Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.
School of Human Services, University of Cincinnati, Cincinnati, OH 45221, USA.
Int J Environ Res Public Health. 2022 Apr 2;19(7):4266. doi: 10.3390/ijerph19074266.
(1) Background: Home tobacco smoke exposure (TSE) and negative neighborhood characteristics adversely affect children's overall health. The objective was to examine the associations of child TSE status and neighborhood characteristics among U.S. school-aged children. (2) Methods: We conducted a secondary analysis of the 2018-2019 National Survey of Children's Health (NSCH) data including 17,300 U.S. children ages 6-11 years old. We categorized children's home TSE status into: (a) no TSE: child did not live with a smoker; (b) thirdhand smoke (THS) exposure alone: child lived with a smoker who did not smoke inside the home; and (c) secondhand smoke (SHS) and THS exposure: child lived with a smoker who smoked inside the home. We conducted a series of weighted linear and logistic regression analyses to assess the associations between child TSE status and neighborhood characteristics, adjusting for covariates. (3) Results: Overall, 13.2% and 1.7% of children were exposed to home THS alone and home SHS and THS, respectively. Compared to children with no TSE, children with home THS exposure alone and children with home SHS and THS exposure had a significantly lower total number of neighborhood amenities and children with SHS and THS exposure had a significantly higher total number of detracting neighborhood elements. (4) Conclusions: Children with TSE demonstrate disparities in the characteristics of the neighborhood in which they live compared to children with no TSE. TSE reduction interventions targeted to children with TSE who live in these neighborhoods are warranted.
(1) 背景：家庭烟草烟雾暴露（TSE）和负面邻里特征会对儿童的整体健康产生不利影响。目的是研究美国学龄儿童 TSE 状况和邻里特征之间的关系。(2) 方法：我们对 2018-2019 年全国儿童健康调查（NSCH）数据进行了二次分析，包括 17300 名美国 6-11 岁儿童。我们将儿童的家庭 TSE 状况分为以下几类：(a) 无 TSE：儿童未与吸烟者同住；(b) 单独三手烟（THS）暴露：儿童与不在家中吸烟的吸烟者同住；和 (c) 二手烟（SHS）和 THS 暴露：儿童与在家中吸烟的吸烟者同住。我们进行了一系列加权线性和逻辑回归分析，以评估儿童 TSE 状况与邻里特征之间的关系，同时调整了协变量。(3) 结果：总体而言，分别有 13.2%和 1.7%的儿童单独接触家庭 THS 和家庭 SHS 和 THS。与无 TSE 的儿童相比，单独接触家庭 THS 的儿童和接触家庭 SHS 和 THS 的儿童，其邻里设施总数明显减少，而接触 SHS 和 THS 的儿童的邻里干扰因素总数明显增加。(4) 结论：与无 TSE 的儿童相比，接触 TSE 的儿童居住的邻里特征存在差异。需要针对这些邻里环境中接触 TSE 的儿童实施 TSE 减少干预措施。
