Evaluation of a home-based intervention program to reduce infant passive smoking and lower respiratory illness

Robert A. Greenberg, Victor J. Strecher, Karl E. Bauman, Barbara W. Boat, Mary Glenn Fowler, Lynette L. Keyes, Floyd W. Denny, Robert S. Chapman, Helen C. Stedman, Lisa M. LaVange, Lucinda H. Glover, Nancy J. Haley, Frank A. Loda

Research output: Contribution to journalArticlepeer-review

93 Scopus citations

Abstract

We conducted a randomized controlled trial to determine whether a home-based intervention program could reduce infant passive smoking and lower respiratory illness. The intervention consisted of four nurse home visits during the first 6 months of life, designed to assist families to reduce the infant's exposure to tobacco smoke. Among the 121 infants of smoking mothers who completed the study, there was a significant difference in trend over the year between the intervention and the control groups in the amount of exposure to tobacco smoke; infants in the intervention group were exposed to 5.9 fewer cigarettes per day at 12 months. There was no group difference in infant urine cotinine excretion. The prevalence of persistent lower respiratory symptoms was lower among intervention-group infants of smoking mothers whose head of household had no education beyond high school: intervention group, 14.6%; and controls, 34.0%.

Original languageEnglish (US)
Pages (from-to)273-290
Number of pages18
JournalJournal of Behavioral Medicine
Volume17
Issue number3
DOIs
StatePublished - Jun 1 1994
Externally publishedYes

Keywords

  • infant
  • intervention
  • pollution
  • respiratory disease
  • tobacco

ASJC Scopus subject areas

  • General Psychology
  • Psychiatry and Mental health

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