School of Human Services, University of Cincinnati, Cincinnati, OH, USA.
Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Clin Pediatr (Phila). 2023 Oct;62(10):1229-1236. doi: 10.1177/00099228231154135. Epub 2023 Feb 15.
This study examined the association between home tobacco smoke exposure (TSE) status and gastrointestinal problems in the past 12 months among US children. We conducted a secondary analysis of the 2018-2019 National Survey of Children's Health cross-sectional data including 20 149 children aged 4 to 10 years. Weighted logistic regression models unadjusted and adjusted for child and family covariates were fitted. Overall, 12.3% of children had home thirdhand smoke (THS) exposure only and 1.8% had home secondhand smoke (SHS) and THS exposure. Unadjusted (odds ratio [OR] = 1.70, 95% confidence interval [CI] = 1.32-2.20) and adjusted (adjusted odds ratio [AOR] = 1.51, 95% CI = 1.14-1.99) logistic regression results indicated that relative to children with no home TSE, children with home THS exposure only were at increased odds of having frequent or chronic difficulty with gastrointestinal problems over the past 12 months. Interventions are critically needed to promote smoking cessation among household members who live with children in order to reduce levels of SHS and THS in their homes.
本研究调查了美国儿童过去 12 个月中家庭烟草烟雾暴露（TSE）状况与胃肠道问题之间的关联。我们对包括 2018-2019 年全国儿童健康横断面数据在内的 20149 名 4 至 10 岁儿童进行了二次分析。未调整和调整了儿童和家庭协变量的加权逻辑回归模型进行拟合。总体而言，有 12.3%的儿童仅有家庭三手烟暴露，1.8%的儿童同时有家庭二手烟和三手烟暴露。未调整（比值比[OR] = 1.70，95%置信区间[CI] = 1.32-2.20）和调整（调整比值比[AOR] = 1.51，95% CI = 1.14-1.99）逻辑回归结果表明，与家中无 TSE 的儿童相比，家中仅有三手烟暴露的儿童在过去 12 个月中出现胃肠道问题频繁或慢性困难的可能性增加。迫切需要针对与儿童同住的家庭成员开展戒烟干预，以降低其家中的二手烟和三手烟水平。
