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[PMID]:29383710
[Au] Autor:Behbod B; Sharma M; Baxi R; Roseby R; Webster P
[Ad] Endereço:Nuffield Department of Population Health, University of Oxford, Oxford, UK.
[Ti] Título:Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke.
[So] Source:Cochrane Database Syst Rev;1:CD001746, 2018 01 31.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Children's exposure to other people's tobacco smoke (environmental tobacco smoke, or ETS) is associated with a range of adverse health outcomes for children. Parental smoking is a common source of children's exposure to ETS. Older children in child care or educational settings are also at risk of exposure to ETS. Preventing exposure to ETS during infancy and childhood has significant potential to improve children's health worldwide. OBJECTIVES: To determine the effectiveness of interventions designed to reduce exposure of children to environmental tobacco smoke, or ETS. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group Specialised Register and conducted additional searches of the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, PsycINFO, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Education Resource Information Center (ERIC), and the Social Science Citation Index & Science Citation Index (Web of Knowledge). We conducted the most recent search in February 2017. SELECTION CRITERIA: We included controlled trials, with or without random allocation, that enrolled participants (parents and other family members, child care workers, and teachers) involved in the care and education of infants and young children (from birth to 12 years of age). All mechanisms for reducing children's ETS exposure were eligible, including smoking prevention, cessation, and control programmes. These include health promotion, social-behavioural therapies, technology, education, and clinical interventions. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed studies and extracted data. Due to heterogeneity of methods and outcome measures, we did not pool results but instead synthesised study findings narratively. MAIN RESULTS: Seventy-eight studies met the inclusion criteria, and we assessed all evidence to be of low or very low quality based on GRADE assessment. We judged nine studies to be at low risk of bias, 35 to have unclear overall risk of bias, and 34 to have high risk of bias. Twenty-one interventions targeted populations or community settings, 27 studies were conducted in the well-child healthcare setting and 26 in the ill-child healthcare setting. Two further studies conducted in paediatric clinics did not make clear whether visits were made to well- or ill-children, and another included visits to both well- and ill-children. Forty-five studies were reported from North America, 22 from other high-income countries, and 11 from low- or middle-income countries. Only 26 of the 78 studies reported a beneficial intervention effect for reduction of child ETS exposure, 24 of which were statistically significant. Of these 24 studies, 13 used objective measures of children's ETS exposure. We were unable to pinpoint what made these programmes effective. Studies showing a significant effect used a range of interventions: nine used in-person counselling or motivational interviewing; another study used telephone counselling, and one used a combination of in-person and telephone counselling; three used multi-component counselling-based interventions; two used multi-component education-based interventions; one used a school-based strategy; four used educational interventions, including one that used picture books; one used a smoking cessation intervention; one used a brief intervention; and another did not describe the intervention. Of the 52 studies that did not show a significant reduction in child ETS exposure, 19 used more intensive counselling approaches, including motivational interviewing, education, coaching, and smoking cessation brief advice. Other interventions consisted of brief advice or counselling (10 studies), feedback of a biological measure of children's ETS exposure (six studies), nicotine replacement therapy (two studies), feedback of maternal cotinine (one study), computerised risk assessment (one study), telephone smoking cessation support (two studies), educational home visits (eight studies), group sessions (one study), educational materials (three studies), and school-based policy and health promotion (one study). Some studies employed more than one intervention. 35 of the 78 studies reported a reduction in ETS exposure for children, irrespective of assignment to intervention and comparison groups. One study did not aim to reduce children's tobacco smoke exposure but rather sought to reduce symptoms of asthma, and found a significant reduction in symptoms among the group exposed to motivational interviewing. We found little evidence of difference in effectiveness of interventions between the well infant, child respiratory illness, and other child illness settings as contexts for parental smoking cessation interventions. AUTHORS' CONCLUSIONS: A minority of interventions have been shown to reduce children's exposure to environmental tobacco smoke and improve children's health, but the features that differentiate the effective interventions from those without clear evidence of effectiveness remain unclear. The evidence was judged to be of low or very low quality, as many of the trials are at a high risk of bias, are small and inadequately powered, with heterogeneous interventions and populations.
[Mh] Termos MeSH primário: Cuidadores
Família
Prevenção do Hábito de Fumar
Poluição por Fumaça de Tabaco/prevenção & controle
[Mh] Termos MeSH secundário: Fatores Etários
Criança
Pré-Escolar
Ensaios Clínicos Controlados como Assunto
Cotinina/urina
Aconselhamento
Exposição Ambiental/prevenção & controle
Seres Humanos
Lactente
Recém-Nascido
Abandono do Hábito de Fumar
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
0 (Tobacco Smoke Pollution); K5161X06LL (Cotinine)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD001746.pub4


