Exploring Children's Secondhand Smoke Exposure with Early Child Care Providers

Warren, Jennifer R.; Sloan, Phyllis; Allen, Michele; Okuyemi, Kolawole S.

doi:10.1016/j.amepre.2010.09.005

Cited by 7 publications

(16 citation statements)

References 20 publications

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“…However, there is less focus on the importance of physician counseling to reduce SHSe, especially in the pediatric setting [54][55][56]. Previous research has found that pediatric physician recommendations have been associated with increased HSB implementation among African-Americans [27]. This study supports the importance of physician support in reducing SHSe, and highlights the need for increased engagement by pediatric healthcare providers to assess and counsel patients about the importance of SHSe reduction in the home.…”

Section: Discussionsupporting

confidence: 66%

“…Some previous researchers have quantitatively explored factors relating to HSB implementation among African Americans; for example, Warren and colleagues found African-American light smokers were more likely to place home smoking restrictions if they were young, female, reported high confidence to quit smoking, and lived with a nonsmoker [26]. In another quantitative study, AfricanAmerican parents were found to be less likely to implement home smoking restrictions if they were living below the poverty line, but more likely to implement HSBs if they received recommendations from their child's healthcare providers [27]. However, it is unknown if there were other barriers or motivators for implementing HSBs that were not measured among low-income African-American families of preschool children.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and motivators to reducing secondhand smoke exposure in African American families of head start children: a qualitative study

et al. 2016

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Objective: To identify barriers and motivators for reducing secondhand smoke exposure (SHSe) for families of African-American, lowincome, urban children. Method: Audiotaped intervention sessions of 52 African-American caregivers of Head Start children who reported being a smoker and/or had at least one smoker in the home were randomly sampled from a larger trial examining the effectiveness of a motivational-interviewing intervention in reducing child's SHSe. Counseling sessions were qualitatively coded to identify barriers and motivators to implementing a home smoking ban or quitting smoking.Results: African-American families identified several themes that were either or both barriers and motivators for SHSe reduction, including: asking others not to smoke, other family living in the home, neighborhood safety, absence of childcare, cost/availability of cessation tools, physician support and prevention of health problems. Discussion: Urban, low-income AfricanAmerican families face numerous barriers to reducing SHSe. Families were able to identify many motivators for reducing SHSe, suggesting an awareness of the importance for SHSe reduction but uncertainty in their confidence to change behaviors. Counseling should include tailoring to be most effective in supporting health behavior change. Greater emphasis on motivators is needed, such as low-cost/free cessation tools, engagement from physicians and greater involvement of extended family members.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Barriers and motivators to reducing secondhand smoke exposure in African American families of head start children: a qualitative study

et al. 2016

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“…Tüm dünyada çocukların %38-75'inin pasif maruziyete uğradığı gösterilmiştir (16,17). Warren ve arkadaşları, Amerika'da yapılan bir çalışmada çocukların %39.5'inin tükürük kotinin düzeylerinin, yoğun pasif maruziyeti temsil eder boyutta yüksek olduğunu bulmuşlardır (18). Çalışmamızdaki bu veriler dünya verileriyle benzer olarak değerlendirilmiştir.…”

Section: Sigaraunclassified

The Changes in Smoking Related Behaviours and Second Hand Smoke After the Smoking Ban in Izmir

Turan

Ergör²,

Turan³

et al. 2014

Tuberk Toraks

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A big amount of participants thinks about quitting in Izmir; law is thought to have important effect on this decision. SHS has reduced mostly in public areas with ban, but law must be enlarged to prevent SHS at private areas such as houses, vehicles and workplaces. As a result; the ban encouraged smokers to quit and reduced SHS at public areas. We believe that paying more attention for law sanction and extending the borders of law and reviewing the ban, will make our country more smoke free from now.

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“…This research was conducted in collaboration with a childcare center in Minneapolis, MN, USA. In a previous article, Warren and colleagues provide detailed information on the community-engaged process and main findings [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Healthcare systems provide opportunities for distributing information on this issue to parents [ 11 ]. However, less than half of African-American parents receive advice from their child’s healthcare provider to reduce ETS exposure [ 10 ]. Additionally, large-scale studies report that lower-income African Americans tend to have low health literacy in general.…”

Section: Introductionmentioning

confidence: 99%

Rationale, Design and Methods of “Set the Rules”: A Tailored Peer-to-Peer Health Information Intervention

Warren¹,

White

2018

IJERPH

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Ensuring equitable access to health information is one strategy to promote health equity for underserved communities, especially for low-income African Americans (AAs). Childcare centers are one viable site to deliver health information to address this disparity. This paper describes the methods used in a community-based participatory research project with a childcare facility that aimed to reduce environmental tobacco smoke (ETS) exposure among low-income AA children. Through collaboration and multiple data collection methods, partners identified communication strategies to overcome informational barriers. These initial findings indicated a peer-to-peer health information intervention, entitled “Set the Rules”, as the best strategy to increase awareness. The goal of the intervention was to build knowledge in reducing the harms of ETS exposure. Twelve community members were trained as parent leaders for the “Set the Rules” workshops and conducted workshops with parents. Even though there were barriers interfacing with all centers, parents that attended the workshop (n = 32) found the peer-to-peer intervention novel and quite helpful and will share the information learned with others. This intervention suggests that a childcare setting is a relevant space to increase access to health information to optimize child health outcomes. More research is necessary to determine if this intervention has salience in other childcare settings and across racial/ethnic groups.

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Exploring Children's Secondhand Smoke Exposure with Early Child Care Providers

Cited by 7 publications

References 20 publications

Barriers and motivators to reducing secondhand smoke exposure in African American families of head start children: a qualitative study

Barriers and motivators to reducing secondhand smoke exposure in African American families of head start children: a qualitative study

The Changes in Smoking Related Behaviours and Second Hand Smoke After the Smoking Ban in Izmir

Rationale, Design and Methods of “Set the Rules”: A Tailored Peer-to-Peer Health Information Intervention

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