Parental Perceptions and Misconceptions of Child Tobacco Smoke Exposure

Rosen, Laura; Lev, Eimi; Guttman, N.; Tillinger, Efrat; Rosenblat, Shira; Zucker, David M.; Myers, Vicki

doi:10.1093/ntr/ntx169

Cited by 35 publications

(42 citation statements)

References 36 publications

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“…34 In addition, their previous experience of healthy babies born with paternal smoking during pregnancy and postpartum was at odds with the advice given by health professionals, which may increase their suspicions about the risks of smoking, and consequently weaken their motivation to quit smoking. 11,33,35 Health care professionals should therefore pay more attention to men who are not the rst-time expectant fathers by assessing their intention to quit smoking so as to develop effective interventions to motivate them to quit smoking.…”

Section: Discussionmentioning

confidence: 99%

Association of smoking behavior among Chinese expectant fathers and smoking abstinence after their partner becomes pregnant: A cross-sectional study

Xia

Cai

Song

et al. 2020

Preprint

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Background: Exposure to secondhand smoke (SHS) during pregnancy can cause pregnancy complications and adverse birth outcomes. About 40% of Chinese expectant fathers are smokers and they rarely attempt to quit. There is a paucity of effective smoking cessation services targeting this population. In this study, we assessed the smoking behavior of Chinese expectant fathers and examined its association with smoking abstinence after their partner became pregnant, which is an essential prerequisite for designing effective smoking cessation interventions. Methods: We conducted a cross-sectional survey in the obstetrics and gynecology clinic of three tertiary hospitals in China. Expectant fathers who smoked at least one cigarette per day for 1 month within the past 12 months were invited to participate in this study. The participants were asked to complete a structured questionnaire that assessed their smoking behaviors before and after their partner became pregnant. Results: From December 2017 to March 2018, we recruited a total of 466 eligible expectant fathers, among whom 323 (69.3%) were identified as current smokers and 143 (30.7%) were ex-smokers. Using lasso regression, 19 features were selected from among 27 independent variables. The results of the selected multivariable logistic regression model showed that knowledge about the health hazards of smoking among smokers (odds ratio (OR) 1.39; 95% confidence interval (CI) 1.24 to 1.58; p<0.001), knowledge about the health hazards of SHS to pregnant women (OR 1.46; 95% CI 1.09 to 1.97; p<0.001), knowledge about harm to the fetus and newborn (OR 1.58; 95% CI 1.25 to 2.03; p<0.001), and being a first-time expectant father (OR 2.08; 95% CI 1.02 to 3.85; p=0.046) were significantly positively associated with smoking abstinence among expectant fathers after their partner became pregnant. Significantly negative associations were found for severe dysfunctionality in terms of family support (OR 0.48; 95% CI 0.24 to 0.95; p=0.036) and smoking only outside the home (OR 0.81; 95% CI 0.26 to 0.98; p<0.001). Conclusions: In this study, we identified several factors associated with smoking abstinence among expectant fathers after their partner became pregnant. These findings can guide the development of effective interventions targeting expectant fathers, to help them quit smoking.

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Section: Discussionmentioning

confidence: 99%

Association of smoking behavior among Chinese expectant fathers and smoking abstinence after their partner becomes pregnant: A cross-sectional study

Xia

Cai

Song

et al. 2020

Preprint

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“…Motivation towards SHSe prevention included three subcategories: benefits (Hoehn, Riekert, Borrelli, Rand, & Eakin, ; Passey et al, ; Wang et al, ), shaping children's behaviour (Hoehn et al, ; Passey et al, ) and parental responsibility (Centers for Diease Control & Prevention, ; Hoehn et al, ). Parental suggestions of SHSe prevention were reported (Centers for Diease Control & Prevention, ; Hoehn et al, ; Poland, Gastaldo, Pancham, & Ferrence, ; Rosen et al, ). To understand parents’ responses and actions towards SHSe, we categorized them by location: at home, in public areas and in non‐smoking areas.…”

