Telephone-Guided Placement and Removal of Nicotine Monitors for the Assessment of Passive Exposure to Environmental Tobacco Smoke

Abstract

The aim of this study was to determine the feasibility of telephone-guided placement of nicotine air sampling monitors in homes of women with infants. A monitor was mailed to homes in which the mother, her partner, or both were smokers, and a research assistant telephoned the woman and guided her through proper placement of the monitor according to a standard protocol. To assess the success of the guided placement, research assistants visited the homes of 50 women at the end of the two-week air-sampling period. The placement was determined to be correct if the monitor was positioned at least 1 ft from windows, more than 1 ft from the nearest corner of the room, and more than 2 ft from ashtrays. We had a 94% success rate for monitor placement in our study population, and our cost assessment showed that guided placement and removal cost approximately one-tenth the amount of methods requiring research assistants to conduct placements onsite. These results suggest that telephone-guided placement of monitors is an acceptable, inexpensive alternative to onsite placement by research assistants.

Keywords

environmental tobacco smoke feasibility study nicotine monitors

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References

Coghlin

Hammond

S.K.

Gann

P.H.

(1989). “Development of epidemiological tools for measuring environmental tobacco smoke exposure.” Am. J. Epidemiol. 130:696–704.

Greenberg

R.A.

Bauman

K.E.

Strecher

V.J.

Keyes

L.L.

Glover

L.H.

Haley

N.J.

Stedman

H.C.

Loda

F.A.

(1991). “Passive smoking during the first year of life.” Am. J. Publ. Health 81:850–853.

Hammond

S.K.

Leaderer

B.P.

(1987). “A diffusion monitor to measure exposure to passive smoking.” Environ. Sci. Technol. 21:494–497.

Hammond

S.K.

Sorensen

Youngstrom

Ockene

J.K.

(1995). “Occupational exposure to environmental tobacco smoke.” JAMA 274:956–960.

Leaderer

B.P.

(1990). “Assessing exposures to environmental tobacco smoke.” Risk Anal. 10:19–26.

Leaderer

B.P.

Hammond

S.K.

(1991). “Evaluation of vapor-phase nicotine and respirable suspended particle mass as markers for environmental tobacco smoke.” Environ. Sci. Technol. 25:770–777.

Marbury

M.C.

Hammond

S.K.

Haley

N.J.

(1993). “Measuring exposure to environmental tobacco smoke in studies of acute health effects.” Am. J. Epidemiol. 137:1089–1097.

Mullen

P.D.

Diclemente

(1992). Sustaining Women's Smoking Postpartum. 8th World Conference on Tobacco or Health (abstract). March, 1992. Buenos Aires, Argentina.

Mullen

P.D.

Diclemente

C.C.

(1994). One-to-One: An Example of the Next Generation of Interventions for Resistant Pregnant Smokers. Society of Behavioral Medicine (abstract). April, 1994. Boston, Massachusetts. 9th World Conference on Tobacco and Health. October, 1994. Paris, France.

10.

Sepkovic

D.W.

Haley

N.J.

Hoffmann

(1986). “Elimination from the body of tobacco products by smokers and passive smokers” (JAMA 256: 863.

11.

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS) (1986). The Health Consequences of Involuntary Smoking: A Report of the Surgeon General. Government Printing Office (DHHS Publication No. CDC 87–8398), Washington, DC.

12.

U.S. ENVIRONMENTAL PROTECTION AGENCY (EPA) (1992). Respiratory Health Effects of Passive Smoking: Lung Cancer and Other Disorders. Environmental Protection Agency (Publication No. EPA/600/6-90/006F), Washington, DC.