ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2011
Factors associated with second-hand smoke exposure in young inner-city children with asthma.
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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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.
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Who cites it
31 citing papers in PubMed, 57 citations in OpenAlex.
- Randomised pilot trial of cash incentives for reducing paediatric asthmatic tobacco smoke exposures from maternal caregivers and members of their social network.Archives of disease in childhood · 2021Trial
- Barriers and motivators to reducing secondhand smoke exposure in African American families of head start children: a qualitative study.Health education research · 2016Trial
- Muslim communities learning about second-hand smoke: a pilot cluster randomised controlled trial and cost-effectiveness analysis.NPJ primary care respiratory medicine · 2015Trial
- 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 · 2015Trial
- Stress and quality of life in caregivers of inner-city minority children with poorly controlled asthma.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersTrial
- Article
- The influence of urban exposures and residence on childhood asthma.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2022Review
- High Cotinine and Healthcare Utilization Disparities Among Low-Income Children.American journal of preventive medicine · 2021Article
- "It's Worse to Breathe It Than to Smoke It": Secondhand Smoke Beliefs in a Group of Mexican and Central American Immigrants in the United States.International journal of environmental research and public health · 2020Article
- Utilization of a Clinical Decision Support Tool to Reduce Child Tobacco Smoke Exposure in the Urgent Care Setting.Pediatric emergency care · 2020Article
- Smokers with children with asthma: Parental perceptions about prototype intervention messages focused on reducing child tobacco exposure and use.Journal of child health care : for professionals working with children in the hospital and community · 2020Observational
- The Association of Environmental Tobacco Smoke Exposure and Inflammatory Markers in Hospitalized Children.International journal of environmental research and public health · 2019Article
- Electronic Health Record Classification of Tobacco Smoke Exposure and Cotinine Levels in Hospitalized Pediatric Patients.Hospital pediatrics · 2019Article
- Association between second hand smoke (SHS) exposure and caregiver stress in children with poorly controlled asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019Article
- Tobacco Use Behaviors and Perceptions of Parental Smokers in the Emergency Department Setting.Tobacco use insights · 2019Article
- Smokers who have children with asthma: Perceptions about child secondhand smoke exposure and tobacco use initiation and parental willingness to participate in child-focused tobacco interventions.The Journal of asthma : official journal of the Association for the Care of Asthma · 2018Article
- Tobacco Smoke Exposure and Health-Care Utilization Among Children in the United States.American journal of health promotion : AJHP · 2018Article
- Second and Thirdhand Smoke Exposure, Attitudes and Protective Practices: Results from a Survey of Hispanic Residents in Multi-unit Housing.Journal of immigrant and minority health · 2017Article
- Predictors of polycyclic aromatic hydrocarbon exposure and internal dose in inner city Baltimore children.Journal of exposure science & environmental epidemiology · 2017Article
- Asthma prescribing, ethnicity and risk of hospital admission: an analysis of 35,864 linked primary and secondary care records in East London.NPJ primary care respiratory medicine · 2016Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesTo examine the association of social and environmental factors with levels of second-hand smoke (SHS) exposure, as measured by salivary cotinine, in young inner-city children with asthma.
methodsWe used data drawn from a home-based behavioral intervention for young high-risk children with persistent asthma post-emergency department (ED) treatment (N = 198). SHS exposure was measured by salivary cotinine and caregiver reports. Caregiver demographic and psychological functioning, household smoking behavior, and asthma morbidity were compared with child cotinine concentrations. Chi-square and ANOVA tests and multivariate regression models were used to determine the association of cotinine concentrations with household smoking behavior and asthma morbidity.
resultsOver half (53%) of the children had cotinine levels compatible with SHS exposure and mean cotinine concentrations were high at 2.42 ng/ml (SD 3.2). The caregiver was the predominant smoker in the home (57%) and 63% reported a total home smoking ban. Preschool aged children and those with caregivers reporting depressive symptoms and high stress had higher cotinine concentrations than their counterparts. Among children living in a home with a total home smoking ban, younger children had significantly higher mean cotinine concentrations than older children (cotinine: 3-5 year olds, 2.24 ng/ml (SD 3.5); 6-10 year olds, 0.63 ng/ml (SD 1.0); p < .05). In multivariate models, the factors most strongly associated with high child cotinine concentrations were increased number of household smokers (β = 0.24) and younger child age (3-5 years) (β = 0.23; p < .001, R(2) = 0.35).
conclusionOver half of the young inner-city children with asthma were exposed to SHS, and caregivers are the predominant household smokers. Younger children and children with depressed and stressed caregivers are at significant risk of smoke exposures, even when a household smoking ban is reported. Further advocacy for these high-risk children is needed to help caregivers quit and to mitigate smoke exposure.
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