Household smoking behavior and ETS exposure among children with asthma in low-income, minority households

Berman, Barbara A.; Wong, Glenn; Bastani, Roshan; Hoang, Tuyen Dinh; Jones, Craig; Goldstein, Darlene R.; Bernert, John T.; Hammond, Kenneth R.; Tashkin, Donald P.; Lewis, Mary Ann

doi:10.1016/s0306-4603(01)00221-0

Cited by 71 publications

(49 citation statements)

References 38 publications

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“…29 In 1 study in lowincome minority children with asthma in Los Angeles, approximately half of the smoking activity by household members occurred outside the home. 30 By bringing clothing contaminated with tobacco smoke into the home, household members who engage in smoking outside the home may serve as an additional source of exposure to ETS. 31 Approximately 20% of US adults report smoking, and this proportion is even higher among low-income adults.…”

Section: Discussionmentioning

confidence: 99%

US Prevalence and Trends in Tobacco Smoke Exposure Among Children and Adolescents With Asthma

Kit¹,

Simon

Brody³

et al. 2013

Pediatrics

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OBJECTIVE: To examine exposure to tobacco smoke products (TSPs), environmental tobacco smoke (ETS), and in-home smoke among youth with asthma in the United States. METHODS: Nationally representative, cross-sectional data from 2250 youth aged 4 to 19 years with current asthma in the 1988–1994, 1999–2004, and 2005–2010 National Health and Nutrition Examination Survey (NHANES) were analyzed. Outcomes were use of TSPs (serum cotinine level >10 ng/mL or self-reported recent use of cigarettes, cigars, or pipes) and, among non-TSP users, ETS exposure (serum cotinine ≥0.05 ng/mL) and in-home smoke exposure (reported). Multiple logistic regression analyses assessed the associations between the outcomes and age, gender, race/ethnicity, and family income. RESULTS: Among adolescents (aged 12–19 years) with asthma in 2005–2010, 17.3% reported TSP use. Among youth (aged 4–19 years) with asthma who did not use TSPs, 53.2% were exposed to ETS and 17.6% had in-home smoke exposure. Among low-income youth, 70.1% and 28.1% had exposure to ETS and in-home smoke, respectively. After controlling for sociodemographic factors, higher prevalence of exposure to ETS and in-home smoke persisted among low-income youth. Between 1988–1994 and 2005–2010, there was a decline in ETS and in-home smoke exposure (both P < .001). CONCLUSIONS: ETS exposure among youth with asthma declined between 1988–1994 and 2005–2010, but a majority remained exposed in 2005–2010, with higher exposure among low-income youth. More than 1 in 6 youth with asthma in 2005–2010 were exposed to in-home smoke and a similar portion of adolescents used TSPs.

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Section: Discussionmentioning

confidence: 99%

US Prevalence and Trends in Tobacco Smoke Exposure Among Children and Adolescents With Asthma

Kit¹,

Simon

Brody³

et al. 2013

Pediatrics

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“…Among women without chemical hair treatment (n = 556), the same positive association of hair nicotine concentration with air nicotine concentration was also observed (data not shown). The use of air nicotine concentration at home as an overall indicator for SHS exposure has been well described (7,(33)(34)(35). Because components of SHS can settle on and be absorbed by carpets, walls, and furnishings, and then be re-emitted weeks or months later, susceptible populations, especially young children, may absorb nicotine by inhalation, ingestion, or skin contact after smoking has occurred at a room (10).…”

Section: Determinants For Hair Nicotine Concentrations Among Women Anmentioning

confidence: 99%

Determinants of Hair Nicotine Concentrations in Nonsmoking Women and Children: A Multicountry Study of Secondhand Smoke Exposure in Homes

