Environmental Factors and Health Promotion
Secondhand Smoke (SHS) • Smoke that a person breathes out when smoking • Smoke can be residual in clothing as well • Contains more than 7,000 chemicals • Most exposure for infants are in the home environment • Affects both pregnant women and infants
Secondhand Smoke (SHS) Effects on Pregnancy • Low-birth-weight • Preterm births •Miscarriages • Sudden infant death syndrome (SIDS) • Specific congenital malformations • Affects respiratory, neurological, and cardiovascular systems
Secondhand Smoke (SHS) Effects on Infants •Cough and colds • Wheezing • Ear infections •Asthma attacks • More than 40% of children go to ER for asthma live with smokers • Respiratory problems • Bronchitis •Pneumonia
Health Promotion Plan • Encourage those around the infant to stop smoking! • Provide smoking cessation resources to family • Seek smoking cessation programs prior or during pregnancy • Do not allow smoking in home or car or near infant • Seek community resources
Accident Prevention and Safety Promotion • Make sure day care and school is smoke free •Choose a caregiver or babysitter who does not smoke • Place lighters, e-cigarettes, cigarettes out of reach of infant • Never smoke in front of a child! • Review State and Local Smoke-Free Laws
Examples, Interventions, Suggestions • A study done by Wang et al., (2020) showed a positive correlation between low-birth-weight infants and prenatal tobacco smoke exposure • Study suggest that tobacco control measures to reduce smoking prevalence around pregnant women will help decrease percentage of low-birth-weight infants
Examples, Interventions, Suggestions • A study by Brown et al., (2020) suggests there is a gap in knowledge in how to reduce environmental tobacco smoke exposure in children • Brown et al., (2020) study supports counseling while combing self-help materials and behavior change techniques helps to reduce the exposure
Examples, Interventions, Suggestions • A randomized controlled trial done by Ratschen et al., (2018) suggests that reducing infant exposure by promoting smoke free homes help increase air quality measurement and reduce infant harm related to secondhand smoking
Community Resources • San Francisco Tobacco Free Project • Run by SF Department of Public Health •Implements tobacco control plan in San Francisco • Reduce exposure to environmental tobacco smoke • Reduce youth access to tobacco • Free weekly interactive quit smoking support group • Contact them at: •SFQuits.org • 628-206-6074
Community Resources • Northern California Intergroup of Nicotine Anonymous •12-step self-help program • Only requirement is the desire to stop using nicotine • Group of people gather to share their experiences, and is a safe place where they can share their thoughts and struggles with withdrawal •Promoting quitting day by day •Free of charge • Contact info: • www.nica-norcal.org •415-995-1938
National Resource • 1-800-QUIT-NOW •Toll-free number operated by National Cancer Institute •Connects you directly to your state's tobacco quitline • Funded by the department of health services and Centers for Disease Control and Prevention •Able to receive support in other languages other than English • Free support for anyone that wants to quit or is interested in resources available to them for smoking cessation Web-based Resource •https://smokefree.gov/about-us/smokefree • Created by National Cancer Institute and part of US Department of Health and Human services to provide resources to those who want to quit smoking and reduce smoking rates in the United States
References • Asthma and Allergy Foundation of America (n.d.). Tobacco Smoke and Asthma. Retrieved from https://www.aafa.org/secondhand-smoke-environmental-tobacco-asthma/ • Brown, T. J., Gentry, S., Bauld, L., Boyle, E. M., Clarke, P., Hardeman, W., Holland, R., Naughton, F., Orton, S., Ussher, M., & Notley, C. (2020). Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children.International journal of environmental research and public health,17(21), 7731.https://doi.org/10.3390/ijerph17217731
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