Division of General Academic Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts.
Tobacco Research and Treatment Center and.
Pediatrics. 2019 Apr;143(4). doi: 10.1542/peds.2018-3249. Epub 2019 Mar 11.
To determine how smoke-free and vape-free home and car policies differ for parents who are dual users of cigarettes and electronic cigarettes (e-cigarettes), who only smoke cigarettes, or who only use e-cigarettes. To identify factors associated with not having smoke-free or vape-free policies and how often smoke-free advice is offered at pediatric offices.
Secondary analysis of 2017 parental interview data collected after their children's visit in 5 control practices participating in the Clinical Effort Against Secondhand Smoke Exposure trial.
Most dual users had smoke-free home policies, yet fewer had a vape-free home policies (63.8% vs 26.3%; < .01). Dual users were less likely than cigarette users to have smoke-free car ( < .01), vape-free home ( < .001), or vape-free car ( < .001) policies. Inside cars, dual users were more likely than cigarette users to report smoking ( < .001), e-cigarette use ( < .001), and e-cigarette use with children present ( < .001). Parental characteristics associated with not having smoke-free or vape-free home and car policies include smoking ≥10 cigarettes per day, using e-cigarettes, and having a youngest child >10 years old. Smoke-free home and car advice was infrequently delivered.
Parents may perceive e-cigarette aerosol as safe for children. Dual users more often had smoke-free policies than vape-free policies for the home. Dual users were less likely than cigarette-only smokers to report various child-protective measures inside homes and cars. These findings reveal important opportunities for intervention with parents about smoking and vaping in homes and cars.
确定同时使用香烟和电子烟（电子烟）、仅使用香烟或仅使用电子烟的父母，其家中和车内无烟和无蒸汽政策有何不同。确定与无无烟或无蒸汽政策相关的因素以及儿科办公室提供无烟建议的频率。
对参加“临床努力防止二手烟暴露试验”的 5 个对照实践中，在孩子就诊后收集的 2017 年父母访谈数据进行二次分析。
大多数双重使用者都有家中无烟政策，但家中无蒸汽政策的比例较低（63.8%对 26.3%；<0.01）。与吸烟者相比，双重使用者更不可能拥有车内无烟（<0.01）、家中无蒸汽（<0.001）或车内无蒸汽（<0.001）政策。在车内，双重使用者比吸烟者更有可能报告吸烟（<0.001）、使用电子烟（<0.001）和在有孩子在场的情况下使用电子烟（<0.001）。与无无烟或无蒸汽家庭和汽车政策相关的父母特征包括每天吸烟≥10 支、使用电子烟和最小的孩子>10 岁。无烟家庭和汽车建议很少提供。
父母可能认为电子烟气溶胶对儿童安全。与蒸汽政策相比，家中的双重使用者更常采取无烟政策。与仅吸烟者相比，双重使用者更不可能报告在家中和车内采取各种保护儿童的措施。这些发现为在家庭和汽车中对父母进行关于吸烟和吸烟的干预提供了重要机会。
