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

Rosen, Laura; Guttman, N.; Myers, Vicki; Brown, Nili; Ram, Amit; Hovell, Mel; Breysse, Patrick N.; Rule, Ana M.; Berkovitch, Mati; Zucker, David M.

doi:10.1542/peds.2017-1026n

Cited by 8 publications

(3 citation statements)

References 31 publications

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“…A preliminary version of the questionnaire was piloted with 22 parents in smoking families who were participants in a pilot study of Project Zero Exposure [ 24 ]. This initial version contained 10 photos and 10 descriptions of people smoking around children, to be rated according to the level of perceived exposure on a scale of 1 to 3.…”

Section: Methodsmentioning

confidence: 99%

Parental perceptions of children’s exposure to tobacco smoke: development and validation of a new measure

2018

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BackgroundIt is estimated that around 40% of children worldwide are exposed to tobacco smoke, largely by their parents. Discrepancies between biochemical measures of exposure and parental report imply that parents may be under-reporting children’s exposure. Previous research has shown that there may be a fundamental misunderstanding among smoking parents as to what exactly exposure is and in what circumstances it occurs.MethodsWe aimed to develop and validate a measure to assess parental perceptions of exposure (PPE) regarding child tobacco smoke exposure (TSE). A model was developed based on a qualitative study of smoking parents and a questionnaire constructed using pictures and vignettes to assess parental rating of children’s exposure in hypothetical situations. The questionnaire was completed online by 220 Israeli parents recruited via social media. Exploratory factor analysis was performed, and reliability and internal consistency were assessed using test-retest reliability and Cronbach’s alpha coefficient.ResultsFactor analysis produced 6 factors for PPE which explained a cumulative total variance of 76.3%. Factors were termed: 1) second-hand exposure; 2) third-hand exposure; 3) perceived knowledge/certainty; 4) sensory perceptions; 5) time perceptions; and 6) distance perceptions. All sub-scales showed good internal consistency and variance. Test-retest reliability was high (r = 0.856, p = .001). Total PPE score and subscales were highly correlated with risk perceptions r = 0.766. Smokers scored significantly lower on PPE than non-smokers, defining fewer situations as involving greater exposure (p < 0.001). Logistic regression showed PPE was able to discriminate smoking status.ConclusionsResults provide supporting evidence for the PPE as a reliable and valid construct, which can be feasibly measured. Smokers perceived exposure less frequently than non-smokers. This new measure can shed light on parental smoking behaviour and may help us to increase parental awareness of exposure in order to potentially reduce children’s exposure to tobacco smoke.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5928-1) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Parental perceptions of children’s exposure to tobacco smoke: development and validation of a new measure

2018

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“…In a study by Yücel, Öcek, & Çiceklioğlu (2014), it was found that smoking at home causes an increase in the amount of cotinine in children's urine. In another study, it has been found that informing the measurement results of the cotinine levels in the hair of the children who are exposed to smoking and the number of nicotine and particles in the air was effective for parents to quit smoking (Rosen et al, 2018) Smoking in the house increases the risk of passive smoking. Especially children and pregnant women are at risk in this regard (Johansson et al, 2004.…”

Section: Discussionmentioning

confidence: 99%

A Different Aspect of Neglect: Smoking Mothers

Polat

Güner

GÜNGÖR

2022

İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi

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Smoking during pregnancy and lactation poses a serious risk in terms of fetus, newborn and child health. Therefore, for mothers all over the world, pregnancy and breastfeeding periods are a good opportunity to end smoking habits. Unfortunately, many mothers ignore this problem and continue to smoke widely. This study was conducted to evaluate the views of mothers with children at 0-2 age group who smoke, about the harms of smoking during pregnancy and breastfeeding, in terms of neglect. This qualitative study was conducted with 19 volunteer mothers who smoke. An introductory information form and a semi-structured questionnaire were used to collect the data. The data were collected through face-to-face interviews, recorded, literally transcribed, and analyzed with content analysis. It was determined that almost half of the mothers continued to smoke during pregnancy although they knew its harmful. Almost none of them had knowledge about the harms of smoking to the baby during breastfeeding period, and only two of the mothers were aware of passive smoking. In this direction, mothers who continue to smoke consciously or unintentionally should be followed more carefully by health professionals to protect children's health and rights.

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“…An optimistic note, however, is sounded by the findings of Oates et al indicating that cessation of TSE will lead to a reversal of its adverse effects, with a decrease in pulmonary exacerbations and improvements in FEV1 and weight. Feasible programs that can be initiated in the setting of pediatric practices have been shown to reduce second-hand TSE [13] and pediatric practice-based programs to counsel parents on smoking cessation have some (if limited) proven effectiveness [14] . Active intervention for smoking parents has been endorsed by the American Academy of Pediatrics [15] ; surveys of parents show that advice on smoking cessation from their child's physician would be welcomed by most parents [16] .…”

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confidence: 99%

Speaking of pandemics...

Schechter

2021

Journal of Cystic Fibrosis

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

Cited by 8 publications

References 31 publications

Parental perceptions of children’s exposure to tobacco smoke: development and validation of a new measure

Parental perceptions of children’s exposure to tobacco smoke: development and validation of a new measure

A Different Aspect of Neglect: Smoking Mothers

Speaking of pandemics...

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