[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-592338-105":59,"doc-detail-592338-en":129},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":122,"head_meta":124,"extra_data":126,"updated_unix":128},105,"en","an-evaluation-of-mi-familia-no-fuma-family-cohesion-and-impact-on-secondhand-smoking","An evaluation of Mi Familia No Fuma - family cohesion and impact on secondhand smoking","","Background: Family cohesion may reduce Hispanics’ exposure in the United States to secondhand smoke. Purpose: This cross-sectional study evaluated one permutation of Mi Familia No Fuma (MFNF) and its proximal client outcomes. Methods: MFNF uses family cohesion via a family photo and a one-year pledge targeting both smokers and non-smokers. Results: Among 499 participants, 23% were smokers; daily smokers reported greater willingness to create a smoke-free home, while cohesion did not directly predict intent or willingness to discuss the pledge. Conclusions: Acculturation levels may shape enforcement willingness, supporting coordinated health-education practice.",{"@graph":69,"@context":121},[70,84,104],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/an-evaluation-of-mi-familia-no-fuma-family-cohesion-and-impact-on-secondhand-smoking/592338/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":98,"encodingFormat":97,"isAccessibleForFree":99,"interactionStatistic":100},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/an-evaluation-of-mi-familia-no-fuma-family-cohesion-and-impact-on-secondhand-smoking/592338.png","ImageObject",300,407,{"name":92,"@type":93},"McGucket","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-15",true,{"@type":101,"interactionType":102,"userInteractionCount":4},"InteractionCounter",{"@type":103},"ViewAction",{"@type":105,"mainEntity":106},"FAQPage",[107,113,117],{"name":108,"@type":109,"acceptedAnswer":110},"What is Mi Familia No Fuma (MFNF) in this study?","Question",{"text":111,"@type":112},"MFNF is an approach to prevent secondhand smoke using family cohesion, delivered through a family photo and a one-year pledge. It targets both smokers and non-smokers in the same household.","Answer",{"name":114,"@type":109,"acceptedAnswer":115},"What outcomes did the researchers evaluate after the intervention?",{"text":116,"@type":112},"The study evaluated proximal client outcomes, including willingness to create a smoke-free home and willingness to discuss the pledge with relatives, along with related beliefs about health risks.",{"name":118,"@type":109,"acceptedAnswer":119},"How did family cohesion relate to the intention to create a smoke-free home?",{"text":120,"@type":112},"Family cohesion did not directly influence intent to create a smoke-free home or willingness to discuss the pledge with relatives. It was associated with increased belief that smoking in the home increases health risks and with plans to place the photo/pledge at home.","https://schema.org",{"og:url":83,"og:type":123,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":125,"canonical":83},"index,follow",{"doc_id":127,"site_id":62},592338,1792074357,{"code":4,"msg":5,"data":130},{"doc_id":127,"user_id":131,"nickname":92,"user_avatar":132,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":4,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":138,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":67,"update_tm":128,"read_time":142},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Research Article  \nan Evaluation of mi familia no fuma: family Cohesion and impact on secondhand smoking  \nJon Law, Michael Kelly, Pema Garcia, and Thom Taylor  \nABSTRACT  \nBackground: Family cohesion may be a factor to prevent exposure of Hispanics in United States to secondhand smoke. Purpose: The purpose of this study was to evaluate one permutation of Mi Familia No Fuma (MFNF) and its resulting outputs or proximal client outcomes. Methods: MFNF is an approach to secondhand smoke prevention, using family cohesion through a family photo and one-year pledge. The intervention targets both smokers and non-smokers in the household. A cross-sectional survey was conducted after the intervention. Results: Of the 499 participants, 23%(N=106) self-identified as smokers. Daily smokers reported an increase in willingness to create a smoke-free home. Family cohesion did not directly influence intent to create a smoke-free home or willingness to discuss the pledge with relatives. It was associated with increased belief that smoking in the home increases health risks and plans to place the photo/pledge in the home. Discussion: Levels of acculturation may affect individuals’willingness to enforce a smoke-free pledge in the home. Translation to Health Education Practice: Family cohesion is a relevant construct, particularly when included in a comprehensive and coordinated approach to reduce tobacco use within a Hispanic community.  \nLaw J, Kelly M, Garcia P, Taylor T. An evaluation of Mi Familia No Fuma: Family cohesion and impact on secondhand smoking. Am J Health Educ. 2010;41(5):265-273. This paper was submitted to the Journal on July 29, 2009, revised and accepted for publication on March 17, 2010.  \nBaCkgroUnd  \nSecondhand smoke (SHS) can cause disease and premature death in individuals who do not smoke. 1,2 Children exposed to SHS are at increased risk for sudden infant death syndrome (SIDS), acute respiratory infections, ear problems and more severe asthma.1 Exposure of adults to SHS has immediate, adverse effects on the cardiovascular system and causes coronary heart disease and lung cancer.1,3  \nWhereas a downward trend in SHS exposure emerged in the 1990s, approximately 60% of nonsmokers in the U.S. continue to have biologic evidence of SHS. 1,3-4 About 22% of U.S. children (ages 3-11 years of age) are exposed to SHS in their homes.1 Across all groups, the percentage of nonsmokers  \nwith detectable serum cotinine was highest for those aged 4-11 years and 12-19 years.4 Whereas SHS exposure is estimated to be higher among non-Hispanic blacks, National Health and Nutrition Examination Surveys (NHANES) report that at least 40% of all ethnic groups, including Mexican Ameri  \ncans, have detectable serum cotinine.4  \nConsistent with efforts to reduce smoking prevalence, SHS exposure prevention is recognized to be most effective when “clinical, regulatory, economic and social strategies”are implemented simultaneously.5 At the state level, components ofa comprehensive initiative may include: clean indoor air ordinances, smoking cessation programming, counter advertising, and excise taxes.5 The Centers for Disease Control and Prevention  \n(CDC) also recommend implementation of community-based programs to influence the knowledge, attitudes and practices of tobacco users and nonusers.5  \nJon Law is a program officer at the Paso del Norte Health Foundation, El Paso, Texas 79902; [E-mail: jlaw@pdnhf.org. Michael Kelly](E-mail: jlaw@pdnhf.org. Michael Kelly)[ ](E-mail: jlaw@pdnhf.org. Michael Kelly)is a senior program officer at the Paso del Norte Health Foundation, El Paso, TX 79902. Pema Garcia is the regional director of the Western Rio Grande Region Colonias Program of the Center for Housing and Urban Development at Texas A&M University, College Station, TX 77843. Thom Taylor is a research associate in the Psychology Department, University of Texas El Paso, El Paso, TX 79968.  \nAmerican Journal of Health Education—September/October 2010, Vol","cbCaieNjuiBVm08Z","https://ap.wps.com/l/cbCaieNjuiBVm08Z","pdf",194691,"English","# Background\n## Secondhand smoke risks and exposure patterns\n# Purpose\n# Methods\n## Program design and intervention components\n# Results\n## Participant smoking status and outcomes\n# Discussion\n## Acculturation considerations\n# Translation to health education practice","[{\"question\":\"What is Mi Familia No Fuma (MFNF) in this study?\",\"answer\":\"MFNF is an approach to prevent secondhand smoke using family cohesion, delivered through a family photo and a one-year pledge. It targets both smokers and non-smokers in the same household.\"},{\"question\":\"What outcomes did the researchers evaluate after the intervention?\",\"answer\":\"The study evaluated proximal client outcomes, including willingness to create a smoke-free home and willingness to discuss the pledge with relatives, along with related beliefs about health risks.\"},{\"question\":\"How did family cohesion relate to the intention to create a smoke-free home?\",\"answer\":\"Family cohesion did not directly influence intent to create a smoke-free home or willingness to discuss the pledge with relatives. It was associated with increased belief that smoking in the home increases health risks and with plans to place the photo/pledge at home.\"}]","An evaluation of Mi Familia No Fuma - family cohesion and impact on secondhand smoking | PDF",23]