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Tobacco Use Behaviors and Perceptions of Parental Smokers in the Emergency Department Setting

Tobacco use insights, 2019, Vol.12, p.1179173X19841392-1179173X19841392 [Peer Reviewed Journal]

The Author(s) 2019 ;The Author(s) 2019. This work is licensed under the Creative Commons Attribution – Non-Commercial License http://www.creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2019 2019 SAGE Publications Ltd unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses ;ISSN: 1179-173X ;EISSN: 1179-173X ;DOI: 10.1177/1179173X19841392 ;PMID: 31258335

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  • Title:
    Tobacco Use Behaviors and Perceptions of Parental Smokers in the Emergency Department Setting
  • Author: Mahabee-Gittens, E Melinda ; Merianos, Ashley L ; Stone, Lara ; Tabangin, Meredith E ; Khoury, Jane C ; Gordon, Judith S
  • Subjects: Age ; Caregivers ; Children & youth ; Cigarettes ; Hispanic people ; Nicotine ; Original Research ; Parents & parenting ; Perceptions ; Regression analysis ; Smoking ; Studies ; Tobacco smoke ; Variables
  • Is Part Of: Tobacco use insights, 2019, Vol.12, p.1179173X19841392-1179173X19841392
  • Description: Background: More information is needed about modifiable child tobacco smoke exposure (TSE) patterns in racially diverse parental smokers to tailor interventions designed to help parents quit smoking and reduce their child’s TSE. Our objectives were to determine whether there were differences in smoking and TSE patterns based on parental race and child age and whether these patterns differed based on child age within black and white parental smokers. Secondary objectives were to assess the relationship between parental perceptions about the effects of smoking and the benefits of quitting on their child based on child age, race, and reported TSE patterns and to examine biochemically verified TSE levels by child age, race, and parent-reported TSE patterns. Methods: Participants (N = 415) were non-Hispanic black and non-Hispanic white parental smokers, mean age (standard deviation [SD]) = 31.2 (7.2) years, who visited the Pediatric Emergency Department (PED) or Urgent Care (UC) with their child, mean age (SD) = 4.7 (4.6) years. Parents reported sociodemographics, smoking, and child TSE patterns. We conducted chi-square tests, independent t-tests, and general linear regression models to answer our primary objectives and linear regression models to answer our secondary objectives. Results: Parents were 56.1% non-Hispanic black; 87.5% women; mean (SD) number of cigarettes smoked/day was 10.5(6.8). A higher proportion of parents with younger children <3 years old reported smoking bans compared with parents with older children ⩾3 to <18 years old (41.3% vs 19.7%, P < .0001). Subsequent analyses revealed this pattern for both black and white parents. A total of 212 (51%) of children had biochemical assessment of TSE; 89.6% had detectable TSE. Younger children had significantly higher cotinine levels than older children independent of their race (P < .001). Conclusions: Children of parental smokers who visit the PED/UC were highly tobacco smoke exposed. Both black and white parental smokers with younger children were more likely to enforce smoking bans, but younger children had higher TSE levels than older children. Interventions that target this group of parental smokers with younger children may be more effective than interventions geared to all parental smokers.
  • Publisher: London, England: SAGE Publications
  • Language: English
  • Identifier: ISSN: 1179-173X
    EISSN: 1179-173X
    DOI: 10.1177/1179173X19841392
    PMID: 31258335
  • Source: Sage Journals Open Access Journals
    GFMER Free Medical Journals
    PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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