Parental Smoking and Lung Function in Children

Moshammer, Hanns; Hoek, Gerard; Luttmann‐Gibson, Heike; Neuberger, Manfred; Antova, T; Gehring, Ulrike; Hrubá, F; Pattenden, Sam; Rudnai, Péter; Šlachtová, Hana; Złotkowska, Renata; Fletcher, Tony

doi:10.1164/rccm.200510-1552oc

Cited by 231 publications

(171 citation statements)

References 31 publications

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“…It is disappointing that smoking has the same impact on indoor PM as it did in studies from several years ago, which demonstrates that in-home smokers are not taking effective precautions to limit the impact of smoking on the home environment. This observation implies that despite the known health risks of second hand smoke to very young children in the home (Cook et al, 1998;Cook et al, 1999;Corbo et al, 1996;Mannino et al, 2001;Moshammer et al, 2006), parents are not taking precautions to protect their children and that public health messages have not effectively led to changes in smoking behaviors in the home.…”

Section: Discussionmentioning

confidence: 99%

Common household activities are associated with elevated particulate matter concentrations in bedrooms of inner-city Baltimore pre-school children

McCormack

Breysse

Hansel

et al. 2008

Environmental Research

108

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Asthma disproportionately affects inner-city, minority children in the U.S. Outdoor pollutant concentrations, including particulate matter (PM), are higher in inner-cities and contribute to childhood asthma morbidity. Although children spend the majority of time indoors, indoor PM exposures have been less extensively characterized. There is a public health imperative to characterize indoor sources of PM within this vulnerable population to enable effective intervention strategies. In the present study, we sought to identify determinants of indoor PM in homes of Baltimore inner-city pre-school children.Children ages 2-6 (n=300) who were predominantly African-American (90%) and from lower socioeconomic backgrounds were enrolled. Integrated PM 2.5 and PM 10 air sampling was conducted over a 3-day period in the children's bedrooms and at a central monitoring site while caregivers completed daily activity diaries. Homes of pre-school children in inner-city Baltimore had indoor PM concentrations that were twice as high as simultaneous outdoor concentrations. The mean indoor PM 2.5 and PM 10 concentrations were 39.5±34.5 μg/m 3 and 56.2±44.8 μg/m 3 , compared to the simultaneously measured ambient PM 2.5 and PM 10 (15.6±6.9 and 21.8±9.53 μg/m 3 , respectively). Common modifiable household activities, especially smoking and sweeping, contributed significantly to higher indoor PM, as did ambient PM concentrations. Open windows were associated with significantly lower indoor PM. Further investigation of the health effects of indoor PM exposure is warranted, as are studies to evaluate the efficacy of PM reduction strategies on asthma health of inner-city children.

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Section: Discussionmentioning

confidence: 99%

Common household activities are associated with elevated particulate matter concentrations in bedrooms of inner-city Baltimore pre-school children

McCormack

Breysse

Hansel

et al. 2008

Environmental Research

108

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“…Antenatal smoking is strongly associated with health complications including miscarriage (Pineles, Park, & Samet, 2014), stillbirth (Flenady et al ., 2011), spontaneous preterm birth, small for gestational age (Moore, Blatt, Chen, Van, & Defranco, 2016), asthma (Moshammer et al ., 2006), and childhood obesity (Oken, Levitan, & Gillman, 2008). In the United Kingdom, approximately 12% of women smoke throughout pregnancy (Health and Social Care Information Centre, 2016; The NHS Information Centre, 2011).…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to smoking cessation in pregnancy and in the post‐partum period: The health care professionals’ perspective

