Strict Smoke-free Home Policies Among Smoking Parents in Pediatric Settings

Ossip, Deborah J.; Chang, Yuchiao; Nabi-Burza, Emara; Drehmer, Jeremy E.; Finch, Stacia; Hipple, Bethany; Rigotti, Nancy A.; Klein, Jonathan D.; Winickoff, Jonathan P.

doi:10.1016/j.acap.2013.06.003

Cited by 14 publications

(15 citation statements)

References 36 publications

(68 reference statements)

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“…A partial domestic smoking ban was reported by 2.03% of our Changsha caregivers, which is lower than that noted in other studies [ 34 , 35 , 36 , 37 ]. Several factors may have contributed to this disparity.…”

Section: Discussioncontrasting

confidence: 82%

Relationship between Caregivers’ Smoking at Home and Urinary Levels of Cotinine in Children

Wang

Yang

Tian

et al. 2014

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Objective: To assess the impact of different smoking behaviors of caregivers on environmental tobacco smoke (ETS) exposure in children aged 5–6 years in Changsha, China. Methods: We conducted a cross-sectional, random digit-dial telephone survey of caregivers (n = 543) between August and October 2013. Caregivers’ smoking behaviors were collected by a questionnaire. Exposure assessment was based upon determination of urinary cotinine levels in children employing gas chromatography–triple quadrupole mass spectrometry (GC-MS/MS). Results: In children not living with a smoker, children living with one smoker, and children living with more than one smoker at home, median urinary cotinine concentrations (ng/mL) were 0.72, 2.97, and 4.46, respectively. For children living with one smoker, median urinary cotinine levels of children exposed to ETS were associated with caregiver smoking behaviors, i.e., if a caregiver consumed more cigarettes (>20 compared with ≤10; 7.73 versus 2.29 ng/mL, respectively). Conclusions: The magnitude of ETS exposure in children is correlated with the smoking behaviors of the caregiver. Counseling for smoking cessation and educational interventions are needed urgently for smoking caregivers to increase their awareness about ETS exposure and to encourage smoking cessation at home or to take precautions to protect children’s health.

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Section: Discussioncontrasting

confidence: 82%

Relationship between Caregivers’ Smoking at Home and Urinary Levels of Cotinine in Children

Wang

Yang

Tian

et al. 2014

IJERPH

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“…Having children was associated with having a smokefree home or any smokefree policy, which is consistent with at least some prior research (Ossip, et al, 2013), though in contrast to other research with college students (Berg, Lessard, et al, 2011). However, only about 20% of CC students with children reported a smokefree home policy.…”

Section: Discussionsupporting

confidence: 89%

“…For example, in 2012–2013, among combustible tobacco users, only about half (53.7%) reported smokefree homes and about one-third (34.2%) reported smokefree vehicles Kruger, et al, 2015). Presence of a young child in the home may attenuate this disparity (Berg, Lessard, et al, 2011; Nabi-Burza, et al, 2012; Ossip, et al, 2013), though at least one study found that presence of children was not associated with smokefree vehicles (Cheng, et al, 2015). Lower rates of smokefree home and/or vehicle policies have also been found for younger adults (ages 18–24; King, et al, 2013; Cheng, et al, 2015) relative to older groups, those with lower (vs. higher) education levels (Cheng, et al, 2015; King, et al, 2013; Kruger, et al, 2015), and those of lower (vs. higher) socioeconomic status (King, Hyland, Borland, McNeill & Cummings, 2011).…”

