206902 Development of Clean Indoor Air Policies Among New Mothers: What Matters?

Monday, November 9, 2009

Jennifer Ibrahim, PhD, MPH , Public Health, Temple University, Philadelphia, PA
Natlie Tolley, MPH , Public Health, Temple University, Philadelphia, PA
Melbourne F. Hovell, PhD, MPH , Cbeach, San Diego State University, San Diego, CA
Bradley N. Collins, PhD , School of Public Health, Temple University, Philadelphia, PA
Janet Audrain-McGovern, PhD , The Transdisciplinary Tobacco Use Research Center, University of Pennsylvania, Philadelphia, PA
Background: Establishing clean indoor air (CIA) policies in the home may reduce children's exposure to secondhand smoke (SHS). However, there may be challenges to developing a CIA policy, particularly among low-income smokers. This study assessed the existence of CIA home policies in a cross-section of underserved maternal smokers, and examined factors contributing to the existence of such policies.

Methods: This study is part of an ongoing behavioral counseling trial, Philadelphia FRESH (Family Rules for Establishing Smoke-free Homes), for low-income, minority maternal smokers with children under the age of 4. Mothers whose children were exposed to SHS were recruited from pediatric primary care and WIC clinics. Preliminary baseline data from 189 mothers were analyzed for this study (a larger sample size will be presented.)

Results: Total in home smoking bans were reported by only 11.8% of new mothers; 7.1% permitted smoking only for special guests, 54.7% permitted smoking only in designated areas, and 26.5% permitted smoking anywhere. Mothers reporting greater knowledge about dangers of SHS exposure were more likely to have smoking restrictions (F=2.4, p<0.01). However, smoking bans were not associated with the mother enforcing the policy, and there was no significant association between a smoke-free policy in the home and a smoking ban in the car.

Conclusion: Health advocates and clinicians should educate new mothers on the dangers of SHS as a step towards developing a smoke-free policy in the home. However, helping mothers develop strategies to enforce such policies may be necessary to protect children from exposure.

Learning Objectives:
Learning Objectives: 1) Review the factors associated with the development of a clean indoor air home policy among postpartum mothers. 2) Discuss the barriers to a clean indoor air policy and potential ways in which to minimize the barriers. 3) Explore practical ways in which to provide routine education and advocate for smoke-free homes among new mothers.

Keywords: Smoking, Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Assistant Professor of Public Health Policy and I have spent the last 8 years conducting research on tobacco control policymaking and population level interventions. I was a member of the IARC panel that composed the upcoming handbook on secondhand smoke and a member of the NCI team that composed the recent monograph on tobacco control media campaigns. I also have published my work in well-respected journals, including the American Journal of Public Health, the American Journal of Preventive Medicine, and Tobacco Control.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.