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Effectiveness of Interventions to Reduce Exposure to Parental Secondhand Smoke at Home among Children in China: A Systematic Review

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  • Yan Hua Zhou

    (School of Nursing, Zhejiang Chinese Medical University, Hangzhou 310051, China)

  • Yim Wah Mak

    (School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong 999077, China)

  • Grace W. K. Ho

    (School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong 999077, China)

Abstract

There are health consequences to exposure to secondhand smoke (SHS). About two-thirds of children in China live with at least one person, usually a parent, who smokes at home. However, none of the reviews of interventions for reducing SHS have targeted children in China. The purpose of this study was to review the effectiveness of interventions for reducing parental SHS exposure at home among children in China. We searched various electronic databases for English and Chinese publications appearing between 1997 and 2017. Thirteen relevant studies were identified. Common strategies used in intervention groups were non-pharmacological approaches such as counseling plus self-help materials, and attempting to persuade fathers to quit smoking. Family interactions and follow-up sessions providing counseling or using text messages could be helpful to successful quitting. Several encouraging results were observed, including lower cotinine levels in children ( n = 2), reduced tobacco consumption ( n = 5), and increased quit rates ( n = 6) among parents. However, the positive effects were not sustained 3~6 months after the interventions. Self-reported quitting without bio-chemical validation was the most common outcome measure. A study design using biochemical validations, a longer follow-up period, and targeting all people living with children in the same household is recommended.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:1:p:107-:d:194548
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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.
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    3. Yim Wah Mak & Alice Yuen Loke & Frances K. Y. Wong, 2018. "Nursing Intervention Practices for Smoking Cessation: A Large Survey in Hong Kong," IJERPH, MDPI, vol. 15(5), pages 1-14, May.
    4. 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.
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    Cited by:

    1. Zhenyi Wang & Wen Dong & Kun Yang, 2022. "Spatiotemporal Analysis and Risk Assessment Model Research of Diabetes among People over 45 Years Old in China," IJERPH, MDPI, vol. 19(16), pages 1-26, August.
    2. Hanns Moshammer & Hans-Peter Hutter, 2019. "Breast-Feeding Protects Children from Adverse Effects of Environmental Tobacco Smoke," IJERPH, MDPI, vol. 16(3), pages 1-6, January.
    3. Muxing Xie & Chunrong Jia & Yawei Zhang & Beibei Wang & Ning Qin & Suzhen Cao & Liyun Zhao & Dongmei Yu & Xiaoli Duan, 2020. "Household Exposure to Secondhand Smoke among Chinese Children: Status, Determinants, and Co-Exposures," IJERPH, MDPI, vol. 17(15), pages 1-12, July.

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