207162 Community Partners for Advancing Smokefree Environments

Tuesday, November 10, 2009

David Zanis, PhD , Temple University, Philadelphia, PA
Jennifer Ibrahim, PhD, MPH , Public Health, Temple University, Philadelphia, PA
Bradley N. Collins, PhD , Department of Public Health, Temple University, Philadelphia, PA
Background: There has been little attention dedicated toward assessing children's exposure to secondhand smoke (SHS) in community based settings. Given that low SES children are more likely to be exposed to SHS, developing partnerships with organizations that serve this population are critical to reduce health risks. The purpose of this study was to examine the extent to which federally funded Pennsylvania Head Start programs implemented clinical policies and practices related to reducing parental tobacco use and children's exposure to second hand smoke.

Methods: We surveyed 66 federally funded Pennsylvania Head Start programs to assess practices related to reducing children's exposure to SHS. Overall 42 (66%) of programs completed the assessment and 14 agencies participated in a training to integrate SHS interventions.

Results: Most (90%) Head Start programs believed that it is part of their mission to protect children from the exposure to SHS, although none had developed approaches. Only 2 of the agencies currently assessed youth's exposure to secondhand smoke and both of these agencies currently participate in an externally funded tobacco project. Six month follow-up data found that none of the 14 agencies who voluntarily participated in the policy training changed clinical practices to assess for children's exposure to SHS. Reasons for not modifying policy included: lack of organizational support from administrators and inadequate time to work on the issue.

Conclusion: Both policy and regulatory approaches may be necessary to increase organizational and practitioner behaviors toward educating and intervening with parents who expose their children to secondhand smoke risks.

Learning Objectives:
Learning Objectives: 1. Tobacco use and children’s exposure to TSP remains a philosophical issue that requires systematic approaches. Participants will understand the strengths and limitations of these arguments. 2. Community based organizations that receive tobacco control funds should explore partnerships with other community partners that serve low SES families and identify opportunities for education and intervention. Participants will learn how to develop partnerships between organizations that administer tobacco settlement funds and community based agencies. 3. Participants will learn how to effectively develop administrative and clinical policies that address tobacco use within Head Start and similar community based organizations.

Keywords: Smoking, Community-Based Partnership

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Research and program administration
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.