Evidence map›Paper›PMID 28360145›Full record

ArticleTobacco control2018

Preliminary evidence that high levels of nicotine on children's hands may contribute to overall tobacco smoke exposure.

E Melinda Mahabee-Gittens, Ashley L Merianos, Georg E Matt

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Tobacco control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02531594 (An Intervention to Reduce Second Hand Smoke Exposure Among Pediatric Emergency Patients), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% of its field
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.

NCT02531594 nacompletednot on this map

An Intervention to Reduce Second Hand Smoke Exposure Among Pediatric Emergency Patients

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2016 to 2022Enrolled770ConditionsSmoking CessationArmsSBIRT, HHC
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Analysis of Assessment Methods for Detecting Nicotine Residue and Its Impact on Humans: A Systematic Review.International journal of environmental research and public health · 2025
    Pooled it
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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

3 authors at 3 institutions in 1 country.

E Melinda Mahabee-GittensDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Ashley L MerianosSchool of Human Services, University of Cincinnati, Cincinnati, Ohio, USA.
Georg E MattDepartment of Psychology, San Diego State University, San Diego, California, USA.
Cincinnati Children's Hospital Medical Center · USSan Diego State University · USUniversity of Cincinnati · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
An Intervention to Reduce Second Hand Smoke Exposure among Pediatric Emergency Patients. R01HD083354 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI MAHABEE-GITTENS, E. MELINDA · 2015 to 2019
$2.9M
NCATS NIH HHS UL1 TR001425NICHD NIH HHS R01 HD083354
6 · The paper itself

Abstract

backgroundDust and surfaces are important sources of lead and pesticide exposure in young children. The purpose of this pilot study was to investigate if third-hand smoke (THS) pollutants accumulate on the hands of children who live in environments where tobacco is used and if hand nicotine levels are associated with second-hand smoke (SHS), as measured by salivary cotinine.

methodsParticipants were parents and children (n=25; age mean (SD)=5.4 (5.3) years) presenting to the emergency department with a potentially SHS-related illness. A convenience sample of participants were recruited at baseline from an ongoing two-group, randomised controlled trial of a SHS reduction and tobacco cessation intervention. Parents were current smokers; thus, all children were at risk of SHS and THS exposure to varying extents. Primary outcome measures, which were assessed in child participants only, were hand nicotine and salivary cotinine. Parents reported sociodemographics and smoking patterns; children's medical records were abstracted for chief complaint, medical history and discharge diagnosis.

resultsAll children had detectable hand nicotine (range=18.3-690.9 ng/wipe). All but one had detectable cotinine (range=1.2-28.8 ng/mL). Multiple linear regression results showed a significant positive association between hand nicotine and cotinine (p=0.009; semipartial r DISCUSSION: The higher-than-expected nicotine levels and significant association with cotinine indicate that THS may play a role in the overall exposure of young children to tobacco smoke toxicants and that hand wipes could be a useful marker of overall tobacco smoke pollution and a proxy for exposure. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Identifier: NCT02531594.

Indexed as

HandChildChild, PreschoolCotinineFemaleHumansMaleNicotinePilot ProjectsSalivaTobacco Smoke PollutionCotinineNicotineTobacco Smoke PollutionCotinineNicotinePreventionSecond-hand smoke

Identifiers

PMID28360145
PMCPMC5623162
OpenAlexW2603527903

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.