Clawson Ashley H, Jones Dina M, Jin Jing, Du Ruofei, Bullock Sandilyn, Donald Katherine, Orloff Mohammed, Miller Wonda, Cooper Sandra, Fagan Pebbles
Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., #820, Little Rock, AR 72205, USA.
Department of Biostatistics, College of Medicine and Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., Little Rock, AR 72205, USA.
Prev Med Rep. 2024 Oct 28;48:102918. doi: 10.1016/j.pmedr.2024.102918. eCollection 2024 Dec.
This study examined relationships between home smoking/vaping bans and caregiver restrictions on child access to tobacco in the home among rural, Black/African American caregivers who smoke.
Data were from the baseline survey of a randomized trial conducted in 2020-2022 among caregivers who smoke cigarettes and/or little cigars/cigarillos (N = 188). Logistic regressions examined associations between independent variables (tobacco product-specific and comprehensive home smoking/vaping bans) and dependent variables (caregiver keeps tobacco in the home; among caregivers with tobacco at home, caregiver restricts child tobacco access at home) Models were adjusted for caregiver tobacco use, income, and additional covariates based on stepwise selection.
Compared to caregivers with no bans, caregivers with full bans on cigar smoking and vaping were less likely to keep cigars and e-cigarettes at home, respectively. Caregivers with full bans across all tobacco products and no/partial bans across some products were less likely than those with lesser bans to keep e-cigarettes and "other tobacco products" (hookah, pipe, smokeless tobacco, IQOS) at home. Among caregivers with cigarettes at home, those with partial cigarette smoking bans were more likely than those with no bans to restrict child cigarette access at home. Among caregivers with e-cigarettes at home, those with no/partial bans on some products were likely than those with lesser bans to restrict child e-cigarette access at home.
Interventions addressing intergenerational tobacco use among socially-disadvantaged groups may benefit by supporting the implementation of home smoking/vaping bans and caregiver restrictions on child access to tobacco in the home.
本研究探讨了农村地区吸烟的黑人/非裔美国看护者家中吸烟/吸电子烟禁令与看护者对儿童在家中接触烟草的限制之间的关系。
数据来自2020 - 2022年对吸烟和/或吸小雪茄/小雪茄烟的看护者进行的一项随机试验的基线调查（N = 188）。逻辑回归分析了自变量（特定烟草产品和全面的家庭吸烟/吸电子烟禁令）与因变量（看护者在家中存放烟草；在家中有烟草的看护者中，看护者限制儿童在家中接触烟草）之间的关联。模型根据逐步选择法对看护者的烟草使用情况、收入和其他协变量进行了调整。
与没有禁令的看护者相比，全面禁止吸雪茄和吸电子烟的看护者在家中存放雪茄和电子烟的可能性分别较小。全面禁止所有烟草产品且部分产品无禁令/部分禁令的看护者，比禁令较少的看护者在家中存放电子烟和“其他烟草产品”（水烟、烟斗、无烟烟草、加热不燃烧烟草制品）的可能性更小。在家中有香烟的看护者中，实施部分香烟吸烟禁令的看护者比没有禁令的看护者更有可能在家中限制儿童接触香烟。在家中有电子烟的看护者中，对某些产品实施无禁令/部分禁令的看护者比禁令较少的看护者更有可能在家中限制儿童接触电子烟。
针对社会弱势群体中代际烟草使用的干预措施，可能通过支持实施家庭吸烟/吸电子烟禁令以及看护者对儿童在家中接触烟草的限制而受益。
