哮喘联盟

   摘要
   目的：评价监护人戒烟咨询和班级健康教育对降低5-6岁中国儿童环境烟草暴露的干预作用。
   方法：在中国长沙的2所幼儿园中开展随机对照试验，65名年龄5-6岁的儿童以及他们吸烟的监护人（65名）被随机分配到干预组（33例）和对照组（无干预，32例）。干预组中的监护人接受了自助资料和受过培训的咨询师的戒烟指导，干预组的孩子们参与了班级健康教育。分别于试验开始前和6个月后测定孩子的尿可替宁水平及监护人的时点戒烟率。
   结果： 6个月随访显示，干预组孩子的尿可替宁水平下降具有统计学意义(Z = -3.136; p = 0.002)；监护人7天戒烟率显著高于（34.4%比0%）对照组 (p < 0.001; 校正OR = 1.13; 95% CI: 1.02-1.26)。
   结论： 帮助监护人戒烟结合班级健康教育能有效降低儿童环境烟草暴露。尚需开展更大规模试验。

 

（刘国梁 审校）
IntJEnvironResPublicHealth.2015Jan13;12(1):692-709.doi:10.3390/ijerph120100692.


 

Reducing environmental tobacco smoke exposure of preschool children: a randomized controlled trial of class-based health education and smoking cessation counseling for caregivers.
 

Wang Y1, Huang Z2, Yang M3, Wang F4, Xiao S5.
 

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.
 

IntJEnvironResPublicHealth.2015Jan13;12(1):692-709.doi:10.3390/ijerph120100692.