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Smoke-Free Home Rules and Association with Child Secondhand Smoke Exposure among Mother–Child Dyad Relationships

Author

Listed:
  • Westley L. Fallavollita

    (Department of Health Behavior & Policy, Virginia Commonwealth University, Richmond, VA 23284, USA)

  • Elizabeth K. Do

    (Department of Health Behavior & Policy, Virginia Commonwealth University, Richmond, VA 23284, USA
    Massey Cancer Center, Virginia Commonwealth University, Richmond, VA 23284, USA)

  • Julia C. Schechter

    (Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27701, USA)

  • Scott H. Kollins

    (Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27701, USA)

  • Junfeng (Jim) Zheng

    (Nicholas School of the Environment and Global Health Institute, Duke University, Durham, NC 27708, USA)

  • Jian Qin

    (School of Public Health, Guangxi Medical University, Nanning 530021, China)

  • Rachel L. Maguire

    (Department of Biological Sciences, North Carolina State University, Raleigh, NC 27695, USA
    Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC 27710, USA)

  • Cathrine Hoyo

    (Department of Biological Sciences, North Carolina State University, Raleigh, NC 27695, USA)

  • Susan K. Murphy

    (Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC 27710, USA)

  • Bernard F. Fuemmeler

    (Department of Health Behavior & Policy, Virginia Commonwealth University, Richmond, VA 23284, USA
    Massey Cancer Center, Virginia Commonwealth University, Richmond, VA 23284, USA)

Abstract

Smoke-free home rules restrict smoking in the home, but biomarkers of secondhand smoke exposure are needed to help understand the association between smoke-free homes and child secondhand smoke exposure. Participants ( n = 346) were majority Black/African American mother–child dyads from a longitudinal study in North Carolina. Mothers completed questionnaires on household smoking behaviors and rules, and child saliva samples were assayed for secondhand smoke exposure. Regression models used smoke-free home rules to predict child risk for secondhand smoke exposure. Children in households with smoke-free home rules had less salivary cotinine and risk for secondhand smoke exposure. After controlling for smokers in the household, home smoking rules were not a significant predictor of secondhand smoke exposure. Compared to children in households with no smokers, children in households with at least one smoker but a non-smoking mother (OR 5.35, 95% CI: 2.22, 13.17) and households with at least one smoker including a smoking mother (OR 13.73, 95% CI: 6.06, 33.28) had greater risk for secondhand smoke exposure. Results suggest smoke-free home rules are not sufficient to fully protect children from secondhand smoke exposure, especially in homes with smokers. Future research should focus on how household members who smoke can facilitate the prevention of child secondhand smoke exposure.

Suggested Citation

  • Westley L. Fallavollita & Elizabeth K. Do & Julia C. Schechter & Scott H. Kollins & Junfeng (Jim) Zheng & Jian Qin & Rachel L. Maguire & Cathrine Hoyo & Susan K. Murphy & Bernard F. Fuemmeler, 2021. "Smoke-Free Home Rules and Association with Child Secondhand Smoke Exposure among Mother–Child Dyad Relationships," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5256-:d:555014
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    References listed on IDEAS

    as
    1. Julia C. Schechter & Bernard F. Fuemmeler & Cathrine Hoyo & Susan K. Murphy & Junfeng (Jim) Zhang & Scott H. Kollins, 2018. "Impact of Smoking Ban on Passive Smoke Exposure in Pregnant Non-Smokers in the Southeastern United States," IJERPH, MDPI, vol. 15(1), pages 1-16, January.
    2. Sungroul Kim & Benjamin J. Apelberg & Erika Avila-Tang & Lisa Hepp & Dongmin Yun & Jonathan M. Samet & Patrick N. Breysse, 2014. "Utility and Cutoff Value of Hair Nicotine as a Biomarker of Long-Term Tobacco Smoke Exposure, Compared to Salivary Cotinine," IJERPH, MDPI, vol. 11(8), pages 1-15, August.
    3. Laura J. Rosen & Vicki Myers & Jonathan P. Winickoff & Jeff Kott, 2015. "Effectiveness of Interventions to Reduce Tobacco Smoke Pollution in Homes: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 12(12), pages 1-17, December.
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    Cited by:

    1. Emiley Chang & Melanie Dove & Anne Saw & Janice Y. Tsoh & Lei-Chun Fung & Elisa K. Tong, 2021. "Home Smoking Bans and Urinary NNAL Levels to Measure Tobacco Smoke Exposure in Chinese American Household Pairs," IJERPH, MDPI, vol. 18(14), pages 1-11, July.

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