Interventions by Health Care Professionals in Reducing Tobacco Smoke Exposure in Children : A Review and Meta-analysis

A recent review was conducted to determine the effectiveness of interventions delivered by health care professionals who provide routine child health care in reducing tobacco smoke exposure in children. A meta-analysis conducted on 57 trials was performed. The primary outcome was reduction in child tobacco smoke exposure with a secondary outcome of parental smoking cessation. 16 studies met the selection criteria. The only trials that demonstrated a significant overall intervention effect were trials that affected maternal postpartum smoking relapse prevention.

Although this meta-analysis did not provide much in the way of finding interventions that could be effective in reducing child tobacco smoke exposure, it did find one intervention that could affect child TSA. This could be a first step towards finding other interventions that are effective. Much like the other intervention types, this intervention gets to the heart of the problem; parents smoking around their offspring. Even though tobacco use in adults over 18 have decreased since 2004, the percentage of adult smokers are still high. I believe interventions like this will prove useful in the future.

Daly JB., Mackenzie LJ., Freund M., et al Interventions by Health Care Professionals Who Provide Routine Child Health Care to Reduce Tobacco Smoke Exposure in Children. J Am Pharm Assoc Ped 2016; 170

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