Decrease in the Prevalence of Environmental Tobacco Smoke Exposure in the Home During the 1990s in Families With Children
Soheil Soliman, MPH,
Harold A. Pollack, PhD and
Kenneth E. Warner, PhD
Soheil Soliman, Harold A. Pollack, and Kenneth E. Warner are with the University of Michigan School of Public Health, Department of Health Management and Policy, Ann Arbor, Mich.
Correspondence: Requests for reprints should be sent to Soheil Soliman, Department of Health Management and Policy, 109 S Observatory St, Room M3110, Ann Arbor, MI 48109 (e-mail: solimans{at}umich.edu).
Objectives. This study explored correlates with and changesin the prevalence of environmental tobacco smoke (ETS) exposureof children in the home.
Methods. We used multiple logistic regression to explore ETSexposures as reported in the 1992 and 2000 National Health InterviewSurvey.
Results. ETS exposure in homes with children declined from 35.6%to 25.1% (P < .001) between 1992 and 2000, whereas smokingprevalence declined 26.5% to 23.3%. Home ETS exposures weremore prevalent among non-Hispanic Whites than among AfricanAmericans (adjusted odds ratio [AOR] = 0.702; 95% confidenceinterval [CI] = 0.614, 0.802), Asian Americans (AOR = 0.534;95% CI = 0.378, 0.754), and Hispanics (AOR = 0.388; 95% CI =0.294, 0.389). Exposures declined across all groups, with greatergains in higher education and income groups.
Conclusions. Home ETS exposure declined sharply between 1992and 2000, more than would be predicted by the decline in adultsmoking prevalence.
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