Naughton

Hopewell

Sinclair

et al. 2018

British J Health Psychol

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ObjectivesHealth care professionals and the health care environment play a central role in protecting pregnant and post‐partum women and their infants from smoking‐related harms. This study aimed to better understand the health professional's perspective on how interactions between women, health care professionals, and the environment influence how smoking is managed.DesignSemi‐structured interviews and focus groups.MethodsData were from 48 health care staff involved in antenatal or post‐partum care at two UK sites, including midwives, obstetricians, health visitors, GPs, pharmacists, service commissioners, and Stop Smoking Service (SSS) advisors and managers. Thematic analysis was guided by a social–ecological framework (SEF).ResultsThemes were divided across three SEF levels and represented factors connected to the management of smoking in the health care context and the beliefs and behaviour of pregnant or post‐partum smokers. Organizational level: Service reconfigurations, ‘last resort’ nicotine replacement therapy prescribing policies, and non‐mandatory training were largely negative factors. There were mixed views on opt‐out referral pathways and positive views on carbon monoxide monitoring. Interpersonal level: Protection of client–professional relationships often inhibited frank discussions about smoking, and weak interservice relationships affected SSS referral motivation and quality. Individual level: Professionals felt community midwives had primary responsibility for managing smoking, although midwives felt underskilled doing this. Midwives’ perceived priority for addressing smoking was influenced by the demands from unrelated organizational initiatives.ConclusionsOpportunities to improve clinical support for pregnant smokers exist at organizational, interservice, and health care professional levels. Interactions between levels reflect the importance of simultaneously addressing different level‐specific barriers to smoking cessation in pregnancy. Statement of contribution What is already known on this subject? Few health care professionals discuss smoking cessation support with pregnant or post‐partum women.Identified health care professional‐related barriers to supporting pregnant and post‐partum women to stop smoking include deficits in knowledge and confidence, perceived lack of time, and concerns about damaging client relationships.There is currently a gap in understanding regarding the barriers and facilitators to supporting this group and how interactions between the health care environment and health care professionals influence the way smoking is addressed. What does this study add? This study identifies modifiable factors that can influence cessation support delivery to pregnant and post‐partum women.These factors are mapped across organizational, interpersonal, and individual health care professional levels.Service structure, communication pathways, and policies appear to influence what cessation support is offered.Interpersonal and individual factors influence how this support is deliver...

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“…O tabagismo, em particular o tabagismo materno durante a gestação e primeiro ano de vida, é um significante fator de risco para o subsequente desenvolvimento de asma em crianças 36,37 . Níveis elevados de IL-13 foram encontrados em pacientes com asma e pais fumantes, além de correlação positiva entre IL-13 e concentrações séricas de IgE em crianças com asma alérgica 38,39 . Estudos recentes mostram o tabagismo, principalmente o materno, como importante fator de risco não apenas no desenvolvimento de asma, como no agravamento dos sintomas 39,40,41 .…”

Section: Discussionunclassified

“…Níveis elevados de IL-13 foram encontrados em pacientes com asma e pais fumantes, além de correlação positiva entre IL-13 e concentrações séricas de IgE em crianças com asma alérgica 38,39 . Estudos recentes mostram o tabagismo, principalmente o materno, como importante fator de risco não apenas no desenvolvimento de asma, como no agravamento dos sintomas 39,40,41 . Na análise do contato dentro de casa com animais no presente, verificou que a exposição domiciliar atual a animais é um fator de risco significante para o desenvolvimento de asma ativa.…”

Section: Discussionunclassified

Prevalência e fatores de risco para asma em adolescentes de 13 a 14 anos do Município de Cuiabá, Mato Grosso, Brasil

et al. 2012

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Parental Smoking and Lung Function in Children

Abstract: Considering the high number of children exposed to maternal smoking in utero and the even higher number exposed to passive smoking after birth, this risk factor for reduced lung function growth remains a serious pediatric and public health issue.

Cited by 231 publications

References 31 publications

Common household activities are associated with elevated particulate matter concentrations in bedrooms of inner-city Baltimore pre-school children

Common household activities are associated with elevated particulate matter concentrations in bedrooms of inner-city Baltimore pre-school children

Barriers and facilitators to smoking cessation in pregnancy and in the post‐partum period: The health care professionals’ perspective

Prevalência e fatores de risco para asma em adolescentes de 13 a 14 anos do Município de Cuiabá, Mato Grosso, Brasil

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