Effectiveness of ongoing face-to-face anti-tobacco intervention in children with asthma

2020 ◽  
Vol 41 (3) ◽  
pp. 198-203
Author(s):  
M. Bobrowska-Korzeniowska ◽  
J. Jerzyńska ◽  
M. Mitał ◽  
D. Podlecka ◽  
A. Brzozowska ◽  
...  
Keyword(s):  
Environmental Tobacco Smoke ◽  
Tobacco Smoke ◽  
Tobacco Smoking ◽  
Active Group ◽  
Control Group ◽  
Face To Face ◽  
Active Intervention ◽  
Quit Smoking ◽  
Children With Asthma ◽  
Tobacco Intervention

Background: Interventions to help parents quit smoking may yield important benefits for children with asthma. Children’s exposure to environmental tobacco smoke can be measured by reporting of an adult in the household and testing the child’s biomarker, e.g., cotinine. Objective: The aim of the study was to assess the effectiveness of “face-to-face” intervention carried out since 2016 in families with children diagnosed with asthma 3 years after beginning the anti-tobacco intervention. Methods: This study was a follow-up to an interventional study that assessed the effectiveness of direct patient education versus educational leaflets alone about parental tobacco smoking. The patients with asthma (ages 4‐17 years) enrolled in our original intervention study conducted in 2016 were under the care of the allergy outpatient clinic. The active group was individually educated about the harmful effects of environmental tobacco smoke on their children. The control group included patients and parents, among whom only leaflets were distributed. After 3 years of ongoing intervention, in patients from both groups, exposure to tobacco smoking was evaluated with a questionnaire addressed to parents and/or caregivers and measurement of cotinine in children’s urine. The forced expiratory volume in the first second of expiration and fractional exhaled nitric oxide levels were measured. Results: Seventy participants completed the study: 37 in the active group and 33 in the control group. In the active group, 27% of the parents quit smoking entirely compared with 9.4% of parents in the control group. In the group of active intervention, a significant decrease in the cotinine level (p < 0 .001) and the number of cigarettes smoked daily were observed (p < 0.001) 3 years after the active intervention compared with values right after the intervention. In the control group, there were no significant changes in the above-mentioned parameters. Conclusion: “Face-to-face” intervention among families with smokers were effective and lowered cotinine levels in children with asthma and the number of cigarettes smoked assessed 3 years after the intervention.

scholarly journals Environmental Tobacco Smoke and Behaviors of Inner-City Children With Asthma

2008 ◽  
Vol 8 (5) ◽  
pp. 288-293 ◽  
Author(s):  
Maria Fagnano ◽  
Kelly M. Conn ◽  
Jill S. Halterman
Keyword(s):  
Inner City ◽  
Environmental Tobacco Smoke ◽  
Tobacco Smoke ◽  
Children With Asthma ◽  
And Behaviors

scholarly journals Ethical and Legal Analyses of Policy Prohibiting Tobacco Smoking in Enclosed Public Spaces

2009 ◽  
Vol 37 (4) ◽  
pp. 828-840 ◽  
Author(s):  
Taiwo A. Oriola
Keyword(s):  
Environmental Tobacco Smoke ◽  
Tobacco Smoke ◽  
Tobacco Smoking ◽  
Tobacco Product ◽  
World Health ◽  
Addictive Behaviors ◽  
Mainstream Smoke ◽  
Sidestream Smoke ◽  
Tobacco Epidemic ◽  
Health Organization

It is axiomatic that tobacco smoking is hazardous to health. The statistics are well documented and often very grim. For example, the 2008 World Health Organization Report on the global tobacco epidemic presented the following statistics: a hundred million people died of tobacco-related diseases globally in the 20th century; there are approximately over five million tobacco-related deaths every year; and an estimated one billion could die of tobacco-related diseases in this 21st century.Significantly, no other risky, self-indulgent addictive behaviors such as cocaine abuse directly endanger bystanders as much as cigarette smoking or tobacco use endangers nonsmokers through secondhand tobacco smoke or inhaled environmental tobacco smoke (ETS). Environmental tobacco smoke comprises sidestream smoke (smoke that emanates from the burning end of a tobacco product) and mainstream smoke (smoke exhaled by the smoker). About 85 percent of environmental tobacco smoke is sidestream smoke, while the remainder is mainstream smoke.

