title: Anti-smoking parenting practices: recall by and effect on children's risk of smoking after 3 years.
abstract: OBJECTIVE
  Parent engagement in anti-smoking parenting practices was examined as a predictor of children's recalled exposure to these practices, the presence of pro-smoking risk factors in children's social environments, and children's odds of initiating smoking.
  
  
  METHODS
  1,032 parents reported level of engagement in a program that promoted anti-smoking parenting practices for 8-year-old children. 1,032 children were surveyed 6 months and 3 years post-intervention; they reported on exposure to anti-smoking parenting practices, pro-smoking risk factors, and initiation of smoking.
  
  
  RESULTS
  If parents reported high engagement in anti-smoking socialization, children had significantly greater recall of anti-smoking parenting practices and significantly fewer pro-smoking risk factors up to 3 years post-intervention. If engagement was moderate or low, children had progressively lower odds of recalling anti-smoking parenting practices relative to controls and they were progressively less likely to differ from controls in exposure to pro-smoking risk factors at follow-up.
  
  
  CONCLUSIONS
  Achieving full program implementation remains a significant challenge to home-based, parent-led approaches to smoking prevention. However, if parents fully engage in anti-smoking parenting practices, children demonstrate protective effects up to 3 years later.
authors.affiliation: Research Triangle Institute, Durham, NC, USA. cjackson@rti.org
authors.forename: Christine
authors.initials: C
authors.lastname: Jackson
authors.forename: Denise M
authors.initials: DM
authors.lastname: Dickinson
mesh_terms: D001294:Attitude to Health; D016022:Case-Control Studies; D002648:Child; D005260:Female; D006293:Health Promotion; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D011939:Mental Recall; D010287:Parent-Child Relations; D016487:Parenting; D015397:Program Evaluation; D011446:Prospective Studies; D012306:Risk; D000074606:Smoking Prevention