Section: Introductionmentioning

confidence: 99%

Smoke-Free Home and Vehicle Policies Among Community College Smokers

et al. 2017

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Background Personal smokefree policies (home and vehicle) reduce secondhand smoke exposure, improve health, and increase quitting among smokers. Overall, 83.0% and 78.1% of Americans report smokefree homes and vehicles, respectively. However, little is known about such policies among 2-year community college (CC) students, who represent a large, diverse population with higher smoking rates and less negative attitudes towards smoking than 4-year college students. Methods Prevalence of, and factors associated with, personal smokefree policies were examined for 2475 CC smokers enrolled in a national trial of web assisted tobacco intervention. Results Few students had smokefree home policies (20.7%), smokefree vehicles (17.0%), both smokefree home and vehicle policy (4.2%), or any policy (home or vehicle; 31.2%). In logistic regression models, having children was associated with a smokefree home or any policy but not with a smokefree vehicle, and among subjects who had children, only 20% reported a smokefree home, and only 15% had a smokefree vehicle. In addition, not living with other smokers, living with parents or roommates/siblings (vs. alone), smoking later than 30 minutes after awakening, believing that smoking affects the health of others, and confidence in quitting were associated with presence of a smokefree home or any policy; no variables were significantly associated with presence of a smokefree vehicle. Conclusions CC students represent a priority population for intervention regarding smokefree homes and vehicles. Such intervention can decrease exposure of others, including children, and potentially increase the likelihood of quitting in this high risk population.

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“…Data from a trial testing the Clinical Effort Against Secondhand Smoke Exposure (CEASE) (a pediatric office-based intervention that addresses parental smoking) in 2009-2011 revealed that most pediatricians in usual-care control practices were not asking or advising parent smokers about having smokefree homes and cars despite large proportions of parents not having strictly enforced smoke-free home and car policies (54% and 24% have strictly enforced smoke-free home and car policies, respectively). 30,31 Dissemination of previous research findings through national media, 32,33 Web sites, 34,35 and pediatricianfocused educational courses 36,37 encouraged pediatricians to advise parents to adopt strict smoke-free home and car policies to protect children from exposure to tobacco smoke. We aim to reexamine the prevalence of strictly enforced smoke-free home and car policies and additionally assess the prevalence of strictly enforced home and car policies that prohibit e-cigarette use among a 2017 sample of parents who visited pediatric practices randomly assigned to the control arm of the most recent (2015-2017) CEASE clinical trial.…”

mentioning

confidence: 99%

Parental Smoking and E-cigarette Use in Homes and Cars

et al. 2019

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OBJECTIVES: To determine how smoke-free and vape-free home and car policies differ for parents who are dual users of cigarettes and electronic cigarettes (e-cigarettes), who only smoke cigarettes, or who only use e-cigarettes. To identify factors associated with not having smokefree or vape-free policies and how often smoke-free advice is offered at pediatric offices. METHODS: Secondary analysis of 2017 parental interview data collected after their children's visit in 5 control practices participating in the Clinical Effort Against Secondhand Smoke Exposure trial. RESULTS: Most dual users had smoke-free home policies, yet fewer had a vape-free home policies (63.8% vs 26.3%; P , .01). Dual users were less likely than cigarette users to have smoke-free car (P , .01), vape-free home (P , .001), or vape-free car (P , .001) policies. Inside cars, dual users were more likely than cigarette users to report smoking (P , .001), e-cigarette use (P , .001), and e-cigarette use with children present (P , .001). Parental characteristics associated with not having smoke-free or vape-free home and car policies include smoking $10 cigarettes per day, using e-cigarettes, and having a youngest child .10 years old. Smoke-free home and car advice was infrequently delivered. CONCLUSIONS: Parents may perceive e-cigarette aerosol as safe for children. Dual users more often had smoke-free policies than vape-free policies for the home. Dual users were less likely than cigarette-only smokers to report various child-protective measures inside homes and cars. These findings reveal important opportunities for intervention with parents about smoking and vaping in homes and cars. WHAT'S KNOWN ON THIS SUBJECT: Many parents who smoke have not adopted strictly enforced smoke-free policies for their homes and cars. Most parents who smoke also do not receive advice from child health care providers about keeping their homes and cars smoke free. WHAT THIS STUDY ADDS: This is the first study to examine parents' rules about prohibiting electronic cigarette and regular tobacco use in homes and cars.

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Strict Smoke-free Home Policies Among Smoking Parents in Pediatric Settings

Cited by 14 publications

References 36 publications

Relationship between Caregivers’ Smoking at Home and Urinary Levels of Cotinine in Children

Relationship between Caregivers’ Smoking at Home and Urinary Levels of Cotinine in Children

Smoke-Free Home and Vehicle Policies Among Community College Smokers

Parental Smoking and E-cigarette Use in Homes and Cars

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