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Reducing Environmental Tobacco Smoke Exposure of Preschool Children: A Randomized Controlled Trial of Class-Based Health Education and Smoking Cessation Counseling for Caregivers

Author

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  • Yun Wang

    (Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China
    School of Nursing, Xinjiang Medical University, Urumqi 830000, Xinjiang, China)

  • Zhiqiang Huang

    (Academy of Inspection and Quarantine, Changsha 410004, Hunan, China)

  • Mei Yang

    (Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China)

  • Fuzhi Wang

    (Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China)

  • Shuiyuan Xiao

    (Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China)

Abstract

Objectives : To assess counseling to caregivers and classroom health education interventions to reduce environmental tobacco smoke exposure of children aged 5–6 years in China. Methods : In a randomized controlled trial in two preschools in Changsha, China, 65 children aged 5–6 years old and their smoker caregivers (65) were randomly assigned to intervention ( n = 33) and control (no intervention) groups ( n = 32). In the intervention group, caregivers received self-help materials and smoking cessation counseling from a trained counselor, while their children were given classroom-based participatory health education. Children’s urinary cotinine level and the point prevalence of caregiver quitting were measured at baseline and after 6 months. Results : At the 6-month follow-up, children’s urinary cotinine was significantly lower ( Z = –3.136; p = 0.002) and caregivers’ 7-day quit rate was significantly higher (34.4% versus 0%) ( p < 0.001; adjusted OR = 1.13; 95% CI: 1.02–1.26) in the intervention than control group. Conclusions : Helping caregivers quitting smoke combined with classroom-based health education was effective in reducing children’s environmental tobacco smoke exposure. Larger-scale trials are warranted.

Suggested Citation

  • Yun Wang & Zhiqiang Huang & Mei Yang & Fuzhi Wang & Shuiyuan Xiao, 2015. "Reducing Environmental Tobacco Smoke Exposure of Preschool Children: A Randomized Controlled Trial of Class-Based Health Education and Smoking Cessation Counseling for Caregivers," IJERPH, MDPI, vol. 12(1), pages 1-18, January.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:1:p:692-709:d:44630
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    References listed on IDEAS

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    3. Carmela Protano & Roberta Andreoli & Paola Manini & Matteo Vitali, 2012. "How home-smoking habits affect children: a cross-sectional study using urinary cotinine measurement in Italy," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(6), pages 885-892, December.
    4. Jacques J. Prignot, 2011. "Recent Contributions of Air- and Biomarkers to the Control of Secondhand Smoke (SHS): A Review," IJERPH, MDPI, vol. 8(3), pages 1-35, March.
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