title: Can a minimal intervention reduce secondhand smoke exposure among children with asthma from low income minority families? Results of a randomized trial.
abstract: We report on the results of a low-intensity behavioral intervention to reduce second hand smoke (SHS) exposure of children with asthma from low income minority households in Los Angeles, California. In this study, 242 child/adult dyads were randomized to a behavioral intervention (video, workbook, minimal counseling) or control condition (brochure). Main outcome measures included child's urine cotinine and parental reports of child's hours of SHS exposure and number of household cigarettes smoked. Implementation of household bans was also considered. No differences in outcomes were detected between intervention and control groups at follow-up. Limitations included high attrition and low rates of collection of objective measures (few children with urine cotinine samples). There continues to be a need for effective culturally and linguistically appropriate strategies that support reduction of household SHS exposure among children with asthma in low income, minority households.
authors.affiliation: Division of Cancer Prevention and Control Research and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, Los Angeles, CA, USA, leanne.streja@gmail.com.
authors.forename: Leanne
authors.initials: L
authors.lastname: Streja
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Crespi
authors.forename: Roshan
authors.initials: R
authors.lastname: Bastani
authors.forename: Glenn C
authors.initials: GC
authors.lastname: Wong
authors.forename: Craig A
authors.initials: CA
authors.lastname: Jones
authors.forename: John T
authors.initials: JT
authors.lastname: Bernert
authors.forename: Donald
authors.initials: D
authors.lastname: Tashkin
authors.forename: S Katharine
authors.initials: SK
authors.lastname: Hammond
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Berman
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000503:physiopathology*; D001294:Attitude to Health; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003367:Cotinine / Q000652:urine; D004781:Environmental Exposure / Q000009:adverse effects*; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D015141:Los Angeles; D008297:Male; D010290:Parents / Q000523:psychology*; D011203:Poverty; D011795:Surveys and Questionnaires; D013997:Time Factors; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*
chemical_list: D014028:Tobacco Smoke Pollution; D003367:Cotinine