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Continued high rates of smoking among socioeconomically disadvantaged women lead to increases in children's health problems associated with exposure to tobacco smoke. The pediatric clinic is a "teachable setting" in which to provide advice and assistance to parents who smoke.
To evaluate a smoking cessation intervention for women.
Two-arm (usual care vs intervention) randomized trial.
Pediatric clinics serving an ethnically diverse population of low-income families in the greater Seattle, Wash, area.
During the clinic visit, women received a motivational message from the child's clinician, a guide to quitting smoking, and a 10-minute motivational interview with a nurse or study interventionist. Women received as many as 3 outreach telephone counseling calls from the clinic nurse or interventionist in the 3 months following the visit.
Self-identified women smokers (n = 303) whose children received care at participating clinics.
Main Outcome Measure
Self-reported abstinence from smoking 12 months after enrollment in the study, defined as not smoking, even a puff, during the 7 days prior to assessment.
Response rates at 3 and 12 months were 80% and 81%. At both follow-ups, abstinence rates were twice as great in the intervention group as in the control group (7.7% vs 3.4% and 13.5% vs 6.9%, respectively). The 12-month difference was statistically significant.
A pediatric clinic smoking cessation intervention has long-term effects in a socioeconomically disadvantaged sample of women smokers. The results encourage implementation of evidence-based clinical guidelines for smoking cessation in pediatric practice.
Curry SJ, Ludman EJ, Graham E, Stout J, Grothaus L, Lozano P. Pediatric-Based Smoking Cessation Intervention for Low-Income Women: A Randomized Trial. Arch Pediatr Adolesc Med. 2003;157(3):295–302. doi:10.1001/archpedi.157.3.295
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