小児外科手術と両親の喫煙行動_Pediatric surgery and parental smoking behavior.

このエントリーをはてなブックマークに追加

2011年06月28日(Tue) 11:40

子どもの外科手術は、喫煙する両親の禁煙動機になるが、
禁煙を長続きさせるためには、支援が必要、という論文です。

成育での禁煙外来にも、同様の保護者が受診することがありますが、
長期の支援には困難が伴います。

週1回の禁煙外来では限界がある、ということです。

関連論文:
Anesthesiology:
July 2011 - Volume 115 - Issue 1 - pp 1-3
doi: 10.1097/ALN.0b013e31822085f3
Editorial Views
Surgery and Smoking at First and Second Hand: Time to Act
Tønnesen, Hanne M.D., D.M.Sc.




---------------------------------------------------------------------------------------
Anesthesiology. 2011 Jul;115(1):12-7.

Pediatric surgery and parental smoking behavior.
Shi Y, Warner DO.
* Research Fellow, † Professor, Department of Anesthesiology and
Nicotine Research Center, Mayo Clinic, Rochester, Minnesota.

Abstract

BACKGROUND:
Secondhand smoke exposure poses health risks to children,
including increased risks for anesthesia. In adult smokers, surgery
serves as a teachable moment to motivate quitting. For parents who
smoke, having a child undergo surgery may also serve as a teachable
moment for smoking behavioral change. This study determined if there
 is an association between children undergoing a surgical procedure
and changes in their parents' smoking behavior.

METHODS:
Secondary analyses were performed using logistic regression
 analysis of 2005 survey data from the National Health Interview Survey.
 Analyses included 9,289 parent respondents who provided information
on both themselves and their children.

RESULTS:
Of the sampled children, 1,112 (12.6%, 95% CI:11.7, 13.4)
 lived in a home with at least one person who smoked inside in a usual
week. In multivariate analysis of the relationship between parent and
 child surgical history in the past 12 months and smoking behavior,
 surgery in either the parent (odds ratio 2.19, 95% CI: 1.55, 3.08)
or child (odds ratio 2.61, 95% CI: 1.56, 4.35) was associated with
an increased likelihood of a quit attempt by the parent. However,
these attempts were more likely to be successful if the parents
(odds ratio 2.35, 95% CI: 1.35, 4.07), not their child (odds ratio
 0.51, 95% CI: 0.20, 1.28), had surgery within the past 12 months.

CONCLUSIONS:
Parents who smoke were more likely to make a quit
attempt within the past 12 months if their children had surgery
 within this time, but they were not more likely to succeed in
 maintaining abstinence and thus could benefit from assistance.


PMID:21694508 [PubMed - in process]


「関連資料集」一覧に戻る