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How to minimize children's environmental tobacco smoke exposure: an intervention in a clinical setting in high risk areas
Jönköping University, School of Health Science, HHJ. CHILD. Department of Clinical and Experimental Medicine, Division of Paediatrics, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Department of Medicine and Health, Division of Nursing Science, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Department of Health and Society, University College of Kristianstad, Kristianstad, Sweden.
Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare. Jönköping University, The Jönköping Academy for Improvement of Health and Welfare.
2013 (English)In: BMC Pediatrics, ISSN 1471-2431, Vol. 13, no 76Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Despite the low prevalence of daily smokers in Sweden, children are still being exposed to environmental tobacco smoke (ETS), primarily by their smoking parents. A prospective intervention study using methods from Quality Improvement was performed in Child Health Care (CHC). The aim was to provide nurses with new methods for motivating and supporting parents in their efforts to protect children from ETS exposure. METHOD: Collaborative learning was used to implement and test an intervention bundle. Twenty-two CHC nurses recruited 86 families with small children which had at least one smoking parent. Using a bundle of interventions, nurses met and had dialogues with the parents over a one-year period. A detailed questionnaire on cigarette consumption and smoking policies in the home was answered by the parents at the beginning and at the end of the intervention, when children also took urine tests to determine cotinine levels. RESULTS: Seventy-two families completed the study. Ten parents (11%) quit smoking. Thirty-two families (44%) decreased their cigarette consumption. Forty-five families (63%) were outdoor smokers at follow up. The proportion of children with urinary cotinine values of >6 ng/ml had decreased. CONCLUSION: The intensified tobacco prevention in CHC improved smoking parents' ability to protect their children from ETS exposure.

Place, publisher, year, edition, pages
2013. Vol. 13, no 76
Keyword [en]
Children, Child Health Care, Tobacco smoke prevention, Passive smoking
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:hj:diva-22879DOI: 10.1186/1471-2431-13-76ISBN: 1471-2431 (Electronic) 1471-2431 (Linking) OAI: oai:DiVA.org:hj-22879DiVA: diva2:681769
Available from: 2013-12-20 Created: 2013-12-20 Last updated: 2013-12-20Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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