244207 Evaluating process and outcomes in collecting tobacco-related biomarkers from young African American children

Tuesday, November 1, 2011

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
Background: Low-income African American children are disproportionately impacted by secondhand smoke exposure (SHS). Collecting tobacco-related biomarkers is critical for needs assessments and to assess the effectiveness of interventions. This presentation addresses engagement of African American parents in collection of biomarkers from young children. Methods: A childcare center and parent advisory board were involved in an 18-month community-based participatory research (CBPR) project to mobilize parents against the harms of SHS. Community partners collaborated for 8 months on how to engage parents in collecting salivary cotinine assays of SHS exposure from young children. Events were held to assess attitudes and educate parents. African American parents whose child (6 weeks - 5 years) was a student at the center were recruited in biomarker evaluation from those who filled out a baseline survey (n=63). Analysis: Meeting minutes from the collaborative process and field notes from educational events/forums were thematically analyzed. Chi-Squares were generated to identify differences between parents allowing/not allowing children to be tested for cotinine. Findings: Forty-three of the 63 parents had children tested. Those who did not test had less friends/family who smoked, no smoking restrictions, and not interested in learning more about SHS. Parenting style, mistrust, open communication, and childcare center involvement were important factors to engaging parents in collecting biomarkers from young children. Conclusion: CBPR is effective in engaging parents in tobacco-related biomedical research. Efforts should address barriers for parents who do not self-select as well as to reduce mistrust of the research process and the collection biomedical samples.

Learning Areas:
Social and behavioral sciences

Learning Objectives:
Describe individual, organizational, and cultural factors influencing low income African American parents' engagement in biomedical research, specifically collecting tobacco related biomarkers from young children.

Keywords: Child Health, Underserved Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 13 years collaborating with low income African American communities in health-related research. Five of those years have been focused on substance use and tobacco control and prevention.
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.