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The feasibility of an air purifier and secondhand smoke education intervention in homes of inner city pregnant women and infants living with a smoker

机译:空气净化器和二手烟教育干预措施在市区内孕妇和吸烟者婴儿的家庭中的可行性

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摘要

Objectives: Secondhand smoke (SHS) and other air pollutants adversely affect the health of pregnant women and infants. A feasibility study aimed at reducing air pollution in homes of pregnant women or infants living with a smoker was completed. Methods: In collaboration with the Baltimore City Health Department, women ≥ 18 years of age and either pregnant nonsmokers, or post-partum (any smoking status) with an infant age 0-12 months were recruited. Homes had at least one smoker. Intervention included two air purifiers and secondhand smoke education. Outcomes included feasibility, change in fine particulate matter (PM2.5), air nicotine, and salivary cotinine pre- and post-intervention. Results: Fifty women were enrolled (mean age 27 years, 92% African American, 71% single, 94% Medicaid eligible, 34% reported smoking) and 86% completed the study. Of the 50 women, 32 had infants and 18 were pregnant at time of enrollment. Post- intervention, 70% of participants reported smokers were less likely to smoke indoors, and 77% had at least one air purifier turned on at the final visit. Participant satisfaction was high (91%) and 98% would recommend air purifiers. Indoor PM_(2.5) was significantly decreased (P < 0.001). Salivary cotinine was significantly decreased for non-smoking women (P < 0.01) but not infants, and no significant change in air nicotine occurred (P = 0.6). Conclusions: Air purifiers with SHS education is a feasible intervention in homes of women and infants. These data demonstrate reduction in indoor PM2.5 and salivary cotinine in non-smoking adults. Air purifiers are not an alternative for smoking cessation and a home/ car smoking ban. Smoking cessation should be strongly encouraged for all pregnant women, and nonsmoking mothers with infants should be counseled to completely avoid SHS exposure. This study provides support for a future intervention evaluating clinical endpoints.
机译:目标:二手烟(SHS)和其他空气污染物对孕妇和婴儿的健康产生不利影响。旨在减少孕妇或吸烟者婴儿的家庭空气污染的可行性研究已经完成。方法:与巴尔的摩市卫生局合作,招募≥18岁的妇女,怀孕的非吸烟者或婴儿年龄为0-12个月的产后(任何吸烟状况)。房屋中至少有一名吸烟者。干预措施包括两台空气净化器和二手烟教育。结果包括干预前后的可行性,细颗粒物(PM2.5)的变化,尼古丁空气和唾液可替宁的变化。结果:招募了50名妇女(平均年龄27岁,92%的非洲裔美国人,71%的单身,94%的医疗补助合格,34%的报告吸烟),86%的患者完成了研究。在这50名妇女中,有32名有婴儿,18名在登记时怀孕。干预后,有70%的参与者报告吸烟者在室内吸烟的可能性较小,而77%的参与者在最后一次就诊时至少打开了一个空气净化器。参与者的满意度很高(91%),有98%的人推荐使用空气净化器。室内PM_(2.5)明显降低(P <0.001)。非吸烟女性的唾液可替宁显着降低(P <0.01),但婴儿则没有,空气中尼古丁的含量也没有显着变化(P = 0.6)。结论:接受SHS教育的空气净化器是在妇女和婴儿家庭中可行的干预措施。这些数据表明,非吸烟成年人的室内PM2.5和唾液可替宁降低。空气净化器不能替代戒烟和禁止家庭/汽车吸烟。强烈建议所有孕妇戒烟,并建议非吸烟母亲和婴儿避免完全接触SHS。这项研究为将来评估临床终点的干预措施提供了支持。

著录项

  • 来源
    《Environmental research》 |2018年第1期|524-530|共7页
  • 作者单位

    Johns Hopkins University School of Medicine, Division of Pediatric Pulmonology, Baltimore, MD, USA;

    Johns Hopkins University School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, MD, USA;

    Baltimore City Department of Health, Bureau of Maternal and Child Health, Baltimore, MD, USA;

    Baltimore City Department of Health, Bureau of Maternal and Child Health, Baltimore, MD, USA,Harvard T.H. Chan School of Public Health, Boston, MA, USA;

    Baltimore City Department of Health, Bureau of Maternal and Child Health, Baltimore, MD, USA,The Annie E. Casey Foundation, Baltimore, MD, USA;

    Baltimore City Department of Health, Bureau of Maternal and Child Health, Baltimore, MD, USA,Loyola University, Student Health and Education Services, Baltimore, MD, USA;

    Johns Hopkins Bloomberg School of Public Health, Environmental Health and Engineering Baltimore, MD, USA;

    Johns Hopkins Bloomberg School of Public Health, Environmental Health and Engineering Baltimore, MD, USA;

    Johns Hopkins University School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, MD, USA;

    Johns Hopkins University School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, MD, USA,Johns Hopkins Bloomberg School of Public Health, Environmental Health and Engineering Baltimore, MD, USA;

    Johns Hopkins University School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, MD, USA,Johns Hopkins Bloomberg School of Public Health, Environmental Health and Engineering Baltimore, MD, USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Fine particulate matter; Air nicotine; Salivary cotinine; Indoor air; Secondhand smoke; Air purifier;

    机译:细颗粒物;空气尼古丁;唾液可替宁;室内空气二手烟;空气净化器;

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