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The Head Start Tobacco Cessation Initiative: Using systems change to support staff identification and intervention for tobacco use in low-income families
Moody-Thomas, Sarah, August, 2014
Journal of Community Health, 39(4), 646-652

Tobacco use continues to be the leading cause of preventable illness and death in the United States. Remarkably, more than nine million preschool-aged children are exposed to secondhand smoke, resulting in increased rates of morbidity and mortality. Even more disturbing is that tobacco use is highest among people with the lowest levels of income and education. Thus, reaching these populations is a challenge facing tobacco control programs. This report describes an innovative pilot project implementing a systems change model that involves multiple stakeholders in integrating evidence-based cessation strategies into federal Head Start programs, which serve low-income adults and their children. The Tobacco Cessation Initiative was developed through a partnership between the American Legacy Foundation, the Mailman School of Public Health at Columbia University, and the Louisiana State University Health Sciences Center School of Public Health. The partnership developed guidelines to fit into the overall mission of Head Start by enabling participating sites to incorporate tobacco cessation identification and referral protocols into their existing infrastructures. This program allowed Head Start sites to incorporate, into their existing family services, protocols for user identification and referral; build partnerships with groups supporting tobacco cessation; link families to cessation services; and educate families about risks associated with exposure to secondhand smoke. Applying system strategies in non-clinical settings such as Head Start offers a way to improve the health and quality of life of preschool children at the highest risk for exposure to secondhand smoke. (author abstract)

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The impact of asthma health education for parents of children attending Head Start centers
Zuniga, Genny Carrillo, December, 2012
Journal of Community Health, 37(6), 1296-1300

A study of the relationship between the delivery of the Healthy Homes training, an asthma and healthy homes curriculum, and the degree to which participants made changes to their households, based on data from 115 parents in eight Head Start sites in Hidalgo County, Texas

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Low-income parents' perceptions of pediatrician advice on early childhood education
Brown, Courtney M., February, 2013
Journal of Community Health, 38(1), 195-204

An examination of parents' attitudes toward involving the pediatrician in early care and education decisions and the barriers they may face in following the pediatrician's advice, based on data from 27 parents of 3- and 4-year-olds at an urban primary care center in Cincinnati

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Low influenza vaccination rates among child care workers in the United States: Assessing knowledge, attitudes, and behaviors
de Perio, Marie A., April, 2012
Journal of Community Health, 37(2), 272-281

A study of pH1N1 and seasonal influenza vaccination rates among child care center employees, an assessment of their knowledge and attitudes regarding each vaccine, and a determination of factors associated with receipt of each vaccine, based on a survey of 32 licensed child care centers in one county in Ohio

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Parental perception on the efficacy of a physical activity program for preschoolers
Bellows, Laura, April, 2011
Journal of Community Health, 36(2), 231-237

An evaluation of parental impressions of the usefulness, strengths, weaknesses, and influence on physical activities of The Food Friends Get Movin' with Mighty Moves obesity intervention, based on a survey of 51 parents of Head Start children in Colorado who participated in the intervention and telephone interviews with 37 of the survey respondents

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Research Connections is supported by grant #90YE0104 from the Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. The contents are solely the responsibility of the National Center for Children in Poverty and the Inter-university Consortium for Political and Social Research and do not necessarily represent the official views of the Office of Planning, Research and Evaluation, the Administration for Children and Families, or the U.S. Department of Health and Human Services.

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