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[PMID]:28747323
[Au] Autor:Lococo F; Cardillo G; Veronesi G
[Ad] Endereço:Unit of Thoracic Surgery, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy.
[Ti] Título:Does a lung cancer screening programme promote smoking cessation?
[So] Source:Thorax;72(10):870-871, 2017 10.
[Is] ISSN:1468-3296
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Detecção Precoce de Câncer
Abandono do Hábito de Fumar
[Mh] Termos MeSH secundário: Seres Humanos
Neoplasias Pulmonares
Fumar
Prevenção do Hábito de Fumar
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1136/thoraxjnl-2017-210621


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[PMID]:29253448
[Au] Autor:Gravely S; Giovino GA; Craig L; Commar A; D'Espaignet ET; Schotte K; Fong GT
[Ad] Endereço:Department of Psychology, University of Waterloo, Waterloo, ON, Canada.
[Ti] Título:Implementation of key demand-reduction measures of the WHO Framework Convention on Tobacco Control and change in smoking prevalence in 126 countries: an association study.
[So] Source:Lancet Public Health;2(4):e166-e174, 2017 Apr.
[Is] ISSN:2468-2667
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The WHO Framework Convention on Tobacco Control (WHO FCTC) has mobilised efforts among 180 parties to combat the global tobacco epidemic. This study examined the association between highest-level implementation of key tobacco control demand-reduction measures of the WHO FCTC and smoking prevalence over the treaty's first decade. METHODS: We used WHO data from 126 countries to examine the association between the number of highest-level implementations of key demand-reduction measures (WHO FCTC articles 6, 8, 11, 13, and 14) between 2007 and 2014 and smoking prevalence estimates between 2005 and 2015. McNemar tests were done to test differences in the proportion of countries that had implemented each of the measures at the highest level between 2007 and 2014. Four linear regression models were computed to examine the association between the predictor variable (the change between 2007 and 2014 in the number of key measures implemented at the highest level), and the outcome variable (the percentage point change in tobacco smoking prevalence between 2005 and 2015). FINDINGS: Between 2007 and 2014, there was a significant global increase in highest-level implementation of all key demand-reduction measures. The mean smoking prevalence for all 126 countries was 24·73% (SD 10·32) in 2005 and 22·18% (SD 8·87) in 2015, an average decrease in prevalence of 2·55 percentage points (SD 5·08; relative reduction 10·31%). Unadjusted linear regression showed that increases in highest-level implementations of key measures between 2007 and 2014 were significantly associated with a decrease in smoking prevalence between 2005 and 2015). Each additional measure implemented at the highest level was associated with an average decrease in smoking prevalence of 1·57 percentage points (95% CI -2·51 to -0·63, p=0·001) and an average relative decrease of 7·09% (-12·55 to -1·63, p=0·011). Controlling for geographical subregion, income level, and WHO FCTC party status, the per-measure decrease in prevalence was 0·94 percentage points (-1·76 to -0·13, p=0·023) and an average relative decrease of 3·18% (-6·75 to 0·38, p=0·079). This association was consistent across all three control variables. INTERPRETATION: Implementation of key WHO FCTC demand-reduction measures is significantly associated with lower smoking prevalence, with anticipated future reductions in tobacco-related morbidity and mortality. These findings validate the call for strong implementation of the WHO FCTC in the WHO's Global Action Plan for the Prevention and Control of Non-communicable Diseases 2013-2020, and in advancing the UN's Sustainable Development Goal 3, setting a global target of reducing tobacco use and premature mortality from non-communicable diseases by a third by 2030. FUNDING: Health Canada, Canadian Institutes of Health Research, Ontario Institute for Cancer Research and Canadian Cancer Society Research Institute.
[Mh] Termos MeSH primário: Saúde Global/estatística & dados numéricos
Cooperação Internacional
Prevenção do Hábito de Fumar/organização & administração
Fumar/epidemiologia
[Mh] Termos MeSH secundário: Seres Humanos
Prevalência
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


