The 130th Annual Meeting of APHA

4003.0: Tuesday, November 12, 2002 - Board 7

Abstract #37664

Final results of Ambiente Fresco, a promotora-based intervention to reduce environmental tobacco smoke (ETS) exposure in Latino children

Susan I Woodruff, PhD1, Terry L. Conway, PhD2, and Christine C. Edwards, MPH1. (1) Center for Behavioral and Community Health Studies, San Diego State University, 9245 Sky Park Court, Ste. 120, San Diego, CA 92123, (619) 594-2787,, (2) Graduate School of Public Health, San Diego State University, 9245 Sky Park Ct, Suite 120, San Diego, CA 92131

This trial evaluated a culturally-sensitive, behavioral problem-solving approach to reduce environmental tobacco smoke (ETS) exposure among young Latino children (average age of 5). Intervention efforts were directed toward a key member (e.g., parent) of the household in which the child lived. Bicultural, bilingual promotoras, volunteers from the local community, conducted the intervention using contracting, shaping, positive reinforcement, and stimulus cues to assist the parent in achieving ETS reduction goals. Participants were randomly assigned either to a measurement-only control group or to a 4-month intervention group. Parent’s reports of the child's exposure to ETS in the home and the child’s hair nicotine and cotinine levels were collected at 4 time points: baseline, immediately post-intervention, 3 months post intervention, and 12 months post intervention. Early analyses on 99 families with baseline and immediate post-intervention data indicated that families exposed their children to significantly less ETS over time. However, approximately the same reduction was seen in intervention and control families. The intervention did, however, affect several knowledge/attitudinal measures: ETS-related knowledge, self efficacy regarding one’s ability to reduce the child’s ETS exposure, and positive expectations related to the benefits of reducing ETS exposure increased in the intervention group but remained essentially unchanged in the control group. Data collection has recently been completed on the final sample of 143 families. This presentation will describe long-term changes in Latino children’s ETS exposure (based on parents’ reports of children’s exposure and children’s hair nicotine and cotinine levels) associated with this novel promotora-based ETS reduction program.

Learning Objectives: After reviewing the poster, the participant will be able to

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

State Clean Indoor Air / Environmental Tobacco Smoke Poster Session

The 130th Annual Meeting of APHA