哮喘联盟

   摘要
   在世界范围内，许多非吸烟者（往往是妇女和儿童）在家庭环境中暴露于二手烟（SHS），因为男人对他们的家庭保留着传统的权利和控制，妇女和孩子很少可以干涉。
   这项研究探索了中国农村的家庭吸烟管理，发现妇女主要可以在三个关键阶段积极干预以限制男子吸烟：受孕前，怀孕期间和小孩的早期几年。
   通过借助主导性的社会、健康和政治上对养育健康儿童的宣传，加上独生子女政策的支持，结合对二手烟危害幼儿健康的担心，妇女能够提高她们作为独生子女的养育者和监护者的地位，扭转男性在家庭中的优势，从而积极地干预家庭吸烟。本研究凸显了一种可能：通过融入监护人在儿童成长关键阶段保护儿童健康的意识来推动中国未来的戒烟计划。但进一步健康教育的需求仍然迫切，因为有些家庭并不明白儿童为什么需要无烟环境，这也解释了为什么现在只有少数的无烟家庭。


 

（苏欣 审校）
 Health Promot Int. 2015 Jun 13. pii: dav050. [Epub ahead of print]


 

Home smoking restrictions before, during and after pregnancy-a qualitative study in rural China.
 

Mao A1, Robinson J2.
Author information
 

Abstract
Worldwide, many nonsmokers (often women and children) are exposed to second-hand smoke (SHS) in home settings, as men retain their traditional power and control within their family and women and children have limited agency to intervene. This study, set up to explore home smoking management in rural China, found that some women were able to positively intervene to restrict men's smoking at three key stages: prior to conception, during their pregnancy and at the early years of their children's lives. By utilizing dominant social, health and political narratives about the importance of raising a healthy child supported by the One-Child Policy in China, combined with the fear of health risks of SHS to young children, the women were able to use their elevated status as bearer and carers of the only children to subvert the pre-eminence of men in domestic environments, enabling them to positively influence home smoking. While this study highlights the possibility for future smoking cessation initiatives in China by incorporating family carers' elevated awareness of protection of children's health in key stages of childhood, there is also a need for further health education, as family members were unsure why they needed to keep children smoke-free, which may partially explain why few households were smoke-free.

Health Promot Int. 2015 Jun 13. pii: dav050. [Epub ahead of print]