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[PMID]:29323647
[Au] Autor:Hirschhorn N
[Ad] Endereço:London, UK. Electronic address: bertzpoet@gmail.com.
[Ti] Título:Another perspective on the Foundation for a Smoke-Free World.
[So] Source:Lancet;391(10115):25, 2018 01 06.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Fundações/organização & administração
Saúde Global
Objetivos Organizacionais
Política Antifumo
Prevenção do Hábito de Fumar
[Mh] Termos MeSH secundário: Seres Humanos
Indústria do Tabaco/organização & administração
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE


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[PMID]:29309495
[Au] Autor:Richman I; Krumholz HM
[Ad] Endereço:Section of General Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
[Ti] Título:Lessons From the Opioid Epidemic to Reinvigorate Tobacco Control Initiatives.
[So] Source:JAMA;319(4):339-340, 2018 Jan 23.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos Relacionados ao Uso de Opioides/epidemiologia
Fumar/epidemiologia
Fumar Tabaco/prevenção & controle
[Mh] Termos MeSH secundário: Seres Humanos
Prática de Saúde Pública
Fumar/efeitos adversos
Prevenção do Hábito de Fumar/métodos
Governo Estadual
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180109
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.19739


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[PMID]:29214315
[Au] Autor:Rubin R
[Ti] Título:Will the FDA's New Tobacco Strategy Be a Game Changer?
[So] Source:JAMA;318(24):2413-2415, 2017 Dec 26.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Regulamentação Governamental
Nicotina
Produtos do Tabaco/legislação & jurisprudência
Tabagismo/prevenção & controle
United States Food and Drug Administration
[Mh] Termos MeSH secundário: Seres Humanos
Prevenção do Hábito de Fumar
Produtos do Tabaco/normas
Estados Unidos
[Pt] Tipo de publicação:NEWS
[Nm] Nome de substância:
6M3C89ZY6R (Nicotine)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.16396


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[PMID]:29199898
[Au] Autor:Kim HK; Lee TK
[Ad] Endereço:a Wee Kim Wee School of Communication and Information , Nanyang Technological University , Singapore.
[Ti] Título:Conditional Effects of Gain-Loss-Framed Narratives among Current Smokers at Different Stages of Change.
[So] Source:J Health Commun;22(12):990-998, 2017 Dec.
[Is] ISSN:1087-0415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examines how current smokers respond differently to gain-loss-framed antismoking narratives depending on their stages of change to quit smoking. An experiment (N = 461) was conducted with a 2 (narrative perspective: first person vs. third person) × 2 (framing: gain vs. loss) factorial design having smoker's stage of change (precontemplation vs. contemplation/preparation) as a moderator. We observed differential framing effects depending on smoker's current stages of change only when they were exposed to first-person narratives. For precontemplators, a loss-framed (vs. a gain-framed) first-person narrative induced greater quit intentions and stage progression. Conversely, among contemplators and preparers, a gain-framed (vs. a loss-framed) first-person narrative led to greater quit intentions and stage progression. These interactive patterns were partly mediated by self-referencing and perceived similarity. This study proposes an alternative mechanism to explain the conditional framing effect by stages of change and highlights the importance of tailoring messages to smoker's psychosocial characteristics and needs.
[Mh] Termos MeSH primário: Comunicação em Saúde/métodos
Narração
Fumantes/psicologia
Abandono do Hábito de Fumar/psicologia
Prevenção do Hábito de Fumar
Fumar/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Intenção
Masculino
Meia-Idade
Fumantes/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.1080/10810730.2017.1396629


