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- Title
Familial secondhand smoke: Tobacco use and adoption of smoke-free home and car rules among US parents.
- Authors
Agaku, Israel T.; Tsafa, Tina N.; Nikitara, Katerina; Odani, Satomi
- Abstract
INTRODUCTION: Secondhand smoke (SHS) causes disease and death. We assessed US parents' tobacco use and their attitudes towards smoking within private environments where children might be present. METHODS: A national sample of 44626 parents collectively reporting 83782 children aged 0-17 years was analyzed from the 2014-2015 Tobacco Use Supplement to the Current Population Survey. Unit of analyses was both parents and children. Among parents, we assessed tobacco use prevalence, smoke-free home rule adoption, and opposition to smoking in cars. Logistic regression was used to measure associations between smoke-free home rule adoption and parents' cigarette smoking initiation (never smokers); quit attempts (current smokers); and sustained cessation (former smokers). Population counts of children living with a smoking parent were extrapolated from sampling weights. RESULTS: Of parents, 14.3% currently smoked combustible tobacco; approximately 9.7 million children lived with a smoking parent. While most parents opposed smoking in cars with children (95.0%), significantly fewer were opposed when a child was not specified as being present in the car (75.4%). Overall, 91.3% of parents had smoke-free home rules; this percentage was highest among parents of infants/toddlers (92.3%) and lowest among parents of teens aged 14-17 years (89.0%; p<0.05). Presence of smoke-free home rules was associated negatively with smoking initiation among never smokers (AOR=0.21) and positively with quit attempts among current smokers (AOR=1.59) and sustained quitting among former smokers (AOR=1.67) (all p <0.05). CONCLUSIONS: Parental smoking can expose children to SHS. Pediatricians can educate parents on the dangers of smoking around children, and the benefits of quitting.
- Subjects
UNITED States; TOBACCO use; NONSMOKING areas; PARENTS; DEMOGRAPHIC surveys; LOGISTIC regression analysis
- Publication
Population Medicine, 2021, Vol 3, p1
- ISSN
2654-1459
- Publication type
Article
- DOI
10.18332/popmed/140059