Section: The Studymentioning

confidence: 99%

“…Motivation is defined as a fundamental construct that provides a rationale regarding why people engage in specific behaviours (Deci & Ryan, ). Rosen et al () considered diverse perspectives and motivations of people in different locations with SHS. They found that limited competency in terms of taking protective action was due to misconceptions about exposure.…”

Section: Introductionmentioning

confidence: 99%

“…and parental responsibility (Centers for DieaseControl & Prevention, 2017;Hoehn et al, 2016). Parental suggestions of SHSe prevention were reported(Centers for Diease Control & Prevention, 2017;Hoehn et al, 2016;Poland, Gastaldo, Pancham, & Ferrence, 2009;Rosen et al, 2017). To understand parents' responses and actions towards SHSe, we categorized them by location:F I G U R E 1Parental perspectives on protecting young children from secondhand smoke exposure (SHSe) based on published literature .…”

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confidence: 99%

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Patterns of parents’ perspectives on protecting young children from secondhand smoke exposure: A Q‐methodology study

Huang¹,

Liao

Huang

et al. 2019

Journal of Advanced Nursing

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Aims To identify and describe the various patterns of parents’ perspectives on avoiding secondhand smoke exposure. Design Q methodology was applied to investigate the parental perspectives of 50 parents. Methods The study was implemented from September–December 2016. Forty‐two Q‐statements were constructed based on the literature related to parental attitudes and prevention practices regarding preventing young children from experiencing secondhand smoke exposure. A series of Q‐sorts was performed by the participants to rank the statements into a Q‐sort grid. PQMethod 2.35 software was used to perform principal component analysis to identify different patterns of parents’ perspectives. Results Five patterns of shared perspectives, which accounted for 62% of the total variance, were derived from the analysis: (a) lack of confidence to confront smokers in non‐smoking areas; (b) awareness of health hazards but not ready to take preventive actions; (c) emphasis on parental responsibility and behavioural guidance; (d) awareness of health rights protected by legislation; and (e) strong willingness to take protective actions. Conclusion Our findings revealed the shared perspectives of five groups of parents. The exploration of clusters of parents could assist healthcare professionals in acknowledging parents’ tendencies related to attitudes and responses towards secondhand smoke exposure. Impact Using a forced distribution through the Q‐sorting technique, the particular perspective patterns of parents’ experiences would be captured. These findings can serve as a useful guide for researchers and practitioners to develop tailored intervention programs for parents with the purpose of reducing secondhand smoke exposure in young children.

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“…13 -15 Early developmental phases included systematic literature reviews 5 -7 and qualitative research. 7,16 On the basis of early findings revealing that parents may be unaware of the true extent of exposure, 16 we focused the developed program on providing objective information about child exposure via biomarkers and home air quality, in the context of motivational interviews (MIs). The goal of the pilot study was to assess the feasibility of the developed intervention and obtain an estimate of intervention effectiveness.…”

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confidence: 99%

Protecting Young Children From Tobacco Smoke Exposure: A Pilot Study of Project Zero Exposure

Rosen¹,

Guttman²,

Myers³

et al. 2018

Pediatrics

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Parental Perceptions and Misconceptions of Child Tobacco Smoke Exposure

Abstract: This study is registered as a Phase I study which is part of a larger research endeavor entitled: A program to protect young children from tobacco smoke exposure. Registration number: NCT01335178.

Cited by 35 publications

References 36 publications

Association of smoking behavior among Chinese expectant fathers and smoking abstinence after their partner becomes pregnant: A cross-sectional study

Association of smoking behavior among Chinese expectant fathers and smoking abstinence after their partner becomes pregnant: A cross-sectional study

Patterns of parents’ perspectives on protecting young children from secondhand smoke exposure: A Q‐methodology study

Protecting Young Children From Tobacco Smoke Exposure: A Pilot Study of Project Zero Exposure

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