title: A pilot study of concurrent lead and cotinine screening for childhood tobacco smoke exposure: effect on parental smoking.
abstract: OBJECTIVE
  To investigate whether a biomarker screening approach for tobacco smoke exposure (TSE) conducted concurrently with lead screening at well-child visits would increase parental smoking cessation and implementation of home smoking restrictions.
  
  
  METHODS
  Observational, quasi-experimental.
  
  
  METHODS
  Pediatric clinic in Minneapolis, Minnesota.
  
  
  METHODS
  Eighty parents who smoked and their children presenting for well-child visits.
  
  
  METHODS
  Children in the intervention group had serum cotinine measured with lead screening. Laboratory results were sent to providers and parents and a counselor proactively contacted parents to offer an eight-session telephone intervention to help parents stop smoking. The comparison group, a historical control, received usual care.
  
  
  METHODS
  Parental smoking, engagement in tobacco treatment, and home and car smoking policies 8 weeks later.
  
  
  METHODS
  Mean/standard deviation for continuous data or frequency/percentage for categorical data.
  
  
  RESULTS
  Eighty-four percent of eligible parents agreed to have their child tested for TSE along with lead testing. Measurable cotinine was identified in 93% of children. More parents in the intervention group received tobacco treatment than in the comparison group (74% vs. 0%) and more parents reported 7-day point-prevalent abstinence from smoking at 8 weeks (29% vs. 3%).
  
  
  CONCLUSIONS
  These data demonstrate the feasibility of adding cotinine measurement to routine well-child lead screening to document TSE in small children. Data suggest providing this information to parents increases engagement in tobacco treatment and prompts smoking cessation.
authors: Anne
authors: A
authors: Joseph
authors: Sharon
authors: S
authors: Murphy
authors: Janet
authors: J
authors: Thomas
authors: Kolawole S
authors: KS
authors: Okuyemi
authors: Dorothy
authors: D
authors: Hatsukami
authors: Qi
authors: Q
authors: Wang
authors: Anna
authors: A
authors: Briggs
authors: Brandon
authors: B
authors: Doyle
authors: Jonathan P
authors: JP
authors: Winickoff
mesh_terms: D000328:Adult; D002675:Child, Preschool; D003367:Cotinine / Q000097:blood*; D005260:Female; D006801:Humans; D007223:Infant; D007855:Lead Poisoning / Q000175:diagnosis; D008297:Male; D010290:Parents / Q000523:psychology*; D010865:Pilot Projects; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology / Q000706:statistics & numerical data; D014028:Tobacco Smoke Pollution / Q000009:adverse effects* / Q000032:analysis*
chemical_list: D014028:Tobacco Smoke Pollution; D003367:Cotinine
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