Influences on parents’ decisions for home and automobile smoking bans in households with smokers

Binns, Helen J.; O’Neil, Joseph; Benuck, Irwin; Ariza, Adolfo J.

doi:10.1016/j.pec.2008.09.001

Cited by 25 publications

(22 citation statements)

References 36 publications

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“…In a study by Browning et al, health care providers were less likely to assist in smoking cessation in disadvantaged socioeconomic groups [32]. Moreover, Binns et al suggested that a brief communication for PS exposure in children with parents of low socioeconomic status might not be effective [33].…”

Section: Discussionmentioning

confidence: 99%

Addressing Passive Smoking in Children

et al. 2014

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BackgroundA significant number of parents are unaware or unconvinced of the health consequences of passive smoking (PS) in children. Physicians could increase parental awareness by giving personal advice.AimTo evaluate the current practices of three Dutch health professions (paediatricians, youth health care physicians, and family physicians) regarding parental counselling for passive smoking (PS) in children.MethodsAll physicians (n = 720) representing the three health professions in Limburg, the Netherlands, received an invitation to complete a self-administered electronic questionnaire including questions on their: sex, work experience, personal smoking habits, counselling practices and education regarding PS in children.ResultsThe response rate was 34%. One tenth (11%) of the responding physicians always addressed PS in children, 32% often, 54% occasionally and 4% reported to never attend to it. The three health professions appeared comparable regarding their frequency of parental counselling for PS in children. Addressing PS was more likely when children had respiratory problems. Lack of time was the most frequently mentioned barrier, being very and somewhat applicable for respectively 14% and 43% of the physicians. One fourth of the responders had received postgraduate education about PS. Additionally, 49% of the responders who did not have any education about PS were interested in receiving it.ConclusionsPhysicians working in the paediatric field in Limburg, the Netherlands, could more frequently address PS in children with parents. Lack of time appeared to be the most mentioned barrier and physicians were more likely to counsel parents for PS in children with respiratory complaints/diseases. Finally, a need for more education on parental counselling for PS was expressed.

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Section: Discussionmentioning

confidence: 99%

Addressing Passive Smoking in Children

et al. 2014

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“…4 "Home smoking bans" (HSBs) reduce SHSe [10][11][12][13] yet are less common among Black families and those with lower socio-economic status, 8,[13][14][15] further escalating health risks among low-income minority children.…”

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confidence: 99%

“…Health beliefs, such as perceived importance of and confidence to engage in health behaviors, are associated with smoking cessation, 33,34 and the few studies that have examined caregivers' perspectives about SHSe suggest likely links with HSB existence and children's SHSe. 13,14,23,35,36 Despite evidence linking general psychosocial factors and health beliefs with engagement in health behaviors and with children's health outcomes, their potential roles in reducing SHSe among at-risk children have not been examined.…”

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confidence: 99%

Family Beliefs and Behaviors About Smoking and Young Children’s Secondhand Smoke Exposure

Hilliard

Riekert

Hovell

et al. 2014

NICTOB

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“…Results from the International Tobacco Control Four Country Study suggest that among smokers, higher socioeconomic status, presence of a child (particularly a young child) and other nonsmoking adults, positive attitudes to smoke-free public spaces, lower levels of cigarette consumption, beliefs that secondhand smoke causes cancer and smoke-free spaces are the norm, having fewer smoking friends, and having quit or being in the process of quitting are associated with having a smoke-free home policy. 23,24,25 In addition, smoke-free homes are more likely when the smoker is male and in homes with no other household smokers, 17,18 and less likely among African American smokers. 18,23 However, with the exception of 1 report, 21 these prior studies were conducted outside of the pediatric office setting and did not specifically focus on parents, and most relied on national and/or retrospective survey data.…”

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confidence: 99%

Strict Smoke-free Home Policies Among Smoking Parents in Pediatric Settings

Ossip

Chang

Nabi-Burza

et al. 2013

Academic Pediatrics

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Objective To examine strict smoke-free home policies among smoking parents assessed in pediatric offices. Methods We analyzed baseline parental survey data from 10 control practices in a national trial of pediatric office-based tobacco control interventions (Clinical Effort Against Second-hand Smoke Exposure, CEASE). We used logistic regression models with generalized estimating equations to examine factors associated with strict smoke-free home policies. Results Subjects were 952 parents who were current smokers. Just over half (54.3%) reported strict smoke-free home policies. Few reported being asked (19.9%) or advised (17.1%) regarding policies by pediatricians. Factors associated with higher odds of policies were child 5 years or younger (adjusted odds ratio [aOR] 2.43, 95% confidence interval [CI] 1.53, 3.86), nonblack race/ethnicity (aORs 2.17–2.60, 95% CIs 1.25–5.00), non-Medicaid (HMO/private (aOR 1.84, 95% CI 1.31, 2.58); self-pay/other aOR 1.76, 95% CI 1.12, 2.78); well-child versus sick child visit (aOR 1.61, 95% CI 1.11, 2.34), fewer than 10 cigarettes per day (aOR 1.80, 95% CI 1.31, 2.47), no other home smokers (aOR 1.68, 95% CI 1.26, 2.25), only father smoking (aOR 1.73, 95% CI 1.06, 2.83), and strict smoke-free car policy (aOR 3.51, 95% CI 2.19, 5.64). Conclusions Nearly half of smoking parents did not have strict smoke-free home policies. Parents were less likely to report policies if they were heavier smokers, black, living with other smokers, or attending a sick child visit; if they did not have a young child or smoke-free car policy; if they had a child on Medicaid; and if anyone other than only the father smoked. Few pediatricians addressed or recommended strict smoke-free home policies in an office visit. The pediatric office encounter represents a currently missed opportunity to intervene regarding smoke-free homes, particularly for high-risk groups.

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Influences on parents’ decisions for home and automobile smoking bans in households with smokers

Cited by 25 publications

References 36 publications

Addressing Passive Smoking in Children

Addressing Passive Smoking in Children

Family Beliefs and Behaviors About Smoking and Young Children’s Secondhand Smoke Exposure

Strict Smoke-free Home Policies Among Smoking Parents in Pediatric Settings

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