医生（1980）-成功戒烟可能发生在 当女性对吸烟的态度从普遍关注 他们自己的健康到一个对个人有重要意义的--他们孩子的健康。 两项干预措施旨在激励儿科患者的母亲 戒烟将相互比较，并与对照干预进行比较 用来衡量基线戒烟率 哥伦布儿童医院的母亲们 初级保健中心（PCC）将符合条件。 PCC主要用于 贫困人口;在以前的调查中，38%的母亲认为自己 成为吸烟者 同意参加的吸烟者将被随机分配 三个小组之一：儿童保健小组、产妇保健小组 (MHG)或对照组（CG）。 信息将从所有 母亲对人口统计学变量，尼古丁依赖， 儿童，戒烟阶段，选择性健康与安全 被动吸烟的危害性。 所有受试者将接受简短（5-10分钟）干预：信息 对于CHG的母亲来说， 他们的孩子，MHG母亲对吸烟的负面影响， 吸烟者自己，并为CG母亲对儿童安全。 我们假设，CHG母亲的长期戒烟率 将显着高于MHG母亲，并且CHG和MHG 母亲戒烟比对照组更成功。 将在入组后1个月和6个月再次联系受试者。 所有的自我- 据报道，戒烟者将进行唾液可替宁测定，以确认他们的 作为非吸烟者。 每组中戒烟者的比例将是 比较，并分析基线变量，以确定哪些是 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.