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

CHEST Journal ◽  
2001 ◽  
Vol 120 (5) ◽  
pp. 1709-1722 ◽  
Author(s):  
Sandra R. Wilson ◽  
Eileen G. Yamada ◽  
Reddivalam Sudhakar ◽  
Lauro Roberto ◽  
David Mannino ◽  
...  
Keyword(s):  
Environmental Tobacco Smoke ◽  
Tobacco Smoke ◽  
Low Income ◽  
Controlled Trial ◽  
Low Income Children ◽  
Children With Asthma

Possible interaction between exposure to environmental tobacco smoke and therapy in children with asthma

1998 ◽  
Vol 95 (2) ◽  
pp. 143 ◽  
Author(s):  
Jean-Christophe DUBUS ◽  
Christiane ODDOZE ◽  
Monique BADIER ◽  
Chantal GUILLOT ◽  
Bernard BRUGUEROLLE
Keyword(s):  
Environmental Tobacco Smoke ◽  
Tobacco Smoke ◽  
Children With Asthma

Environmental tobacco smoke and its effect on the symptoms and medication in children with asthma

2009 ◽  
Vol 19 (2) ◽  
pp. 97-108 ◽  
Author(s):  
Akira Yamasaki ◽  
Keichi Hanaki ◽  
Katsuyuki Tomita ◽  
Masanari Watanabe ◽  
Yasuyuki Hasagawa ◽  
...  
Keyword(s):  
Environmental Tobacco Smoke ◽  
Tobacco Smoke ◽  
Children With Asthma

scholarly journals Exposure to environmental tobacco smoke and respiratory symptoms in school children of Nis

2006 ◽  
Vol 134 (Suppl. 2) ◽  
pp. 104-107 ◽  
Author(s):  
Maja Nikolic ◽  
Dragana Nikic ◽  
Konstansa Lazarevic
Keyword(s):  
Environmental Tobacco Smoke ◽  
School Children ◽  
Tobacco Smoke ◽  
Passive Smoking ◽  
Respiratory Symptoms ◽  
Tobacco Smoke Exposure ◽  
Control Group ◽  
Hereditary Predisposition ◽  
Passive Smoker ◽  
Significant Difference

INTRODUCTION. There is relatively strong evidence among children showing that passive smoking is associated with respiratory symptoms and respiratory diseases, but few studies have been carried out in Serbian population. OBJECTIVE. Establishment of association between exposure to tobacco smoke within family and prevalence of the upper and lower respiratory symptoms in school children. METHOD. In this descriptive epidemiological study, studied population consisted of 533 school children, 12.96?1.54 years old, residents of Nis town, from the area with identical open air pollution. Environmental tobacco smoke exposure was recorded in 382 children. Data about symptoms in children, conditions of habitation, presence of pets and hereditary predisposition were entered into structured questionnaire. RESULTS. T-test and ?2-test statistics showed no significant difference of living conditions, hereditary predisposition among children and average time which passive smoker and nonsmoker children spent indoors. In both groups, the upper respiratory symptoms were more frequent (42.4%-80.2%) in comparison to lower respiratory symptoms (14.4%-25.7%). There was significant difference of the upper and lower respiratory symptoms between the exposed children and control group (?2=9.7>?2 (1.005) =3.8, p>0.05 - for the upper and ? 2 =4.4 >? 2 (1.005) =3.8, p>0.05 - for the lower respiratory symptoms). Primary health care need for respiratory symptoms and diseases due to effect of passive smoking was higher in the exposed children. CONCLUSION. The results provide evidence of adverse respiratory effects of passive smoking to children being exposed to smoke in domestic setting. These findings emphasize the need for effective measures of prevention of involuntary smoking during childhood in Serbia.

scholarly journals Factors Associated with Poor Asthma Control in Children Aged Five to 13 years

2006 ◽  
Vol 13 (1) ◽  
pp. 23-29 ◽  
Author(s):  
SL Mcghan ◽  
C MacDonald ◽  
DE James ◽  
P Naidu ◽  
E Wong ◽  
...  
Keyword(s):  
Asthma Control ◽  
Tobacco Smoke ◽  
Inhaled Corticosteroids ◽  
Psychosocial Impact ◽  
Control Group ◽  
Action Plans ◽  
Poor Control ◽  
The Poor ◽  
Significant Difference ◽  
Children With Asthma

BACKGROUND: Most children with asthma should be able to achieve acceptable control. However, are there differences between those with acceptable and poor control, and if so, how can health care approaches be modified accordingly?OBJECTIVE: To examine the characteristics of elementary school children aged five to 13 years with acceptable and poor levels of asthma control.METHODS: The present cross-sectional study of children with asthma used five indicators of control, as outlined by the Canadian Asthma Consensus Report, to categorize acceptable and poor asthma control.RESULTS: Of 153 children, 115 (75%) were rated as having poorly controlled asthma. Of those with poor control, 65 (64%) children were currently using inhaled corticosteroids, and 65% of those reported using inhaled corticosteroids daily versus as needed. Fifty-one per cent of the children with poorly controlled asthma had exposure to tobacco smoke, whereas 79% of the children with asthma under acceptable control were from households with no smokers (P=0.002). The poor control group also had significantly worse parental perceptions of the psychosocial impact of asthma on their child. No significant difference was found in the percentage of those who had written action plans in the poor control group (28%) compared with the acceptable control group (26%), and similar percentages in each group stated that they used the plans.CONCLUSIONS: Despite the high use of inhaled corticosteroids, the majority of children had poorly controlled asthma. The poor control group had more exposure to tobacco smoke and a worse psychosocial impact due to asthma. Few children had past asthma education and action plans, suggesting that there is a need to improve access to and tools for education.

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