Evidence map›Paper›PMID 35046128›Full record

ArticleTobacco control2022

Spatial analysis of tobacco outlet density on secondhand smoke exposure and asthma health among children in Baltimore City.

Parisa Kaviany, James Paul Senter, Joseph Michael Collaco, Anne E Corrigan, Emily Brigham, Megan Wood, Han Woo, Chen Liu, Rachelle Koehl, Panagis Galiatsatos and 3 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Tobacco control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Simulating the Impact of Zoning Policies on Equitably Reducing Neighborhood Tobacco Retailer Availability.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
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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

13 authors at 2 institutions in 1 country.

Parisa KavianyEudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA pkavian1@jhmi.edu.ORCID http://orcid.org/0000-0002-9396-0777
James Paul SenterPediatrics Residency Program, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Joseph Michael CollacoEudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Anne E CorriganSpatial Science for Public Health Center, Johns Hopkins University, Baltimore, Maryland, USA.
Emily BrighamPulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Megan WoodDepartment of Environmental Health and Engineering, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Han WooPulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Chen LiuPulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Rachelle KoehlPulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Panagis GaliatsatosPulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0001-8309-0985
Kirsten KoehlerDepartment of Environmental Health and Engineering, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Nadia HanselPulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Meredith McCormackPulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Johns Hopkins University · USChildren's Hospital of Philadelphia · US

Funding

Multidisciplinary Training Program in Pediatric PulmonaryT32HL072748 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Joseph Michael Collaco · 2003 to 2026
$6.1M
NHLBI NIH HHS T32 HL072748
6 · The paper itself

Abstract

rationaleTobacco outlets are concentrated in low-income neighbourhoods; higher tobacco outlet density is associated with increased smoking prevalence. Secondhand smoke (SHS) exposure has significant detrimental effects on childhood asthma. We hypothesised there was an association between higher tobacco outlet density, indoor air pollution and worse childhood asthma.

methodsBaseline data from a home intervention study of 139 children (8-17 years) with asthma in Baltimore City included residential air nicotine monitoring, paired with serum cotinine and asthma control assessment. Participant addresses and tobacco outlets were geocoded and mapped. Multivariable regression modelling was used to describe the relationships between tobacco outlet density, SHS exposure and asthma control.

resultsWithin a 500 m radius of each participant home, there were on average six tobacco outlets. Each additional tobacco outlet in a 500 m radius was associated with a 12% increase in air nicotine (p<0.01) and an 8% increase in serum cotinine (p=0.01). For every 10-fold increase in air nicotine levels, there was a 0.25-point increase in Asthma Therapy Assessment Questionnaire (ATAQ) score (p=0.01), and for every 10-fold increase in serum cotinine levels, there was a 0.54-point increase in ATAQ score (p<0.05).

conclusionsIncreased tobacco outlet density is associated with higher levels of bedroom air nicotine and serum cotinine. Increasing levels of SHS exposure (air nicotine and serum cotinine) are associated with less controlled childhood asthma. In Baltimore City, the health of children with asthma is adversely impacted in neighbourhoods where tobacco outlets are concentrated. The implications of our findings can inform community-level interventions to address these health disparities.

Indexed as

cotininedisparitiesenvironmentnicotinesecondhand smoke

Identifiers

PMID35046128
PMCPMC9294062
OpenAlexW4205913917

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.