Exploring the barriers and incentive architecture for modifying smoke exposures among asthmatics

Published on Jul 3, 2019in Journal of Asthma1.899
· DOI :10.1080/02770903.2018.1490960
Craig Tower3
Estimated H-index: 3
(Johns Hopkins University),
Arlene Butz28
Estimated H-index: 28
(Johns Hopkins University)
+ 2 AuthorsMandeep S. Jassal9
Estimated H-index: 9
(Johns Hopkins University)
AbstractBackground: The socio-structural barriers for reducing secondhand smoke exposure (SHSe) among children with asthma may be insurmountable for low-income caregivers. Health promoting financial incentives (HPFIs) are increasingly being used in the adult population to motivate and sustain tobacco-reduction behaviors. We assessed barriers to SHSe reduction and means to overcome them through the design of an HPFI-based, caregiver-targeted SHSe reduction study. Methods: Using a mixed-methods design, we conducted semi-structured in-depth interviews among low-income primary caregivers of children with asthma residing in Baltimore City. Quantitative data using an online survey were used to augment interview findings. Results: Home smoking restrictions were a frequently referenced strategy for decreasing SHSe, but interviewees (n = 22) described the complex social pressures that undermine reduction efforts. Caregivers redirected conversations from broadly implemented smoking bans towards targeted reduction s...
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