Document Detail


Reduction of secondhand smoke exposure among healthy infants in Iran: randomized controlled trial.
MedLine Citation:
PMID:  21504887     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The objective of this study was to assess whether counseling both mothers and fathers reduces their infants' exposure to secondhand smoke (SHS).
METHODS: Participants were 130 nonsmoking children aged less than 1 year, exposed to their fathers' or mothers' smoking, and recruited from a health center in southern Tehran. Eligible families were randomly assigned to intervention or control group. Infant urine samples were collected, and parents were interviewed at baseline and at a 3-month follow-up in each of the 2 groups. Mothers of the intervention group were provided 3 counseling sessions, one of which was face to face and 2 of which were by telephone. Fathers were provided 3 counseling sessions by telephone. Parents were also given an educational pamphlet and a sticker depicting a smoke-free home. The control group received usual care. Changes in infant urinary cotinine levels, parental cigarette consumption in the presence of the child, and home- and car-smoking bans were assessed.
RESULTS: The intervention was effective in reducing infant urinary cotinine levels (1-tailed p = .029). There was a greater decrease in the total daily cigarette consumption in the presence of the child in the intervention group compared with the control group, and the differences between the 2 groups were statistically significant (1-tailed p = .03). While the differences between home-smoking bans in the 2 groups were statistically significant (1-tailed p = .049), the differences between car-smoking bans did not reach significance.
CONCLUSION: Counseling similar to that employed in other countries can reduce infant exposure to SHS, suggesting generalizability.
Authors:
Azam Baheiraei; Roghieh Kharaghani; Afshin Mohsenifar; Anoshirvan Kazemnejad; Siamak Alikhani; Hooman Sharifi Milani; Ali Mota; Melbourne F Hovell
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2011-04-18
Journal Detail:
Title:  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco     Volume:  13     ISSN:  1469-994X     ISO Abbreviation:  Nicotine Tob. Res.     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-08     Completed Date:  2012-02-08     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9815751     Medline TA:  Nicotine Tob Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  840-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Cotinine / urine
Counseling*
Female
Follow-Up Studies
Health Education / methods
Humans
Infant
Iran
Male
Parents / psychology*
Smoking / prevention & control*,  psychology
Tobacco Smoke Pollution / prevention & control*,  statistics & numerical data
Chemical
Reg. No./Substance:
0/Tobacco Smoke Pollution; K5161X06LL/Cotinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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