208001 Factors Influencing the Mobilization of Inner-City African American Parents to Address the Harms of Secondhand Smoke Exposure

Tuesday, November 10, 2009

Jennifer R. Warren, PhD , Department of Communication, Rutgers, The State University of New Jersey, New Brunswick, NJ
Phyllis Sloan, MA , La Creche Early Childhood Development Center, Minneapolsi, MN
Brandi M. White, BAIS , School of Public Health, University of Minnesota, Minneapolis, MN
Michele Allen, MD, MS , Program of Health Disparities Research, Medical School, Univerity of Minnesota, Minneapolis, MN
Temitope Olaleye, MBChB , Program of Health Disparities Research, Medical School, Univerity of Minnesota, Minneapolis, MN
Kola Okuyemi, MD, MPH , Program of Health Disparities Research, Medical School, Univerity of Minnesota, Minneapolis, MN
Background: Children's secondhand smoke (SHS) exposure varies significantly in relation to socioeconomic status and ethnicity. The National Health and Nutrition Examination Survey 2001-2002 reports serum continine levels were highest among inner-city African American children under age 11. However, little is known about how to mobilize inner-city African American parent communities to address the harms of SHS exposure among young children. Objective: To identify the challenges and assets associated with mobilizing inner-city African American parents to address the harms due to secondhand smoke. Methods: Parent advisory board members on a community-based SHS reduction project participated in thirteen, 1-2 hour, audiotaped group interviews (3-7 participants each). Meetings were held in partnership with a partially subsidized child development center. Data were analyzed through an integrated framework using the PRECEED/PROCEDE and Social Ecological Models. Audio tapes and field notes were reviewed for recurring themes. Results: Parents perceived that stress, limited coping skills, and alcohol use limited the mobilization of parents. Other barriers included limited knowledge of the harms of SHS exposure. Useful intrapersonal assets included a cultural tradition of problem solving, creativity, and grit and determination. Community-level barriers included lack of access to education on harms of SHS exposure, neighborhood disorder, limited access housing/jobs, access to cheap cigarettes, and pro smoking norms. Conclusions: These findings suggest that neighborhood, cultural, and individual level factors be considered in the development of interventions addressing harms of SHS exposure among young children of inner-city parents.

Learning Objectives:
To identify mutiple determinants impacting parent's ability to address the harms of secondhand smoke exposure among infants and young children.

Keywords: Child Health, Underserved Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have seven years research experience in health disparities supported by seven funding agencies. I also have a ph.d in health communication with a specialization in community-based prevention witin underserved communities. During my postdoctoral experience I conduct community based participatory resarch on the elimination of SHS in inner city and African American communities. I publish articles in peer reviewed journal addressing underserved populations and health, and an article in press on smoking restriction among African Americans based on a R01 funded clinical trial.
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.