Enabling Parents Who Smoke to Prevent Their Children From Initiating Smoking

Jackson, Christine; Dickinson, Denise M.

doi:10.1001/archpedi.160.1.56

Cited by 91 publications

(95 citation statements)

References 33 publications

(64 reference statements)

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“…Although smoking as a teenager does not predetermine that one' s adolescent children will smoke, [22][23][24][25][26] our longitudinal trajectories reveal that parental smoking at any age (even before the child is born) increases the chances that their children will smoke. Intervention efforts to heighten parental disapproval of smoking and weaken possible intergenerational influences [45][46][47][48][49][50] should target parents who were smokers at any point from adolescence to adulthood. In addition to parents, the smoking behavior of older siblings should be targeted for prevention efforts.…”

Section: Discussionmentioning

confidence: 99%

Parent and Child Cigarette Use: A Longitudinal, Multigenerational Study

2013

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KEY WORDS cigarette use, multigenerational effects, parent smoking, sibling smoking, socioeconomic background ABBREVIATIONS GPA-grade point average OR-odds ratio YDS-Youth Development Study Dr Vuolo conducted the analyses, drafted the methods and results section, and approved the final manuscript as submitted; and Dr Staff drafted the abstract, introduction, and conclusion sections, and approved the final manuscript as submitted.www.pediatrics.org/cgi

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Section: Discussionmentioning

confidence: 99%

Parent and Child Cigarette Use: A Longitudinal, Multigenerational Study

2013

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“…7 We excluded 3 studies [41][42][43] because their measures of youth smoking were inconsistent with those in the simulation model. We excluded another study 44 because the tobacco intervention was just 1 aspect of an intensive intervention that targeted a range of substance abuse and sexual health behaviors.…”

Section: Effectiveness In Counseling Scenariosmentioning

confidence: 99%

Health Benefits and Cost-Effectiveness of Brief Clinician Tobacco Counseling for Youth and Adults

et al. 2017

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PURPOSE To help clinicians and care systems determine the priority for tobacco counseling in busy clinic schedules, we assessed the lifetime health and economic value of annually counseling youth to discourage smoking initiation and of annually counseling adults to encourage cessation. METHODSWe conducted a microsimulation analysis to estimate the health impact and cost effectiveness of both types of tobacco counseling in a US birth cohort of 4,000,000. The model used for the analysis was constructed from nationally representative data sets and structured literature reviews.RESULTS Compared with no tobacco counseling, the model predicts that annual counseling for youth would reduce the average prevalence of smoking cigarettes during adult years by 2.0 percentage points, whereas annual counseling for adults will reduce prevalence by 3.8 percentage points. Youth counseling would prevent 42,686 smoking-attributable fatalities and increase quality-adjusted life years (QALYs) by 756,601 over the lifetime of the cohort. Adult counseling would prevent 69,901 smoking-attributable fatalities and increase QALYs by 1,044,392. Youth and adult counseling would yield net savings of $225 and $580 per person, respectively. If annual tobacco counseling was provided to the cohort during both youth and adult years, then adult smoking prevalence would be 5.5 percentage points lower compared with no counseling, and there would be 105,917 fewer smoking-attributable fatalities over their lifetimes. Only one-third of the potential health and economic benefits of counseling are being realized at current counseling rates. CONCLUSIONSBrief tobacco counseling provides substantial health benefits while producing cost savings. Both youth and adult intervention are high-priority uses of limited clinician time.

