WS05.2 Impact of tobacco smoke exposure on pulmonary function in paediatric cystic fibrosis patients

Oates, Gabriela R.; Zhu, Aiqin; Štěpáníková, Irena; Thomas, LJ; Gamble, S.; Mims, C.; Gutierrez, Hector; Harris, William T.

doi:10.1016/s1569-1993(18)30144-9

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“…The risk of exposure is two-fold higher in families with annual household income less than $50 000 and three-fold higher for children whose parents do not have college education. 14 Finally, it is known that self-reports underestimate actual exposure rates. For example, 63% of infants and children age less than 10 years in two CF Centers were smokeexposed based on elevated hair nicotine concentrations.…”

Section: Introductionmentioning

confidence: 99%

“…For instance, at our pediatric CF Center at the University of Alabama at Birmingham/Children's of Alabama (UAB/COA), 44% of patients aged ≤6 years are smoke‐exposed based on parent/caregiver self‐report. The risk of exposure is two‐fold higher in families with annual household income less than $50 000 and three‐fold higher for children whose parents do not have college education 14 . Finally, it is known that self‐reports underestimate actual exposure rates.…”

Section: Introductionmentioning

confidence: 99%

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Tobacco smoke exposure in pediatric cystic fibrosis: A qualitative study of clinician and caregiver perspectives on smoking cessation

Oates

Harris

Gutierrez

et al. 2020

Pediatric Pulmonology

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Objective Tobacco smoke exposure has negative impacts on the lung health of children with cystic fibrosis (CF), yet evidence‐based strategies for smoking cessation have not been tested with or tailored to CF caregivers. This qualitative study identified barriers and facilitators of smoking cessation in this population and outlined potential interventional approaches. Methods We conducted semi‐structured interviews with CF familial caregivers who were current or former smokers, and with members of the CF care team. We asked about experiences, practices, and prerequisites for a successful program. Interviews were recorded, transcribed verbatim, and coded by two investigators. Analysis used a thematic approach guided by the PRECEDE model, which identifies predisposing (intrapersonal), reinforcing (interpersonal), and enabling (structural) factors relevant to health behaviors and programs. Results Seventeen interviews were conducted—eight with familial caregivers and nine with CF team members. Whereas caregivers provided greater insight into internal difficulties and motivators to quit smoking, clinicians offered more extensive input on barriers and solutions related to the clinical environment. Based on study recommendations, a successful tobacco cessation program should include (a) family education about the harms of smoke exposure for children with CF; (b) screening for exposure, ideally with biochemical verification; (c) access to trained tobacco counselors; (d) affordable pharmacotherapy; and (e) outpatient follow‐up of those undergoing tobacco treatment. Conclusion This qualitative study revealed intrapersonal, interpersonal, and structural barriers to eliminating tobacco smoke exposure in children with CF, outlined opportunities to address these barriers, and made recommendations for a comprehensive tobacco cessation strategy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%