[show abstract][hide abstract] ABSTRACT: Purpose: Hepatitis A infection is an important public health problem in our country. However, its endemicity pattern has been changing in recent years both worldwide and in our country. The purpose of this study was to determine the seroprevalence of Hepatitis A infection among 2-6 year-old children of low socioeconomic class families.Material and Methods: This study was conducted on children of low socioeconomic class families who were expected to experience hepatitis A infection early in their life. Hepatitis A IgM and IgG antibody levels were determined on 736 children from 2 to 6 years old. Results: Three hundred and fifty-two were female and 384 were male among the 736 children. Ig G antibodies were found to be positive in 26 (3.5%) children. Conclusions: We recommend vaccination of children at preschool age. However, further epidemiologic studies are necessary concerning different socioeconomic levels. Following the results it may be possible to vaccinate children without determining antibody status if hepatitis A seropositivity is determined to be low at this age.
[show abstract][hide abstract] ABSTRACT: To determine if mothers receiving a smoking cessation intervention emphasizing health risks of environmental tobacco smoke (ETS) for their children have a higher quit rate than mothers who received routine smoking cessation advice, which focused on their own health, or a control group of mothers.
Tertiary referral centre.
Randomized control trial. A total of 363 mothers were randomly assigned to a smoking cessation intervention either aimed at their children's health (n = 111) or their own health (n = 131), or to a control group receiving no smoking cessation advice (n = 121).
Provision to mothers of both groups of health risks of tobacco smoke resulted in significantly higher rate of cessation of smoking and smoking location change than those of the control group, with child intervention group having significantly higher rate of cessation of smoking and smoking location change than those of the maternal intervention group (P < 0.05). Post-intervention knowledge scores differed significantly for all groups; however, child intervention group was the only significantly better group than the others (P < 0.05). According to the multivariate analysis results, intervention grouping and presence of smoking friends were independent factors determining smoking cessation (P < 0.05). Intervention grouping, post-intervention knowledge, presence of other household members who smoked and family income were independent factors determining smoking location change (P < 0.05). Family income, intervention grouping and presence of smoking friends were significant independent factors influencing post-intervention knowledge (P < 0.05).
Discussion during short paediatric visits on effects of smoking on child's or maternal health may result in a significant smoking cessation, smoking location change rate or knowledge change. Those who cannot give up smoking usually change their location of smoking. Provision of information on effects of smoking on child's health, rather than maternal, may result in more significant changes in behaviour or knowledge. Maternal education on smoking should include information on effects of smoking on both child's and maternal health, but should be especially focused on child's health.
Child Care Health and Development 01/2006; 32(1):73-9. · 1.70 Impact Factor