Limits...
Predictors of children's secondhand smoke exposure at home: a systematic review and narrative synthesis of the evidence.

Orton S, Jones LL, Cooper S, Lewis S, Coleman T - PLoS ONE (2014)

Bottom Line: Parental smoking, low socioeconomic status and being less educated were all frequently and consistently found to be independently associated with children's SHS exposure in the home.Associations were strongest for parental cigarette smoking status; compared to children of non-smokers, those whose mothers or both parents smoked were between two and 13 times more likely to be exposed to SHS.Interventions targeted towards the socially disadvantaged parents aiming to change attitudes to smoking in the presence of children and providing practical support to help parents smoke outside the home may be beneficial.

View Article: PubMed Central - PubMed

Affiliation: UK Centre for Tobacco & Alcohol Studies & Division of Primary Care, University of Nottingham, Nottingham, United Kingdom.

ABSTRACT

Background: Children's exposure to secondhand smoke (SHS) has been causally linked to a number of childhood morbidities and mortalities. Over 50% of UK children whose parents are smokers are regularly exposed to SHS at home. No previous review has identified the factors associated with children's SHS exposure in the home.

Aim: To identify by systematic review, the factors which are associated with children's SHS exposure in the home, determined by parent or child reports and/or biochemically validated measures including cotinine, carbon monoxide or home air particulate matter.

Methods: Electronic searches of MEDLINE, EMBASE, PsychINFO, CINAHL and Web of Knowledge to July 2014, and hand searches of reference lists from publications included in the review were conducted.

Findings: Forty one studies were included in the review. Parental smoking, low socioeconomic status and being less educated were all frequently and consistently found to be independently associated with children's SHS exposure in the home. Children whose parents held more negative attitudes towards SHS were less likely to be exposed. Associations were strongest for parental cigarette smoking status; compared to children of non-smokers, those whose mothers or both parents smoked were between two and 13 times more likely to be exposed to SHS.

Conclusion: Multiple factors are associated with child SHS exposure in the home; the best way to reduce child SHS exposure in the home is for smoking parents to quit. If parents are unable or unwilling to stop smoking, they should instigate smoke-free homes. Interventions targeted towards the socially disadvantaged parents aiming to change attitudes to smoking in the presence of children and providing practical support to help parents smoke outside the home may be beneficial.

Show MeSH

Related in: MedlinePlus

Systematic search results flow diagram of included and excluded studies.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4232519&req=5

pone-0112690-g001: Systematic search results flow diagram of included and excluded studies.

Mentions: There were 4013 papers identified through the systematic literature searches. After removal of duplicates, a further 2,316 articles were excluded based on title and abstract review. These included intervention studies to reduce child SHS exposure, studies examining the health risks associated with child SHS exposure and editorial papers. Sixty-five papers were considered as potentially eligible based on title and abstract review, and full-texts were obtained. Following the review of full-texts, 41 of these papers were included in the final review (Figure 1).


Predictors of children's secondhand smoke exposure at home: a systematic review and narrative synthesis of the evidence.

Orton S, Jones LL, Cooper S, Lewis S, Coleman T - PLoS ONE (2014)

Systematic search results flow diagram of included and excluded studies.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4232519&req=5

pone-0112690-g001: Systematic search results flow diagram of included and excluded studies.
Mentions: There were 4013 papers identified through the systematic literature searches. After removal of duplicates, a further 2,316 articles were excluded based on title and abstract review. These included intervention studies to reduce child SHS exposure, studies examining the health risks associated with child SHS exposure and editorial papers. Sixty-five papers were considered as potentially eligible based on title and abstract review, and full-texts were obtained. Following the review of full-texts, 41 of these papers were included in the final review (Figure 1).

Bottom Line: Parental smoking, low socioeconomic status and being less educated were all frequently and consistently found to be independently associated with children's SHS exposure in the home.Associations were strongest for parental cigarette smoking status; compared to children of non-smokers, those whose mothers or both parents smoked were between two and 13 times more likely to be exposed to SHS.Interventions targeted towards the socially disadvantaged parents aiming to change attitudes to smoking in the presence of children and providing practical support to help parents smoke outside the home may be beneficial.

View Article: PubMed Central - PubMed

Affiliation: UK Centre for Tobacco & Alcohol Studies & Division of Primary Care, University of Nottingham, Nottingham, United Kingdom.

ABSTRACT

Background: Children's exposure to secondhand smoke (SHS) has been causally linked to a number of childhood morbidities and mortalities. Over 50% of UK children whose parents are smokers are regularly exposed to SHS at home. No previous review has identified the factors associated with children's SHS exposure in the home.

Aim: To identify by systematic review, the factors which are associated with children's SHS exposure in the home, determined by parent or child reports and/or biochemically validated measures including cotinine, carbon monoxide or home air particulate matter.

Methods: Electronic searches of MEDLINE, EMBASE, PsychINFO, CINAHL and Web of Knowledge to July 2014, and hand searches of reference lists from publications included in the review were conducted.

Findings: Forty one studies were included in the review. Parental smoking, low socioeconomic status and being less educated were all frequently and consistently found to be independently associated with children's SHS exposure in the home. Children whose parents held more negative attitudes towards SHS were less likely to be exposed. Associations were strongest for parental cigarette smoking status; compared to children of non-smokers, those whose mothers or both parents smoked were between two and 13 times more likely to be exposed to SHS.

Conclusion: Multiple factors are associated with child SHS exposure in the home; the best way to reduce child SHS exposure in the home is for smoking parents to quit. If parents are unable or unwilling to stop smoking, they should instigate smoke-free homes. Interventions targeted towards the socially disadvantaged parents aiming to change attitudes to smoking in the presence of children and providing practical support to help parents smoke outside the home may be beneficial.

Show MeSH
Related in: MedlinePlus