Kim

Wipfli

Navas‐Acien

et al. 2009

Cancer Epidemiology, Biomarkers &Amp; Prevention

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The main purpose of this study was to identify and evaluate determinants of hair nicotine concentrations in nonsmoking women and children exposed to secondhand tobacco smoke at home. Hair samples were collected from nonsmoking women (n = 852) and from children (n = 1,017) <11 years of age living in households (n = 1,095) with smokers from 31 countries from July 2005 to October 2006. Participants' ages, activity patterns and socioeconomic characteristics including education and employment status, and hair treatment information were collected. Multilevel linear regression modeling was used to identify the main determinants of hair nicotine concentration measured by gas chromatography coupled with mass spectrometry. Increased indoor air nicotine concentration at home were associated with increased hair nicotine concentrations in nonsmoking women and children. This association was not changed after controlling for other explanatory variables. After controlling for age, length of exposure, and socioeconomic characteristics, hair nicotine concentrations in nonsmoking children and women were estimated to be increased by 3% and 1%, respectively, for a 1 μg/m 3 increase in air nicotine concentration. The association between children's exposure to secondhand tobacco smoke at home and hair nicotine concentration was stronger among younger children and children with longer exposure at home. (Cancer Epidemiol Biomarkers Prev 2009;18(12):3407-14)

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“…The majority of studies defined success in recruiting underrepresented groups as a researcher-established proportion 10 -24 or a disease-specific proportion. 12,21,22,[25][26][27][28][29][30][31][32][33][34] The remainder of the studies defined recruitment success as a geographic proportion 12,[35][36][37] or an institution-specific proportion. 38 Three studies reported more than one recruitment measurement approach.…”

Section: Measurement Approaches For Recruitment Success Reported In Tmentioning

confidence: 99%

“…12,18,20 -23,25-30,32,34,36,38 This leaves 12 articles that reported recruitment success of underrepresented groups for recruitment strategies used in individual cancer trials. 10,11,[13][14][15][16][17]19,24,31,35,37 Only two of these 12 articles reported having a recruitment goal for an underrepresented group a priori. 17,37 Maurer et al 17 conducted a study to evaluate changes in patterns of care for specific cancers by setting up a rural hospital consortium as a single Cancer and Leukemia Group B (CALGB) affiliate.…”

Section: Was a Recruitment Goal Set A Priori?mentioning

confidence: 99%

“…10,11,[13][14][15][16]19,24,31,35 One study by Ford et al 13 did not state an a priori goal, yet suggested that there was a set goal. Ford et al 13 conducted a randomized controlled trial evaluating different strategies for recruiting older African American men to the Prostate, Lung, Colorectal, and Ovarian (PLCO) cancer screening trial.…”

Section: Was a Recruitment Goal Set A Priori?mentioning

confidence: 99%

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Defining “Success” in recruitment of underrepresented populations to cancer clinical trials

Bolen

Tilburt

Baffi

et al. 2006

Cancer

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Although medically underserved groups bear a heavy burden of cancer disease and governmental agencies have required inclusion of minorities and women in cancer clinical trials since 1993, many of these groups are underrepresented in cancer prevention or treatment clinical trials. To assess and enhance recruitment of underrepresented populations into cancer-related clinical trials, investigators and governmental agencies need consistent measurement approaches for recruitment that can be applied to diverse settings where trials are conducted. We conducted a systematic review to evaluate what measurement approaches were used to evaluate the success of recruitment of underrepresented groups into cancer prevention or treatment trials, and whether these recruitment goals were stated a priori. Only two articles reported an a priori recruitment goal. The recruitment measurement approaches varied considerably, with no consistent standard, especially for individual trials. By using the empiric evidence from this review in conjunction with the National Institutes of Health (NIH) guidelines, we constructed a framework for choosing consistent a priori recruitment goals for underrepresented groups based on the research question and study location. Using consistent measurement approaches for underrepresented groups will improve comparability of recruitment strategies across trials, improve equity in distribution of benefits and burdens of cancer-related clinical trials, and may improve applicability of trial results to multiple populations.

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Household smoking behavior and ETS exposure among children with asthma in low-income, minority households

Cited by 71 publications

References 38 publications

US Prevalence and Trends in Tobacco Smoke Exposure Among Children and Adolescents With Asthma

US Prevalence and Trends in Tobacco Smoke Exposure Among Children and Adolescents With Asthma

Determinants of Hair Nicotine Concentrations in Nonsmoking Women and Children: A Multicountry Study of Secondhand Smoke Exposure in Homes

Defining “Success” in recruitment of underrepresented populations to cancer clinical trials

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