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Effectiveness of Interventions to Reduce Tobacco Smoke Pollution in Homes: A Systematic Review and Meta-Analysis

Author

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  • Laura J. Rosen

    (School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, P.O.B. 39040, Ramat Aviv 69978, Israel)

  • Vicki Myers

    (School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, P.O.B. 39040, Ramat Aviv 69978, Israel)

  • Jonathan P. Winickoff

    (Massachusetts General Hospital and Harvard Medical School, Boston, MA 02451-1137, USA)

  • Jeff Kott

    (Sackler School of Medicine, Sackler Faculty of Medicine, Tel Aviv University, P.O.B 39040, Ramat Aviv 69978, Israel)

Abstract

Introduction : Smoke-free homes can help protect children from tobacco smoke exposure (TSE). The objective of this study was to conduct a meta-analysis to quantify effects of interventions on changes in tobacco smoke pollution in the home, as measured by air nicotine and particulate matter (PM). Methods : We searched MEDLINE, PubMed, Web of Science, PsycINFO, and Embase. We included controlled trials of interventions which aimed to help parents protect children from tobacco smoke exposure. Two reviewers identified relevant studies, and three reviewers extracted data. Results : Seven studies were identified. Interventions improved tobacco smoke air pollution in homes as assessed by nicotine or PM. (6 studies, N = 681, p = 0.02). Analyses of air nicotine and PM separately also showed some benefit (Air nicotine: 4 studies, N = 421, p = 0.08; PM: 3 studies, N = 340, p = 0.02). Despite improvements, tobacco smoke pollution was present in homes in all studies at follow-up. Conclusions : Interventions designed to protect children from tobacco smoke are effective in reducing tobacco smoke pollution (as assessed by air nicotine or PM) in homes, but contamination remains. The persistence of significant pollution levels in homes after individual level intervention may signal the need for other population and regulatory measures to help reduce and eliminate childhood tobacco smoke exposure.

Suggested Citation

  • Laura J. Rosen & Vicki Myers & Jonathan P. Winickoff & Jeff Kott, 2015. "Effectiveness of Interventions to Reduce Tobacco Smoke Pollution in Homes: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 12(12), pages 1-17, December.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:12:p:15038-16059:d:60836
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    References listed on IDEAS

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    1. Wipfli, H. & Avila-Tang, E. & Navas-Acien, A. & Kim, S. & Onicescu, G. & Yuan, J. & Breysse, P. & Samet, J.M., 2008. "Secondhand smoke exposure among women and children: Evidence from 31 countries," American Journal of Public Health, American Public Health Association, vol. 98(4), pages 672-679.
    2. Krieger, J.W. & Takaro, T.K. & Song, L. & Weaver, M., 2005. "The Seattle-King County Healthy Homes Project: A randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 652-659.
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    1. Rachel O’Donnell & Kathryn Angus & Peter McCulloch & Amanda Amos & Lorraine Greaves & Sean Semple, 2019. "Fathers’ Views and Experiences of Creating a Smoke-Free Home: A Scoping Review," IJERPH, MDPI, vol. 16(24), pages 1-18, December.
    2. Mandeep S. Jassal & Cassia Lewis-Land & Richard E. Thompson & Arlene Butz, 2020. "Linkage of Maternal Caregiver Smoking Behaviors on Environmental and Clinical Outcomes of Children with Asthma: A Post-Hoc Analysis of a Financial Incentive Trial Targeting Reduction in Pediatric Toba," IJERPH, MDPI, vol. 17(22), pages 1-14, November.
    3. Yan Hua Zhou & Yim Wah Mak & Grace W. K. Ho, 2019. "Effectiveness of Interventions to Reduce Exposure to Parental Secondhand Smoke at Home among Children in China: A Systematic Review," IJERPH, MDPI, vol. 16(1), pages 1-17, January.
    4. Rachel O’Donnell & Grace Lewis & Colin Lumsdaine & Giovanna Di Tano & Liz Swanston & Gillian Amos & Anne Finnie & Neneh Rowa-Dewar, 2020. "Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study," IJERPH, MDPI, vol. 17(19), pages 1-14, October.
    5. Chenghan Xiao & Yang Yang & Xiaohe Xu & Xiao Ma, 2020. "Housing Conditions, Neighborhood Physical Environment, and Secondhand Smoke Exposure at Home: Evidence from Chinese Rural-to-Urban Migrant Workers," IJERPH, MDPI, vol. 17(8), pages 1-13, April.
    6. Tracey J. Brown & Sarah Gentry & Linda Bauld & Elaine M. Boyle & Paul Clarke & Wendy Hardeman & Richard Holland & Felix Naughton & Sophie Orton & Michael Ussher & Caitlin Notley, 2020. "Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children," IJERPH, MDPI, vol. 17(21), pages 1-14, October.
    7. Omar El-Shahawy & Kareem Labib & Elizabeth Stevens & Linda G. Kahn & Wagida Anwar & Cheryl Oncken & Tom Loney & Scott E. Sherman & Erin L. Mead-Morse, 2021. "Exclusive and Dual Cigarette and Hookah Smoking Is Associated with Adverse Perinatal Outcomes among Pregnant Women in Cairo, Egypt," IJERPH, MDPI, vol. 18(24), pages 1-13, December.
    8. Westley L. Fallavollita & Elizabeth K. Do & Julia C. Schechter & Scott H. Kollins & Junfeng (Jim) Zheng & Jian Qin & Rachel L. Maguire & Cathrine Hoyo & Susan K. Murphy & Bernard F. Fuemmeler, 2021. "Smoke-Free Home Rules and Association with Child Secondhand Smoke Exposure among Mother–Child Dyad Relationships," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    9. Tobias Weinmann & Katja Radon & Freya Sukalla & Jessica Gerlich & Swaantje Barth & Dennis Nowak & Veronika Karnowski, 2018. "Developing an Awareness Campaign to Reduce Second Hand Smoke Among Disadvantaged Families—A Participatory M-Health Approach," IJERPH, MDPI, vol. 15(9), pages 1-11, September.
    10. Caitlin Notley & Tracey J. Brown & Linda Bauld & Elaine M. Boyle & Paul Clarke & Wendy Hardeman & Richard Holland & Marie Hubbard & Felix Naughton & Amy Nichols & Sophie Orton & Michael Ussher & Emma , 2022. "Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care," IJERPH, MDPI, vol. 19(6), pages 1-17, March.

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