Disadvantaged mothers, young children and smoking in the home: Mothers’ use of space within their homes

Robinson, Jude; Kirkcaldy, Andrew

doi:10.1016/j.healthplace.2007.03.001

Cited by 62 publications

(86 citation statements)

References 28 publications

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“…Downward social mobility and economic stress in childhood and adulthood are noted risk factors for 29 ; smokers exhibit diminished stress response, increasing the likelihood of relapse due to hardships during abstinence 30,31 ; and family hardships may constrain housing choices, which could limit the ability to create a smoke-free environment. 32 Another plausible explanation of increased exposure includes reverse causality, in which increased hardships are not directly associated with increased level of cotinine; rather, increased levels of cotinine are associated with increased hardships. Researchers have noted that living with an adult smoker is an independent risk factor for food insecurity.…”

Section: Discussionmentioning

confidence: 99%

Family Hardships and Serum Cotinine in Children With Asthma

et al. 2015

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BACKGROUND AND OBJECTIVE: A better understanding of how poverty-related hardships affect child health could highlight remediable intervention targets. Tobacco smoke exposure may be 1 such consequence of family hardship. Our objective was to explore the relationship between family hardships and tobacco exposure, as measured by serum cotinine, a tobacco metabolite, among children hospitalized for asthma. METHODS:We prospectively enrolled a cohort of 774 children, aged 1 to 16 years, admitted for asthma or bronchodilator-responsive wheezing. The primary outcome was detectable serum cotinine. We assessed family hardships, including 11 financial and social variables, through a survey of the child's caregiver. We used logistic regression to evaluate associations between family hardship and detectable cotinine. RESULTS:We had complete study data for 675 children; 57% were African American, and 74% were enrolled in Medicaid. In total, 56% of children had detectable cotinine. More than 80% of families reported $1 hardship, and 41% reported $4 hardships. Greater numbers of hardships were associated with greater odds of having detectable cotinine. Compared with children in families with no hardships, those in families with $4 hardships had 3.7-fold (95% confidence interval, 2.0-7.0) greater odds of having detectable serum cotinine in adjusted analyses. Lower parental income and educational attainment were also independently associated with detectable serum cotinine.

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Section: Discussionmentioning

confidence: 99%

Family Hardships and Serum Cotinine in Children With Asthma

et al. 2015

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“…I audio taped the discussions and then sent the recordings away to be transcribed. The results of the research as to when why the women smoked near their children were published elsewhere (Robinson and Kirkcaldy 2007a, 2007b, 2009), but the additional dimension of the laughter and humor that I had noted in all the groups, remained unexplored.…”

Section: Researching Women Poverty and Second-hand Smokementioning

confidence: 99%

Laughter and forgetting: using focus groups to discuss smoking and motherhood in low‐income areas in the UK

Robinson

2009

International Journal of Qualitative Studies in Education

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This article considers previously ignored aspects of verbal communication, humor and laughter, as critical components of social interaction within group discussions. Drawing on data from focus groups, Robinson uses a feminist perspective to explore how mothers living in areas of poverty in Liverpool, UK, use humor and laughter to discuss their experiences of smoking and caring for children. While laughter enabled some women to talk about sensitive and private issues, humor was also used by some women as a form of control, that is, to depress pretension in other women, to direct the flow of the discussion and to prevent the raising of 'uncomfortable' issues around their failure to prevent their children's exposure to the health risks associated with breathing tobacco smoke. Robinson concludes with a discussion of how humor and laughter affected the dynamics of the groups and transformed the 'neutral' role of the moderator.

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“…smoke-free homes) can be an effective means to initiate conversations. Smoking may well not be high on the priority list of CC staff or the parent/carers who are registered with them [15,16,43]; hence the importance of the RLAs in promoting services and embedding interventions into normal practice.…”

Section: Discussionmentioning

confidence: 99%

“…Structural disadvantage, including unsafe neighbourhoods and poor housing, also appears to play a role [15,16]. Parents, particularly mothers, are known to use cigarettes as a means of coping with the demands of parenting (e.g.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a programme to increase referrals to stop‐smoking services using Children's Centres and smoke‐free families schemes

McEwen¹,

Hackshaw

Jones³

et al. 2012

Addiction

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Aims To assess the feasibility and effectiveness of a new service using referral liaison advisers to increase the number of referrals of parents/carers at selected Children's Centres to National Health Service (NHS) Stop Smoking Services (SSS) and/or smoke-free families schemes (SFS). Design This mixed-methods pilot study collected numerical data on indicators of smoking behaviours and carried out face-to-face and telephone interviews. Settings Thirteen Children's Centres in Liverpool and Nottingham using local providers of smoking cessation services, from September 2010 to April 2011. Participants Parents and carers registered with, and staff working for, Children's Centres. Measures Number of smokers referred to smoking cessation services and/or smoke-free family schemes and the views of service providers and users on the new service. Findings In Liverpool, 181 referrals to NHS SSS were made from 331 identified smokers (54.7%); extrapolated to 12 months, this represents a 182% increase in referrals from baseline and a similar extrapolation indicates a 643% increase from baseline of referrals to smoke-free families schemes. There were no reliable baseline data for Nottingham; 31 referrals were made (30.7% of smokers) to SSS and 44 referrals to SFS from 52 contacts (84.6%). The interviews highlighted the need for sustained personal contact with parents/carers to discuss smoking behaviours and concerns and their willingness to be referred to SFS as part of caring for their child. Conclusions Routine recording of smoking status and appropriate follow-up by trained staff in Children's Centres can lead to significant numbers of clients attending stop-smoking services, although relatively few stop smoking.

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Disadvantaged mothers, young children and smoking in the home: Mothers’ use of space within their homes

Cited by 62 publications

References 28 publications

Family Hardships and Serum Cotinine in Children With Asthma

Family Hardships and Serum Cotinine in Children With Asthma

Laughter and forgetting: using focus groups to discuss smoking and motherhood in low‐income areas in the UK

Evaluation of a programme to increase referrals to stop‐smoking services using Children's Centres and smoke‐free families schemes

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