Evidence map›Paper›PMID 19047246›Full record

ArticlePediatrics2008

Screening for environmental tobacco smoke exposure among inner-city children with asthma.

Jill S Halterman, Belinda Borrelli, Paul Tremblay, Kelly M Conn, Maria Fagnano, Guillermo Montes, Telva Hernandez

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Pediatrics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01175369 (School-Based Asthma Therapy), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01175369 nacompletednot on this map

School-Based Asthma Therapy: Stage 2 Effectiveness Study

TypeinterventionalSponsorUniversity of RochesterRan2006 to 2012Enrolled530ConditionsAsthmaArmsSchool-based Care
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Factors associated with high short-acting β2-agonist use in urban children with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2015
    Trial
  4. Factors associated with completion of a behavioral intervention for caregivers of urban children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2012
    Trial
  5. Trial
  6. Article
  7. Article
  8. Assessing pediatric tobacco exposure using parent report: comparison with hair nicotine.Journal of exposure science & environmental epidemiology · 2018
    Article
  9. Inner-city asthma: special considerations for management.Current opinion in allergy and clinical immunology · 2016
    Review
  10. Review
  11. Difficult-to-control asthma: epidemiology and its link with environmental factors.Current opinion in allergy and clinical immunology · 2015
    Review
  12. The indoor environment and inner-city childhood asthma.Asian Pacific journal of allergy and immunology · 2014
    Review
  13. Observational
  14. Improving patient adherence with asthma self-management practices: what works?Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2012
    Article
  15. Factors associated with second-hand smoke exposure in young inner-city children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2011
    Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jill S HaltermanDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Box 777, Strong Memorial Hospital, 601 Elmwood Ave, Rochester, NY 14642, USA. jill_halterman@urmc.rochester.edu
Belinda Borrelli
Paul Tremblay
Kelly M Conn
Maria Fagnano
Guillermo Montes
Telva Hernandez

Funding

School-Based Telemedicine Enhanced Asthma Management (SB-TEAM)R01HL079954 · NHLBI · UNIVERSITY OF ROCHESTER · PI HALTERMAN, JILL S · 2006 to 2016
$6.6M
NHLBI NIH HHS HL079954NHLBI NIH HHS R01 HL079954
6 · The paper itself

Abstract

objectivesThe goals were (1) to develop an index measure of environmental tobacco smoke based on parent self-report of smoking behaviors and (2) to determine whether the index score was associated with children's present and future cotinine levels.

methodsData were drawn from a community intervention for inner-city children with persistent asthma (N=226; response rate: 72%). Measures of child salivary cotinine levels and parent self-reported environmental tobacco smoke-related behaviors were obtained at baseline and 7 to 9 months later. To develop the index score, we used a 15-fold cross-validation method, with 70% of our data, that considered combinations of smoke exposure variables and controlled for demographic features. We chose the most parsimonious model that minimized the mean square predictive error. The resulting index score included primary caregiver smoking and home smoking ban status. We validated our model with the remaining 30% of the data. Analysis of variance and multivariate analyses were used to determine the association of the index score with children's cotinine levels.

resultsFifty-four percent of children with asthma lived with >or=1 smoker, and 51% of caregivers reported a complete home smoking ban. The children's mean baseline cotinine level was 1.55 ng/mL (range: 0.0-21.3 ng/mL). Children's baseline and follow-up cotinine levels increased as scores on the index measure increased. In a linear regression, the index score was significantly positively associated with children's cotinine measurements at baseline and 7 to 9 months later.

conclusionAn index measure with combined information regarding primary caregiver smoking and household smoking restrictions helped to identify children with asthma with the greatest exposure to environmental tobacco smoke and could predict which children would have elevated cotinine levels 7 to 9 months later.

Indexed as

PovertyAge DistributionAnalysis of VarianceAsthmaAttitude to HealthChildChild, PreschoolCotinineCross-Sectional StudiesFemaleFollow-Up StudiesHumansIncidenceMaleMass ScreeningMultivariate AnalysisCotinineTobacco Smoke Pollution

Identifiers

PMID19047246
PMCPMC2597221

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.