ArticleEnvironmental health perspectives2004
Children's exposure to environmental tobacco smoke: using diverse exposure metrics to document ethnic/racial differences.
Article in Environmental health perspectives, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Metabolites of a tobacco-specific lung carcinogen in children exposed to secondhand or thirdhand tobacco smoke in their homes.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2011Trial
- Racial differences in exposure to environmental tobacco smoke among children.Environmental health perspectives · 2005Trial
- New Checkbox, Now What? A Scoping Review to Guide Health Research among Middle Eastern and North African Communities.Journal of racial and ethnic health disparities · 2026Article
- Clustering by chemicals: A novel examination of chemical pollutants and social vulnerability in children and adolescents.Environmental research · 2024Article
- Place-based estimates of cigarette butt litter raise environmental justice concerns in the United States.PloS one · 2024Article
- Cessation of smoke exposure improves pediatric CF outcomes: Longitudinal analysis of CF Foundation Patient Registry data.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021Article
- Untargeted Urinary Metabolomics and Children's Exposure to Secondhand Smoke: The Influence of Individual Differences.International journal of environmental research and public health · 2021Article
- Factors associated with secondhand smoke exposure prevalence and secondhand smoke level of children living with parental smokers: a cross sectional study.Journal of community health · 2015Article
- Genetic ancestry of participants in the National Children's Study.Genome biology · 2014Article
- Determinants of serum cotinine and hair cotinine as biomarkers of childhood secondhand smoke exposure.Journal of exposure science & environmental epidemiology · 2010Article
- A descriptive analysis of relations between parents' self-reported smoking behavior and infants' daily exposure to environmental tobacco smoke.BMC public health · 2010Article
- Who is exposed to secondhand smoke? Self-reported and serum cotinine measured exposure in the U.S., 1999-2006.International journal of environmental research and public health · 2009Article
- Reducing racial bias among health care providers: lessons from social-cognitive psychology.Journal of general internal medicine · 2007Article
- Assessing cumulative health risks from exposure to environmental mixtures - three fundamental questions.Environmental health perspectives · 2007Article
- Chronic productive cough in school children: prevalence and associations with asthma and environmental tobacco smoke exposure.Cough (London, England) · 2006Article
- Prevalence and predictors of home and automobile smoking bans and child environmental tobacco smoke exposure: a cross-sectional study of U.S.- and Mexico-born Hispanic women with young children.BMC public health · 2006Article
- Trends in the exposure of nonsmokers in the U.S. population to secondhand smoke: 1988-2002.Environmental health perspectives · 2006Article
- Using biologic markers in blood to assess exposure to multiple environmental chemicals for inner-city children 3-6 years of age.Environmental health perspectives · 2006Article
- Comparison of recruitment, retention, and compliance results for three children's exposure monitoring studies.Journal of exposure analysis and environmental epidemiology · 2005Article
- Children's exposure to volatile organic compounds as determined by longitudinal measurements in blood.Environmental health perspectives · 2005Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Four metrics were used to assess exposure to environmental tobacco smoke (ETS) for a probability sample (n = 152) of elementary school-age children in two economically disadvantaged neighborhoods: a) caregiver responses to a baseline questionnaire (BQ) about smoking status and behavior; b) 48-hr time-activity (T-A) data on location and time spent by children in the presence of tobacco smoke; c) total urinary cotinine as a marker for nicotine uptake; and d) urinary NNAL [4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol] + NNAL-Gluc [4-(methylnitrosamino)-1- (3-pyridyl)-1-(O-beta-D-glucopyranuronosyl)butane] as a marker for uptake of the tobacco-specific lung carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK). Consistent differences in ETS exposure by ethnicity and race were observed. Although data were insufficient to determine differences for NNAL + NNAL-Gluc, BQ responses, T-A data, and cotinine levels all indicated that average ETS exposure was highest for African-American children, moderately high for those designated "other" (white, Southeast Asian, Native American), moderately low for Hispanic children, and lowest for Somali immigrant children. For example, in February 2000, mean cotinine levels were 14.1 ng/mL for African Americans, 12.2 ng/mL for other, 4.8 ng/mL for Hispanics, and 4.4 ng/mL for Somalis. The BQ and T-A data together were reasonably good predictors of total cotinine levels (adjusted r2 = 0.69), and based on limited data, measured total cotinine values were a relatively good predictor of NNAL + NNAL-Gluc (adjusted r2 = 0.73). The results suggest that when children are exposed to ETS primarily in their homes, questionnaires and T-A logs might be effective screening tools for identifying those likely to experience higher uptake of nicotine.
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