ArticleTobacco prevention & cessation2017
The Secondhand Smoke Exposure Scale (SHSES): A hair nicotine validated tool for assessing exposure to secondhand smoke among elderly adults in primary care.
Article in Tobacco prevention & cessation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 11 citations in OpenAlex.
- Secondhand smoke and breast health awareness among Vietnamese American families in California: A mixed-methods study.Tobacco prevention & cessation · 2026Article
- Passive Exposure to Tobacco Smoke Attitude Scale: A Scale Development Study in High School Students.Journal of clinical practice and research · 2025Article
- Perceptions of Patients with Respiratory Disorders About Environmental Smoke.Sisli Etfal Hastanesi tip bulteni · 2025Article
- Eating Behaviors, Lifestyle, and Ischemic Stroke: A Lebanese Case-Control Study.International journal of environmental research and public health · 2023Review
- Environmental Tobacco Smoke Exposure Estimated Using the SHSES Scale, and Feature Tracking Computed Tomography-Derived Left Ventricular Global Longitudinal Strain in Hypertensive Patients.Cardiovascular toxicology · 2022Article
- Aortic Valve Calcification Score in Patients with Arterial Hypertension Environmentally Exposed to Tobacco Smoke.Cardiovascular toxicology · 2021Article
- Identifying the Best Questions for Rapid Screening of Secondhand Smoke Exposure Among Children.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Article
- Environmental Tobacco Smoke Exposure Estimated Using the SHSES Scale and Epicardial Adipose Tissue Thickness in Hypertensive Patients.Cardiovascular toxicology · 2021Article
- Comparing cigarette smoking knowledge and attitudes among smokers and non-smokers.Environmental science and pollution research international · 2020Article
- Assessing pediatric tobacco exposure using parent report: comparison with hair nicotine.Journal of exposure science & environmental epidemiology · 2018Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAccurate estimation of exposure to Secondhand Smoke (SHS) is important in both research and clinical practice. We aimed to develop, an easy to implement, biomarker validated scale to provide an estimation of adult exposure to SHS for use within primary health care or epidemiological research.
methodsA pool of 26 baseline questions evaluating exposure to SHS was administered to 178 non-smoking adults (mean age 68.1 years), recruited from both urban and rural primary health care practices in Crete, Greece in November 2011, while concurrent hair samples were collected and nicotine concentrations were measured. To generate scores for each question item, we fitted a backward linear regression using the main predictors of SHS exposure selected from the initial pool of questions, weighted against each individuals biomarker evaluated exposure.
resultsAmong the pool of participants and weighted according to hair nicotine levels, in descending order, the most important sources of SHS exposure were the home (5 points, β=0.37), the family car (3 points, β=0.20), public places (2 points, β=0.15) and the workplace (1 point, β=0.013), the relative weighting of which led to the development of an 11-point scale to assess exposure to SHS. For every unit increase in the score, there was an associated increase in mean hair nicotine concentrations by 1.35 ng/mg (95%CI: 1.25-1.45, p<0.0001).
conclusionsThe SHS exposure score (SHSES) may be a useful tool in an estimating the level of the exposure to SHS among elderly adults and investigating the relationship between SHS exposure and potential health outcomes.
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