Child hospitalization due to respiratory illness: an opportunity for parental/family smoking intervention
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District Hospital, Kolasib, Pediatrics Department, India
Tripura University, Department of Psychology, India
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A878
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It is estimated that 20-50% of adult smokers reside with children, and the majority of these smokers(70%) continue to smoke inside their homes despite adverse health effects of second hand smoking for their children. Majority of the smokers are the male figures in the family. Such kind of smoking is associated with increased rate of childhood respiratory illnesses. Children are usually brought to hospitals by their mothers, which gives us less chance to counsel the rest of the family members who smoke. Child´s hospitalization gives us chance to meet up all family members for cessation counselling. The objective is to evaluate the feasibility of implementing a smoking intervention for a smoker parent/family member at the time of child´s hospitalization for respiratory illnesses.

A prospective cohort study of parents/families who have a child admitted to District Hospital, Kolasib, Mizoram for respiratory illnesses between January-March, 2017. They were invited to complete questionarres and acceptability of cessation interventions - written materials, Nicotine Replacement Therapy, Behavioural Therapy. 1 month follow-up outcome were - quit attempts, cessation, NRT use, visits to Tobacco cessation clinic, household smoking prohibition.

A total of 55 children have parents/family members who smoke, out of which 30(54.5%) were enrolled. Only 20% had ever participated in smoking cessation programme, and only 16.7% had ever use medications to quit smoking. On 1 month follow up, 57.1% made a quit attempt lasting for at least 24 hours, 17.8% reported not smoking for last 7 days, 25% reported use of NRT, 35.7% had visited Tobacco cessation clinic and the proportion of families who use smoking prohibition increased.

At the time of their child´s hospitalization due to respiratory illnesses, parents/families were willing to enroll in smoking intervention, which makes it feasible to take this opportunity as a Pediatrician, a teachable moment to address smoking at home.

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