Brief Counseling on Secondhand Smoke Exposure in Pregnant Women in Argentina and Uruguay

Alicia Alemán, Paola Morello, Mercedes Colomar, Laura Llambi, Mabel Berrueta, Luz Gibbons, Pierre Buekens and Fernando Althabe
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Alicia Alemán: Montevideo Clinical and Epidemiological Research Unit, Montevideo 11600, Uruguay
Paola Morello: Departamento de Investigación en Salud de la Madre y el Niño, Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires C1414CPV, Argentina
Mercedes Colomar: Montevideo Clinical and Epidemiological Research Unit, Montevideo 11600, Uruguay
Laura Llambi: Hospital de Clínicas, Facultad de Medicina, Universidad de la Republica, Montevideo 11600, Uruguay
Mabel Berrueta: Departamento de Investigación en Salud de la Madre y el Niño, Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires C1414CPV, Argentina
Luz Gibbons: Departamento de Investigación en Salud de la Madre y el Niño, Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires C1414CPV, Argentina
Pierre Buekens: School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
Fernando Althabe: Departamento de Investigación en Salud de la Madre y el Niño, Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires C1414CPV, Argentina

IJERPH, 2016, vol. 14, issue 1, 1-11

Abstract: Argentina and Uruguay have a high prevalence of smoking during pregnancy, as well as of secondhand smoke (SHS) exposure. In this secondary analysis of a trial to implement brief smoking cessation counseling during antenatal care in Argentina and Uruguay, we aim to evaluate the effects of the intervention on the rates of self-reported SHS exposure at home and at work, and on attitudes recalled by non-smoker women enrolled in the intervention group compared with the control group. We randomly assigned (1:1) 20 antenatal care clusters in Argentina and Uruguay to receive a multifaceted intervention to implement brief smoking cessation counseling, which also included questions and counseling regarding SHS exposure, or to receive the standard of care. There was not a statistically significant difference between groups of the intervention’s effect (reduction of exposure to SHS) on any of the three exposure outcome measures (exposure at home, work or other indoor areas) or on the attitudes of women regarding exposure (avoiding breathing SHS and having rooms where smoking is forbidden). This analysis shows that we should not expect reductions in SHS exposure with this modest intervention alone. To achieve such reductions, strategies engaging partners and other household members may be more effective.

Keywords: brief counseling; secondhand smoke exposure; pregnancy; antenatal care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
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