Prevalence and Determinants of Secondhand Smoke Exposure Among Middle and High School Students
- 1 February 2016
- journal article
- Published by American Academy of Pediatrics (AAP) in PEDIATRICS
- Vol. 137 (2), e20151985
- https://doi.org/10.1542/peds.2015-1985
Abstract
BACKGROUND: Secondhand smoke (SHS) causes disease and death among nonsmokers. Private settings are major sources of exposure for children. We assessed prevalence and determinants of self-reported SHS exposure in homes and vehicles, as well as school, work, and indoor/outdoor public areas, among US students in grades 6 through 12. METHODS: Data were from the 2013 National Youth Tobacco Survey (n = 18 406). Self-reported SHS exposure within the past 7 days was assessed overall and by extent of smoke-free home and vehicle rules among never users of 10 tobacco product types. Descriptive statistics were used to compare estimates, and adjusted prevalence ratios were calculated to assess determinants of SHS exposure. RESULTS: Among never tobacco users, 48.0% reported SHS exposure in 1 or more locations, including 15.5% in the home, 14.7% in a vehicle, 16.8% at school, 27.1% at work, and 35.2% in an indoor/outdoor public area. Home exposure was 8.5%, 55.3%, and 79.4% among never tobacco users with complete, partial, or no smoke-free home rules, respectively (P < .05). Vehicle exposure was 7.1%, 44.8%, and 70.2% among never tobacco users with complete, partial, or no smoke-free vehicle rules, respectively (P < .05). Factors associated with higher prevalence ratio of SHS exposure included current tobacco use, truant behavior, and having tobacco using household members/friends CONCLUSIONS: Approximately half of US students in grades 6 through 12 reported exposure to SHS in 2013. Smoke-free home and vehicle rules, coupled with intensified implementation and enforcement of comprehensive smoke-free laws, could help protect youth from this preventable health hazard.This publication has 18 references indexed in Scilit:
- Assessment of Secondhand Smoke Exposure at School Among U.S. Middle and High School StudentsThe Journal of School Nursing, 2014
- Carbonyl Compounds in Electronic Cigarette Vapors: Effects of Nicotine Solvent and Battery Output VoltageNicotine & Tobacco Research, 2014
- Disparities and Trends in Indoor Exposure to Secondhand Smoke among U.S. Adolescents: 2000-2009PLOS ONE, 2013
- Secondhand Exposure to Vapors From Electronic CigarettesNicotine & Tobacco Research, 2013
- Craving effect of smoking cues in smoking and antismoking stimuli in light smokersAddictive Behaviors, 2013
- Ashtrays and Signage as Determinants of a Smoke-Free Legislation’s SuccessPLOS ONE, 2013
- Smoke-Free Rules and Secondhand Smoke Exposure in Homes and Vehicles Among US Adults, 2009–2010Preventing Chronic Disease, 2013
- Levels of selected carcinogens and toxicants in vapour from electronic cigarettesTobacco Control, 2013
- Secondhand Smoke Exposure in Cars Among Middle and High School Students—United States, 2000–2009PEDIATRICS, 2012
- Predictors of smoking in cars with nonsmokers: Findings from the 2007 Wave of the International Tobacco Control Four Country SurveyNicotine & Tobacco Research, 2010