中国一半宝宝长期暴露在二手烟中,如何劝爸爸们戒烟更有效?
Nature自然科研 · 2017/09/08
本周《科学报告》发表的一篇论文mHealth Intervention is Effective in Creating Smoke-Free Homes for Newborns: A Randomized Controlled Trial Study in China表示,在传统的面对面健康辅导的基础上增加手机短信介入或许是减少中国新生儿父亲的吸烟行为的有效途径。


图片来自Pixabay

本文转载自“Nature自然科研”

本周《科学报告》发表的一篇论文mHealth Intervention is Effective in Creating Smoke-Free Homes for Newborns: A Randomized Controlled Trial Study in China表示,在传统的面对面健康辅导的基础上增加手机短信介入或许是减少中国新生儿父亲的吸烟行为的有效途径。

二手烟会增加新生儿遭遇多种健康问题的风险,包括下呼吸道和中耳感染,儿童癌症,哮喘和身理及认知发育迟缓。尽管如此,中国家庭中有一半的新生儿长期暴露在二手烟中。传统的戒烟和减少二手烟项目大多依赖于面对面教育和强调自制的宣传材料,这些方法被证明对4岁以下儿童的家长无明显效果。

为了测试在面对面教育的基础上的手机提示介入是否能减少新生儿被暴露在二手烟中的情况,哈尔滨工业大学深圳校区的Cheng Huang及同事向住在中国长春的99名吸烟的新生儿父亲总共发送了9500条短信。这些短信在33天内发送,内容包括二手烟对母亲和孩子的危害及鼓励戒烟的话。

短信内容举例

 


6个月和12个月后,作者分别比对了接受短信提醒的家长和103位只接受一次性面对面教育(由专业健康管理人员开展的二手烟对新生儿危害的教育课程)的家长的父亲戒烟率和母亲在家的二手烟暴露程度。同时,他们还设置了一个控制组,控制组中的家长只接受基本的产后护理建议,并不包括烟草控制和戒烟教育。结果显示,收到短信的父亲最有可能降低在家吸烟的频率,且在6个月和12个月后对二手烟带来的健康危害的意识最高。作者提出,包含短信的吸烟介入是督促男性戒烟的有效手段。

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  • mHealth Intervention is Effective in Creating Smoke-Free Homes for Newborns: A Randomized Controlled Trial Study in China

    Mobile-phone-based smoking cessation intervention has been shown to increase quitting among smokers. However, such intervention has not yet been applied to secondhand smoke (SHS) reduction programs that target smoking parents of newborns. This randomized controlled trial, undertaken in Changchun, China, assessed whether interventions that incorporate traditional and mobile-phone-based education will help create smoke-free homes for infants and increase quitting among fathers. The results showed that the abstinence rates of the fathers at 6 months (adjusted OR: 3.60, 95% CI: 1.41–9.25; p = 0.008) and 12 months (adjusted OR: 2.93, 95% CI: 1.24–6.94; p = 0.014) were both significantly increased in the intervention group compared to the control. Mothers of the newborns in the intervention group also reported reduced exposure to SHS at 12 months (adjusted OR: 0.53, 95% CI: 0.29–0.99; p = 0.046). The findings suggest that adding mHealth interventions to traditional face-to-face health counseling may be an effective way to increase male smoking cessation and reduce mother and newborn SHS exposure in the home.

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