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Parent Attitudes toward Screening for Tobacco Exposure at Well-child Visits

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Objectives: In this mixed methods study we investigated parents' reactions to positive laboratory screening for tobacco smoke exposure (TSE) at 1- or 2-year well-child visits. Methods: Fifty-three children undergoing lead screening at an urban safety net hospital provided blood for cotinine analysis. Results were mailed to providers and parents. Parents of children with positive results participated in follow-up semi-structured interviews. Results: Of 53 children screened, 26 had detectable cotinine. Follow-up interviews (N = 23 parents) revealed several themes: (1) many parents were surprised about evidence of TSE; (2) TSE often occurred outside the house-hold from extended family who provided childcare; (3) some parents planned to use the result to talk with people responsible for TSE; (4) parents were reluctant to share contact information of those responsible; and (5) some smokers wanted cessation information. Conclusions: Biomarker evidence of children's TSE provides a tool for parents to use to discuss TSE with caretakers and can prompt interest in quitting. Family relationships, including childcare demands, present a challenge to follow-up. Follow-up of positive laboratory screening for TSE may need to include skills training to facilitate parents' actions to protect their child.
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Document Type: Research Article

Publication date: 2017-07-01

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  • Tobacco Regulatory Science (Electronic ISSN 2333-9748) is a rigorously peer-reviewed online scientific journal for the dissemination of research relevant to the regulation of tobacco products. The journal content includes a broad array of research domains, including chemistry, biology, behavior, community, and population-level surveillance and epidemiology, as well as knowledge syntheses (eg, meta-analyses or state-of-the-art reviews) and analytic modeling. All articles describe the policy relevance of the research outcomes. Given the global nature of tobacco regulation, particularly as a result of international and national policies, Tobacco Regulatory Science publishes high quality research that is relevant to global regulatory needs and requirements. Tobacco Regulatory Science is published electronically 6 times per year.
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