A Controlled Trial of an Environmental Tobacco Smoke Reduction Intervention in Low-Income Children With Asthma

Wilson, Sandra R.; Yamada, Eileen G.; Sudhakar, Reddivalam; Lauro, R; Mannino, David M.; Mejia, Carolina; Huss, Nancy

doi:10.1378/chest.120.5.1709

Cited by 114 publications

(84 citation statements)

References 27 publications

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“…Se observó reducción en la gravedad del asma del hijo en el momento que el padre abandonó el tabaquismo. 30,31 En los pacientes con asma sugerimos reducir la exposición a contaminantes intradomiciliarios, que incluyen aromatizantes y olores fuertes (por ejemplo, bálsamo de tigre, incienso). Especialmente para las zonas rurales de México se recomienda evitar la exposición al humo de leña.…”

Section: Factores Inespecíficosunclassified

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Guía Mexicana del Asma: GUIMA 2017

Larenas-Linnemann¹,

Salas-Hernández²,

Vázquez-García³

et al. 2017

RAM

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Este artículo debe citarse como: Larenas-Linnemann D, Salas-Hernández J, Vázquez-García JC, Ortiz-Aldana I, Fernández-Vega M, Del Río-Navarro BE, et al. Guía Mexicana del Asma 2017. Rev Alerg Mex. 2017;64 Supl 1:s11-s128. AbstractBackground: The need for a national guideline, with a broad basis among specialists and primary care physicians was felt in Mexico, to try unifying asthma management. As several high-quality asthma guidelines exist worldwide, it was decided to select the best three for transculturation. Methods: Following the internationally recommended methodology for guideline transculturation, ADAPTE, a literature search for asthma guidelines, published 1-1-2007 through 31-12-2015 was conducted. AGREE-II evaluations yielded 3/40 most suitable for transculturation. Their compound evidence was fused with local reality, patient preference, cost and safety considerations to draft the guideline document. Subsequently, this was adjusted by physicians from 12 national medical societies in several rounds of a Delphi process and 3 face-to-face meetings to reach the final version. Results: Evidence was fused from British Thoracic Society Asthma Guideline 2014, Global Initiative on Asthma 2015, and Guía Española del Manejo del Asma 2015 (2016 updates included). After 3 Delphi-rounds we developed an evidence-based document taking into account patient characteristics, including age, treatment costs and safety and best locally available medication. Conclusion: In cooperation pulmonologists, allergists, ENT physicians, paediatricians and GPs were able to develop an evidence-based document for the prevention, diagnosis and treatment of asthma and its exacerbations in Mexico.Keywords: Clinical practice guideline; Asthma; Asthmatic exacerbation; Bronchodilator; Inhaled corticosteroid; Spirometry; Immunotherapy. IntroducciónLa presentación de este documento muestra la importancia del asma en México por su alta prevalencia, pero también por su subdiagnóstico y tratamiento deficiente, que propician un mal control de los pacientes con asma, crisis más frecuentes y sintomatología activa. En consecuencia, el asma tiene un impacto socioeconómico considerable para el paciente y la sociedad en su conjunto, al igual que afecta la calidad de vida del paciente y su familia. En México, el paciente con asma puede recibir atención médica en los ámbitos pú-blico o privado, en los diferentes niveles de salud y por múltiples especialidades. Todas estas particularidades de la situación nacional indican la necesidad de un documento guía actualizado, con base amplia en múltiples gremios médicos, tanto de primer nivel de atención como de especialidad.El objetivo de la GUIMA 2017 es facilitar la reducción de la morbimortalidad por asma en México, no solo al mejorar el conocimiento acerca de esta patología, sino también al ayudar a la parte administrativa del Sector Salud a gestionar la selección y adquisición más precisa de los medicamentos necesarios para su tratamiento a nivel de la salud pública. Para tal fin se ofrecen lineamientos par...

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Section: Factores Inespecíficosunclassified

“…Olvera-Salinas, 25 José Joel Oyoqui-Flores, 29 José Luis Gálvez-Romero, 30 José Santos Lozano-Sáenz, 31 Juan Ignacio Salgado-Gama, 32 Marcos…”

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Guía Mexicana del Asma: GUIMA 2017

Larenas-Linnemann¹,

Salas-Hernández²,

Vázquez-García³

et al. 2017

RAM

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“…Previous research efforts have attempted to use feedback on child's cotinine levels as triggers for parental smoking behavior Advance Access publication March 11, 2013 nicotine & tobacco research, volume 15, number 9 (september 2013) 1511-1518 change, with largely disappointing results (Wakefield et al, 2002;Wilson, Farber, Knowles, & Lavori, 2011) excepting modest effects from a study within a population of children with asthma (Wilson et al, 2001). Studies using direct measures of in-home concentrations of ambient nicotine (Emmons et al, 2001) or PM2.5 have shown better success (Wilson, Ritchie, et al, 2013;Wilson, Semple, et al, 2012), suggesting that the specificity of the information regarding smoke exposure from within the home may be more persuasive.…”

Section: Introductionmentioning

confidence: 99%

Detection of Secondhand Cigarette Smoke via Nicotine Using Conductive Polymer Films

Liu

Antwi-Boampong

BelBruno

et al. 2013

Nicotine & Tobacco Research

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The 2006 U.S. Surgeon General's Report found that there is no safe level of exposure to secondhand smoke (SHS). Many smokers attempt to protect others from exposure to SHS; however, it is difficult to assess effectiveness of these behavior changes. There is a need for personal monitoring devices that provide real-time SHS exposure data; at present, there is no device that measures ambient nicotine levels in real time. The development of such a sensor is the objective of this research.

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“…Environmental risk factors in the home that are known to affect childhood asthma symptoms include cockroach, dust mite, and animal-derived allergens; second-hand tobacco smoke; mold; chemicals (e.g., household cleaning products and pesticides); and combustion byproducts from wood or natural gas stoves. [7][8][9][10][11][12] Some research studies have attempted to control for a single asthma trigger in the home environment with varying success on respiratory health outcomes. 10,[13][14][15][16] Current trends in program practice design that address multiple environmental triggers in the intervention strategies reveal promising and consistent findings.…”

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confidence: 99%

Healthy Homes University: A Home-Based Environmental Intervention and Education Program for Families with Pediatric Asthma in Michigan

et al. 2011

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Environmental conditions within the home can exacerbate asthmatic children's symptoms. To improve health outcomes among this group, we implemented an in-home environmental public health program-Healthy Homes Universityfor low-income families in Lansing, Michigan, from 2005 to 2008. Families received four visits during a six-month intervention. Program staff assessed homes for asthma triggers and subsequently provided products and services to reduce exposures to cockroaches, dust mites, mold, tobacco smoke, and other triggers. We also provided asthma education that included identification of asthma triggers and instructions on specific behaviors to reduce exposures. Based on self-reported data collected from 243 caregivers at baseline and six months, the impact of asthma on these children was substantially reduced, and the proportion who sought acute unscheduled health care for their asthma decreased by more than 47%.

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A Controlled Trial of an Environmental Tobacco Smoke Reduction Intervention in Low-Income Children With Asthma

Cited by 114 publications

References 27 publications

Guía Mexicana del Asma: GUIMA 2017

Guía Mexicana del Asma: GUIMA 2017

Detection of Secondhand Cigarette Smoke via Nicotine Using Conductive Polymer Films

Healthy Homes University: A Home-Based Environmental Intervention and Education Program for Families with Pediatric Asthma in Michigan

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