Matt Georg E, Bernert John T, Hovell Melbourne F
Department of Psychology, San Diego State University, San Diego, CA 92182-4611, USA.
J Pediatr Psychol. 2008 Mar;33(2):156-75. doi: 10.1093/jpepsy/jsm123. Epub 2007 Dec 13.
Behavioral, environmental, and biological measures of secondhand smoke (SHS) exposure are reviewed with special consideration of medically at-risk children.
An ecological measurement framework is introduced to examine SHS exposure of children in the context of their physical and social environments.
The proposed approach emphasizes the need to measure (a) who uses tobacco, (b) where and when exposure takes place, (c) what media are contaminated, (d) how exposure takes place, (e) how much a child was exposed, and (f) factors that contribute to why tobacco is used in a child's environment.
Existing research suggests that medically at-risk children are among the most vulnerable populations for the harmful effects of SHS exposure. Yet, little is currently known about how SHS exposure affects these populations. The proposed approach provides a framework for the comprehensive assessment of SHS exposure to study its health effects and to design effective interventions.
回顾二手烟暴露的行为、环境和生物学测量方法，并特别考虑医学上有风险的儿童。
引入一个生态测量框架，以在儿童的物理和社会环境背景下检查二手烟暴露情况。
所提出的方法强调需要测量（a）谁使用烟草，（b）暴露发生的地点和时间，（c）哪些媒介被污染，（d）暴露如何发生，（e）儿童暴露的程度，以及（f）导致在儿童环境中使用烟草的因素。
现有研究表明，医学上有风险的儿童是二手烟暴露有害影响的最脆弱人群之一。然而，目前对于二手烟暴露如何影响这些人群知之甚少。所提出的方法为全面评估二手烟暴露提供了一个框架，以研究其对健康的影响并设计有效的干预措施。