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“…Although blinding of outcome assessors was not reported in several trials, this is unlikely to produce bias in studies that used standardized data collection tools, such as computer-assisted telephone interviewing. Three studies did not report baseline participant data by group (27,30,33), which makes ensuring that groups were comparable at baseline difficult. Both medication trials were rated as fair-quality, primarily because of attrition and compliance concerns.…”

Section: Effects Of Interventions On Smoking Prevalence Initiation mentioning

confidence: 99%

“…No primary care-relevant trials were identified that assessed health outcomes or examined subsequent rates of adult smoking. We identified 18 trials (reported in 22 publications) that examined the efficacy of primary carerelevant interventions in preventing tobacco use initiation or promoting cessation among young persons (Appendix Table 1, available at www.annals.org) (15)(16)(17)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36). We examined all 18 trials for harms related to the intervention and 1 additional trial (37) that reported the harms of bupropion.…”

mentioning

confidence: 99%

Primary Care–Relevant Interventions for Tobacco Use Prevention and Cessation in Children and Adolescents: A Systematic Evidence Review for the U.S. Preventive Services Task Force

Patnode¹,

O’Connor²,

Whitlock³

et al. 2013

Ann Intern Med

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Background: Interventions to prevent smoking uptake or encourage cessation among young persons might help prevent tobaccorelated illness.Purpose: To review the evidence for the efficacy and harms of primary care-relevant interventions that aim to reduce tobacco use among children and adolescents.Data Sources: Three systematic reviews that collectively covered the relevant literature; MEDLINE, PsycINFO, the Cochrane Central Register of Controlled Trials, and the Database of Abstracts of Reviews of Effects through 14 September 2012; and manual searches of reference lists and gray literature.Study Selection: Two investigators independently reviewed 2453 abstracts and 111 full-text articles. English-language trials of behavior-based or medication interventions that were relevant to primary care and reported tobacco use, health outcomes, or harms were included. Data Extraction:One investigator abstracted data from good-and fair-quality trials into an evidence table, and a second checked these data.Data Synthesis: 19 trials (4 good-quality and 15 fair-quality) that were designed to prevent tobacco use initiation or promote cessation (or both) and reported self-reported smoking status or harms were included. Pooled analyses from a random-effects metaanalysis suggested a 19% relative reduction (risk ratio, 0.81 [95% CI, 0.70 to 0.93]; absolute risk difference, Ϫ0.02 [CI, Ϫ0.03 to 0.00]) in smoking initiation among participants in behavior-based prevention interventions compared with control participants. Neither behavior-based nor bupropion cessation interventions improved cessation rates. Findings about the harms related to bupropion use were mixed. Limitations:No studies reported health outcomes. Interventions and measures were heterogeneous. Most trials examined only cigarette smoking. The body of evidence was largely published 5 to 15 years ago. Conclusion:Primary care-relevant interventions may prevent smoking initiation over 12 months in children and adolescents. Primary Funding Source: Agency for Healthcare Research and Quality.Ann Intern Med. 2013;158:253-260. www.annals.org For author affiliations, see end of text. This article was published at www.annals.org on 11 December 2012. T obacco use is the leading cause of preventable death in the United States. An estimated 443 000 deaths occur annually that are attributable to smoking (1). Despite the fact that the legal age for purchasing tobacco products in the United States is 18 years (2), every day more than 3800 children and adolescents aged 12 to 17 years have their first cigarette, and an estimated 1000 young persons begin smoking on a daily basis (3). In 2011, 23.4% of high school students reported that they currently used a tobacco product (4,5).Reducing the prevalence of youth tobacco use can occur through 2 primary means: by decreasing the proportion of nonusing children who initiate tobacco use or by increasing the proportion of current users who quit. These strategies can occur within large community environments (mass media campaigns or state-level ...

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Enabling Parents Who Smoke to Prevent Their Children From Initiating Smoking

Abstract: Children in the pre-initiation phase of smoking who receive antismoking socialization from their parents are less likely to initiate smoking, even if their parents smoke.

Cited by 91 publications

References 33 publications

Parent and Child Cigarette Use: A Longitudinal, Multigenerational Study

Parent and Child Cigarette Use: A Longitudinal, Multigenerational Study

Health Benefits and Cost-Effectiveness of Brief Clinician Tobacco Counseling for Youth and Adults

Primary Care–Relevant Interventions for Tobacco Use Prevention and Cessation in Children and Adolescents: A Systematic Evidence Review for the U.S. Preventive Services Task Force

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