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Lotufo, Paulo Andrade
Texto completo SciELO Brasil
[PMID]:28746655
[Au] Autor:Lotufo PA
[Ad] Endereço:MD, DrPH. Full Professor, Department of Internal Medicine, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.
[Ti] Título:Smoking control in Brazil: a public health success story.
[So] Source:Sao Paulo Med J;135(3):203-204, 2017 May-Jun.
[Is] ISSN:1806-9460
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Mh] Termos MeSH primário: Abandono do Hábito de Fumar
Prevenção do Hábito de Fumar
[Mh] Termos MeSH secundário: Brasil/epidemiologia
Seres Humanos
Prevalência
Fumar/epidemiologia
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE


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[PMID]:28450300
[Au] Autor:Wise J
[Ad] Endereço:London.
[Ti] Título:Plain cigarette packs may cut number of smokers, evidence review finds.
[So] Source:BMJ;357:j2068, 2017 04 27.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Embalagem de Produtos/métodos
Fumantes/estatística & dados numéricos
Produtos do Tabaco/utilização
[Mh] Termos MeSH secundário: Austrália/epidemiologia
Seres Humanos
Estudos Observacionais como Assunto
Percepção
Prevalência
Fumantes/psicologia
Fumar/epidemiologia
Prevenção do Hábito de Fumar/métodos
Produtos do Tabaco/provisão & distribuição
Reino Unido/epidemiologia
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2068


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[PMID]:29023542
[Au] Autor:Henry AD; Gettens J; Savageau JA; Cullen D; Landau A
[Ad] Endereço:Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury, MA, United States of America.
[Ti] Título:Massachusetts Medicaid members that smoked in 2008: Characteristics associated with smoking status in 2014.
[So] Source:PLoS One;12(10):e0186144, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The smoking rate among non-elderly Medicaid enrollees is more than double the rate for those privately insured; smoking-related conditions account for 15% of Medicaid expenditures. Under state health reform, Massachusetts Medicaid (MassHealth) made tobacco cessation treatment available beginning in 2006. We used surveys conducted in 2008 and 2014 to examine changes in smoking abstinence rates among MassHealth members identified as smokers and to identify factors associated with being a former smoker. Members previously identified as smokers were surveyed by mail or phone; 2008 and 2014 samples included 3,116 and 2,971 members, respectively. Surveys collected demographic and health information, asked members whether they smoked cigarettes "every day, some days or not at all', and asked questions to assess smoking intensity among current smokers. The 2014 survey included an open ended-question asking members "what helped the most" in quitting or quit attempts. We observed a significant decrease in members reporting smoking "every/some days" of 15.5 percentage points (p < .0001) from 2008 to 2014, and a significant decrease in smokers reporting smoking "more than 10 cigarettes on days smoked" of 16.7 percentage points (p < .0001). Compared to smokers, former smokers more frequently reported health concerns, the influence of family members, and the use of e-cigarettes as helping the most in quitting. Expanded access to tobacco cessation treatment under the Affordable Care Act may have help to reduce the high smoking rates among Medicaid enrollees. Additionally, smokers' concerns about health and the influence of family and friends provide opportunities for targeted intervention and messaging about quitting.
[Mh] Termos MeSH primário: Medicaid/organização & administração
Fumar/epidemiologia
Abandono do Uso de Tabaco/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Reforma dos Serviços de Saúde
Seres Humanos
Masculino
Massachusetts/epidemiologia
Medicaid/economia
Meia-Idade
Patient Protection and Affordable Care Act
Fumar/economia
Prevenção do Hábito de Fumar
Inquéritos e Questionários
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171013
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186144



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