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      Hábitos tabáquicos de los padres de los niños de nuestra consulta Translated title: Tobacco habits of parents of our paediatric patients

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          Abstract

          Resumen Introducción: el tabaquismo pasivo está infravalorado, no solo por las familias sino también por la sociedad. Presentamos los resultados de encuestas realizadas a los padres en consultas de Pediatría de nuestra Área Básica durante tres semanas. Describimos y analizamos nuestra experiencia. Material y métodos: estudio observacional, descriptivo, transversal, realizado las semanas del 27 al 31 de mayo de 2019 (“Semana sin humo”), dos antes y dos después. Resultados: el 72,26% de los padres se reconocieron no fumadores; de ellos, el 68,72% nunca había fumado. De los fumadores, la media de edad de comienzo fue 17,04 años, con un rango de 10 a 38. El 76,54% de los padres fumadores habían pensado dejarlo alguna vez. En el 77,78% de los fumadores, el hecho de tener hijos podría influir en la decisión de dejarlo. Los resultados fueron similares las tres semanas de realización de las encuestas. Conclusiones: la mayoría de los padres encuestados no fumaba, además la mayoría no había fumado nunca. Llama la atención la precocidad en el inicio del hábito tabáquico, así como que la mayoría de los fumadores había pensado en dejarlo, y el hecho de tener un hijo influiría en la decisión de dejarlo. Son precisas intervenciones eficaces para reducir la exposición precoz al tabaco, para mejorar la salud del niño y, por lo tanto, del adulto.

          Translated abstract

          Abstract Introduction: the impact of passive smoking is underestimated, not only by families but also by society at large. We present the results of a survey of parents conducted in the paediatric clinics of our catchment area over 3 weeks. We describe and analyse the findings of the survey. Material and methods: we conducted a cross-sectional, observational and descriptive study over 3 weeks between May 27-31, 2019 including the “Week without smoke” and the weeks 2 weeks before and 2 weeks after. Results: 72.26% of the parents reported not smoking. In the group of nonsmokers, 68.72% had never smoked. The mean age at initiation of smoking was 17.04 years, with a range of 10 to 38 years. Of all smoking parents, 76.54% had considered quitting. In addition, 77.78% of the smoking parents considered that having a child could influence the decision to quit smoking. The results were similar in the 3 weeks that data were collected. Conclusions: most of the parents surveyed did not smoke, and most of the nonsmokers had never smoked. We ought to highlight the early age at which participants started to smoke and that most smokers had never contemplated quitting, as well as the fact that most considered that having a child would influence that decision. Effective interventions are needed to reduce early exposure to tobacco smoke and to improve child health and therefore adult health.

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          The association between environmental tobacco smoke exposure and childhood respiratory disease: a review

          ABSTRACT Introduction: Childhood respiratory illness is a major cause of morbidity and mortality particularly in low and middle-income countries. Environmental tobacco smoke (ETS) exposure is a recognised risk factor for both acute and chronic respiratory illness. Areas covered: The aim of this paper was to review the epidemiology of ETS exposure and impact on respiratory health in children. We conducted a search of 3 electronic databases of publications on ETS and childhood respiratory illness from 1990–2015. Key findings were that up to 70% of children are exposed to ETS globally, but under-reporting may mask the true prevalence. Maternal smoking and ETS exposure influence infant lung development and are associated with childhood upper and lower respiratory tract infection, wheezing or asthma. Further, exposure to ETS is associated with more severe respiratory disease. ETS exposure reduces lung function early in life, establishing an increased lifelong risk of poor lung health. Expert commentary: Urgent and effective strategies are needed to decrease ETS exposure in young children to improve child and long-term lung health in adults especially in low and middle income countries where ETS exposure is increasing.
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            Study of the impact of laws regulating tobacco consumption on the prevalence of passive smoking in Spain.

            In 2005, the Spanish parliament passed the Spanish anti-smoking law. This legislation restricted tobacco smoking in public places, including recreation venues (bars and restaurants), but smoking was not completely prohibited in bars and restaurants. The law was enforced in January 2006. With the objective of analysing the impact that this law has had on the general Spanish population, the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) designed and implemented a survey of a representative sample of the general Spanish population on two separate occasions: in 2005 and in 2007 (12 months after the ban came into effect). Two epidemiological, observational and cross-sectional surveys were performed among a random and representative sample of the general Spanish population, using the Computer-Assisted Telephone Interview system. In the first survey, a total of 6533 subjects were interviewed, of whom 3907 (59.8%) were non-smokers and in the second, a total of 3289 subjects were interviewed, of whom 2174 (65.9%) were non-smokers. The overall prevalence of exposure to environmental tobacco smoke (ETS) decreased from 49.5% in 2005 to 37.9% in 2007 (22% reduction). The greatest reduction in prevalence of ETS exposure was in workplaces (from 25.8% to 11%, a decrease of 58.8%). Smaller reductions occurred in the home (from 29.5% to 21.4%, a decrease of 27%) and in recreation venues (from 37.4% to 31.8%, a decrease of 8%). Implementation of the smoking ban resulted in a significant decrease in exposure to ETS.
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              Behavioral Interventions Associated with Smoking Cessation in the Treatment of Tobacco Use

              Tobacco smoke is the leading cause of preventable premature death worldwide. While the majority of smokers would like to stop, the habitual and addictive nature of smoking makes cessation difficult. Clinical guidelines suggest that smoking cessation interventions should include both behavioural support and pharmacotherapy (e.g. nicotine replacement therapy). This commentary paper focuses on the important role of behavioural interventions in encouraging and supporting smoking cessation attempts. Recent developments in the field are discussed, including ‘cut-down to quit’, the behaviour change techniques taxonomy (BCTT) and very brief advice (VBA) on smoking. The paper concludes with a discussion of the important role that health professionals can and should play in the delivery of smoking cessation interventions.
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                Author and article information

                Journal
                pap
                Pediatría Atención Primaria
                Rev Pediatr Aten Primaria
                Asociación Española de Pediatría de Atención Primaria (Madrid, Madrid, Spain )
                1139-7632
                June 2021
                : 23
                : 90
                : 127-132
                Affiliations
                [3] Tarragona orgnameEquipo de Atención Primaria Tarragona 1. Bonavista-La Canonja España
                [1] Tarragona orgnameEquipo de Atención Primaria Tarragona 1. Bonavista-La Canonja España
                [2] Tarragona orgnameEquipo de Atención Primaria Tarragona 1. Bonavista-La Canonja España
                Article
                S1139-76322021000200004 S1139-7632(21)02309000004
                0bc385bb-d65a-49c1-8fab-26b4d22a8c26

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 16, Pages: 6
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                SciELO Spain

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                Hábito tabáquico,Tobacco use,Tobacco,Tabaco
                Hábito tabáquico, Tobacco use, Tobacco, Tabaco

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