title: Brief Counseling on Secondhand Smoke Exposure in Pregnant Women in Argentina and Uruguay.
abstract: Argentina and Uruguay have a high prevalence of smoking during pregnancy, as well as of secondhand smoke (SHS) exposure. In this secondary analysis of a trial to implement brief smoking cessation counseling during antenatal care in Argentina and Uruguay, we aim to evaluate the effects of the intervention on the rates of self-reported SHS exposure at home and at work, and on attitudes recalled by non-smoker women enrolled in the intervention group compared with the control group. We randomly assigned (1:1) 20 antenatal care clusters in Argentina and Uruguay to receive a multifaceted intervention to implement brief smoking cessation counseling, which also included questions and counseling regarding SHS exposure, or to receive the standard of care. There was not a statistically significant difference between groups of the intervention's effect (reduction of exposure to SHS) on any of the three exposure outcome measures (exposure at home, work or other indoor areas) or on the attitudes of women regarding exposure (avoiding breathing SHS and having rooms where smoking is forbidden). This analysis shows that we should not expect reductions in SHS exposure with this modest intervention alone. To achieve such reductions, strategies engaging partners and other household members may be more effective.
authors.affiliation: Montevideo Clinical and Epidemiological Research Unit, Montevideo 11600, Uruguay. aaleman@unicem-web.org.
authors.forename: Alicia
authors.initials: A
authors.lastname: Alemán
authors.affiliation: Departamento de Investigación en Salud de la Madre y el Niño, Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires C1414CPV, Argentina. pmorello@msal.gov.ar.
authors.forename: Paola
authors.initials: P
authors.lastname: Morello
authors.affiliation: Montevideo Clinical and Epidemiological Research Unit, Montevideo 11600, Uruguay. mcolomar@unicem-web.org.
authors.forename: Mercedes
authors.initials: M
authors.lastname: Colomar
authors.affiliation: Hospital de Clínicas, Facultad de Medicina, Universidad de la Republica, Montevideo 11600, Uruguay. llambil@hc.edu.uy.
authors.forename: Laura
authors.initials: L
authors.lastname: Llambi
authors.affiliation: Departamento de Investigación en Salud de la Madre y el Niño, Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires C1414CPV, Argentina. mberrueta@iecs.org.ar.
authors.forename: Mabel
authors.initials: M
authors.lastname: Berrueta
authors.affiliation: Departamento de Investigación en Salud de la Madre y el Niño, Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires C1414CPV, Argentina. lgibbons@iecs.org.ar.
authors.forename: Luz
authors.initials: L
authors.lastname: Gibbons
authors.affiliation: School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA. pbuekens@tulane.edu.
authors.forename: Pierre
authors.initials: P
authors.lastname: Buekens
authors.affiliation: Departamento de Investigación en Salud de la Madre y el Niño, Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires C1414CPV, Argentina. falthabe@iecs.org.ar.
authors.forename: Fernando
authors.initials: F
authors.lastname: Althabe
mesh_terms: D000328:Adult; D001118:Argentina; D005260:Female; D006266:Health Education; D006801:Humans; D018811:Maternal Exposure / Q000517:prevention & control*; D011247:Pregnancy; D037841:Pregnant People; D011295:Prenatal Care; D011897:Random Allocation; D057566:Self Report; D012907:Smoking; D016540:Smoking Cessation; D014028:Tobacco Smoke Pollution; D014583:Uruguay
chemical_list: D014028:Tobacco Smoke Pollution
keywords: antenatal care; brief counseling; pregnancy; secondhand smoke exposure