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Parental Depression is Prospectively Associated With Lower Smoking Cessation Rates and Poor Child Asthma Outcomes
- Source :
- Endrighi, R, McQuaid, E L, Bartlett, Y, Clawson, A H & Borrelli, B 2018, ' Parental depression is prospectively associated with lower smoking cessation rates and poor child asthma outcomes. ', Annals of Behavioral Medicine . https://doi.org/10.1093/abm/kax011
- Publication Year :
- 2018
-
Abstract
- BACKGROUND: Depressive symptoms are elevated in parents of asthmatic children compared with parents of healthy children. The role of depression in smoking cessation and pediatric asthma outcomes in this population is unclear. PURPOSE: To prospectively examine the effect of parent depression on smoking cessation and child asthma outcomes. METHODS: Secondary analysis from a cessation induction trial involving Motivational Interviewing (MI) and biomarker feedback on secondhand smoke exposure (SHSe). Parents (n=341) had an asthmatic child (mean age=5.2 years) and did not have to want to quit smoking to enroll. Intervention included asthma education, MI, and SHSe feedback plus randomization to six counseling (MI; repeated feedback) or control calls (brief check on asthma) for 4 months. Depressive symptoms were defined as scoring ≥22 on the Center for Epidemiologic Study-Depression scale. Smoking outcomes were bioverified 7- and 30-day point-prevalence abstinence (ppa). Child asthma outcomes were past month functional limitation, health care utilization, and number of days with asthma symptoms. Data were obtained at baseline, 2, 4, and 6 months. RESULTS: Parental depression was associated with lower odds of abstinence (7-day ppa odds ratio [OR]=0.38, 95% confidence interval [CI]=0.23, 0.64; 30-day ppa OR=0.27, 95% CI=0.15, 0.47), greater odds of child health care utilization for asthma (OR=1.71, 95% CI=1.01, 2.92), and greater child asthma functional limitation (B=0.16, SE=0.06, p=.03) even after controlling for smoking status. Depression predicted a greater number of child asthma symptom days (B=1.08, SE=0.44, p=.01), but this became nonsignificant after controlling for smoking status. CONCLUSIONS: Among parents who smoke, both depressive symptoms and smoking should be targeted for treatment aimed at improving pediatric asthma.
- Subjects :
- Adult
Male
Parents
Pediatrics
medicine.medical_specialty
media_common.quotation_subject
medicine.medical_treatment
Population
Motivational interviewing
Motivational Interviewing
Cigarette Smoking
03 medical and health sciences
Young Adult
0302 clinical medicine
030225 pediatrics
Outcome Assessment, Health Care
medicine
Humans
030212 general & internal medicine
education
Child
Health Education
General Psychology
Depression (differential diagnoses)
media_common
Asthma
education.field_of_study
business.industry
Depression
Biofeedback, Psychology
Regular Article
Odds ratio
Abstinence
Middle Aged
medicine.disease
Confidence interval
Psychiatry and Mental health
Child, Preschool
Smoking cessation
Female
Smoking Cessation
Tobacco Smoke Pollution
business
Subjects
Details
- ISSN :
- 15324796
- Volume :
- 52
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
- Accession number :
- edsair.doi.dedup.....8a69d2450e21b0562ce4989cd7bdcffb