Prevalence and correlates of secondhand smoke exposure in the home and in a vehicle among youth in the United States.
Adolescent
Automobiles
/ statistics & numerical data
Cigarette Smoking
/ epidemiology
Electronic Nicotine Delivery Systems
/ statistics & numerical data
Environmental Exposure
/ statistics & numerical data
Family Characteristics
Female
Health Surveys
Humans
Male
Prevalence
Self Report
Students
/ statistics & numerical data
Surveys and Questionnaires
Tobacco Products
/ statistics & numerical data
Tobacco Smoke Pollution
/ statistics & numerical data
United States
/ epidemiology
Exposure
Prevention
Secondhand smoke
Tobacco control
Youth
Journal
Preventive medicine
ISSN: 1096-0260
Titre abrégé: Prev Med
Pays: United States
ID NLM: 0322116
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
31
01
2019
revised:
28
05
2019
accepted:
03
06
2019
pubmed:
9
6
2019
medline:
14
5
2020
entrez:
9
6
2019
Statut:
ppublish
Résumé
Private settings are major sources of secondhand smoke (SHS) exposure among youth. We measured prevalence and correlates of youth exposures to home and vehicle SHS. The 2016 National Youth Tobacco Survey of U.S. 6th-12th graders was analyzed (n = 20,675). Past-7-day home or vehicle SHS exposures were self-reported. Descriptive and multivariable analyses were performed on weighted data. Among all students, past-7-day SHS exposures were: vehicle (21.4%, 5.56 million); home (21.7%, 5.64 million); home or vehicle (29.0%, 7.50 million); vehicle and home (14.0%, 3.63 million). By household tobacco-use status, home or vehicle SHS exposure was: tobacco-free households, 8.4%; households with combustible-only tobacco users, 59.8%; households with smokeless tobacco/e-cigarette-only users, 21.8%; and households with combined tobacco products usage, 73.9%. Where only the youth respondent but no other household member(s) used tobacco, the measure of association (vs. tobacco-free households) was ~two-fold higher for vehicle SHS exposures (Adjusted Odds Ratio [AOR] = 6.09; 95% Confidence Interval [CI] = 4.93-7.54 than for home SHS exposures (AOR = 3.16; 95%CI = 2.35-4.25). Conversely, where only household member(s) but not the youth respondent used tobacco, the measure of association was over two-fold higher for home SHS exposures (AOR = 22.15; 95%CI = 19.12-25.67) than for vehicle SHS exposure (AOR = 7.91; 95%CI = 6.96-8.98). In summary, nearly one-third of U.S. youth (7.50 million) were exposed to either home or vehicle SHS. Among non-tobacco-using youth with tobacco-using household member(s), the home was a dominant SHS exposure source; among tobacco-using youth with non-tobacco-using household member(s), a vehicle was a dominant exposure source, possibly peers'. Smoke-free environments, including homes and cars, can reduce youth SHS exposure.
Identifiants
pubmed: 31175879
pii: S0091-7435(19)30207-5
doi: 10.1016/j.ypmed.2019.06.003
pii:
doi:
Substances chimiques
Tobacco Smoke Pollution
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
105745Informations de copyright
Copyright © 2019. Published by Elsevier Inc.