Tobacco-Smoke Exposure in Children Who Live in Multiunit Housing

Wilson, Karen M.; Klein, Jonathan D.; Blumkin, Aaron; Gottlieb, Mark; Winickoff, Jonathan P.

doi:10.1542/peds.2010-2046

Cited by 150 publications

(129 citation statements)

References 28 publications

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“…A systematic review and meta-analysis of the effectiveness of interventions to reduce ETS in homes as assessed by reduction in nicotine and PM levels found that although some benefits were documented, at follow-up, exposure was still present [114]. ETS exposure, as measured by cotinine levels, was consistently higher in children who lived in multiunit or attached housing compared to children living in detached homes, even if there were no smokers within the home [115]. Regulations to enforce smoke-free multiunit housing is a feasible intervention, particularly for new developments [114,116] that should be considered in LMIC regions, especially where government-subsidized housing may be provided.…”

Section: Resultsmentioning

confidence: 99%

The association between environmental tobacco smoke exposure and childhood respiratory disease: a review

Vanker

Gie

Zar

2017

Expert Review of Respiratory Medicine

143

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Introduction: Childhood respiratory illness is a major cause of morbidity and mortality particularly in low and middle-income countries. Environmental tobacco smoke (ETS) exposure is a recognised risk factor for both acute and chronic respiratory illness.Areas covered: The aim of this paper was to review the epidemiology of ETS exposure and impact on respiratory health in children. We conducted a search of 3 electronic databases of publications on ETS and childhood respiratory illness from 1990–2015. Key findings were that up to 70% of children are exposed to ETS globally, but under-reporting may mask the true prevalence. Maternal smoking and ETS exposure influence infant lung development and are associated with childhood upper and lower respiratory tract infection, wheezing or asthma. Further, exposure to ETS is associated with more severe respiratory disease. ETS exposure reduces lung function early in life, establishing an increased lifelong risk of poor lung health.Expert commentary: Urgent and effective strategies are needed to decrease ETS exposure in young children to improve child and long-term lung health in adults especially in low and middle income countries where ETS exposure is increasing.

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Section: Resultsmentioning

confidence: 99%

The association between environmental tobacco smoke exposure and childhood respiratory disease: a review

Vanker

Gie

Zar

2017

Expert Review of Respiratory Medicine

143

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“…Smoking in one unit involuntarily exposes those in nearby units. 5,75,76 Besides protecting the health of the children, prohibitions on smoking protects their investment from damage by tobacco smoke and tobacco smoking caused fires.…”

Section: Smoking In Multi-unit Housingmentioning

confidence: 99%

Public Policy to Protect Children From Tobacco, Nicotine, and Tobacco Smoke

Farber¹,

Nelson²,

Groner³

et al. 2015

Pediatrics

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Tobacco use and tobacco smoke exposure are among the most important health threats to children, adolescents, and adults. There is no safe level of tobacco smoke exposure. The developing brains of children and adolescents are particularly vulnerable to the development of tobacco and nicotine dependence. Tobacco is unique among consumer products in that it causes disease and death when used exactly as intended. Tobacco continues to be heavily promoted to children and young adults. Flavored and alternative tobacco products, including little cigars, chewing tobacco, and electronic nicotine delivery systems are gaining popularity among youth. This statement describes important evidence-based public policy actions that, when implemented, will reduce tobacco product use and tobacco smoke exposure among youth and, by doing so, improve the health of children and young adults.

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“…27 Visits to PROS practices are comparable to national office visit data from the National Ambulatory Medical Care Survey. 26,28 For this study, we invited the participationofallPROSpracticesthat(1) included at least 3 practitioners, (2) were not housed within a medical school or parent university, (3) saw at least 50 patients per day, and (4) saw at least 10 patients per day with 1 or more parent smokers. The first 22 practices that responded were enrolled and randomly assigned to intervention orcontrol groups.…”

Section: Samplementioning

confidence: 99%

“…Quitting smoking adds an average of 7 years to a parent' s life, 1 eliminates most of their children' s tobacco smoke exposure (TSE), [2][3][4] eliminates smoking-related poor pregnancy outcomes for all future pregnancies, 5 addresses the primary cause of house fire mortality, 6,7 decreases the accessibility of cigarettes and odds that teens become smokers, [8][9][10] and improves the financial resources of disadvantaged families. 11 Therefore, helping parents quit smoking is a critically important national priority.…”

mentioning

confidence: 99%

Implementation of a Parental Tobacco Control Intervention in Pediatric Practice

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Young adult smokers frequently encounter the health care system as parents coming in for their child' s medical visit. Child health care clinicians, however, do not typically provide smoking cessation assistance to parents. WHAT THIS STUDY ADDS:This national cluster-randomized trial demonstrates that a tobacco dependence intervention for parents can be effectively implemented in routine pediatric outpatient practice.abstract OBJECTIVE: To test whether routine pediatric outpatient practice can be transformed to assist parents in quitting smoking. METHODS:Cluster RCT of 20 pediatric practices in 16 states that received either CEASE intervention or usual care. The intervention gave practices training and materials to change their care delivery systems to provide evidence-based assistance to parents who smoke. This assistance included motivational messaging; proactive referral to quitlines; and pharmacologic treatment of tobacco dependence. The primary outcome, assessed at an exit interview after an office visit, was provision of meaningful tobacco control assistance, defined as counseling beyond simple advice (discussing various strategies to quit smoking), prescription of medication, or referral to the state quitline, at that office visit.RESULTS: Among 18 607 parents screened after their child' s office visit between June 2009 and March 2011, 3228 were eligible smokers and 1980 enrolled (999 in 10 intervention practices and 981 in 10 control practices). Practices' mean rate of delivering meaningful assistance for parental cigarette smoking was 42.5% (range 34%-66%) in the intervention group and 3.5% (range 0%-8%) in the control group (P , .0001). Rates of enrollment in the quitline (10% vs 0%); provision of smoking cessation medication (12% vs 0%); and counseling for smoking cessation (24% vs 2%) were all higher in the intervention group compared with the control group (P , .0001 for each). CONCLUSIONS:A system-level intervention implemented in 20 outpatient pediatric practices led to 12-fold higher rates of delivering tobacco control assistance to parents in the context of the pediatric office visit.

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Tobacco-Smoke Exposure in Children Who Live in Multiunit Housing

Cited by 150 publications

References 28 publications

The association between environmental tobacco smoke exposure and childhood respiratory disease: a review

The association between environmental tobacco smoke exposure and childhood respiratory disease: a review

Public Policy to Protect Children From Tobacco, Nicotine, and Tobacco Smoke

Implementation of a Parental Tobacco Control Intervention in Pediatric Practice

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