Serum Cotinine versus Parent Reported Measures of Secondhand Smoke Exposure in Rural Appalachian Children.
Serum Cotinine versus Parent Reported Measures of Secondhand Smoke Exposure in Rural Appalachian Children.
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DOI：
10.13023/jah.0101.03
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发表时间：
2019-01-01
影响因子：
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通讯作者：
Haynes, Erin N
中科院分区：
文献类型：
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作者：
Yeramaneni, Samrat;Yolton, Kimberly;Haynes, Erin N
背景：阿巴拉契亚儿童的二手烟暴露及其相关的不良影响尚未得到充分研究，也没有很好的记录。本研究通过父母自我报告和内部生物学测量评估了阿巴拉契亚儿童SHS暴露的患病率。方法：2009年至2013年，在阿巴拉契亚农村社区参与社区积极研究暴露研究期间，确定了居住在农村社区的儿童的SHS暴露。父母报告了家庭中吸烟者的数量和每天吸烟的数量。7-9岁的儿童提供血清样本进行可替宁分析。父母报告的措施和儿童血清可替宁措施的SHS暴露进行了比较，与国家和阿巴拉契亚州的估计。结果：约37%的父母报告家中至少有一名吸烟者，但50%的儿童血清中可替宁水平可检测到。儿童的平均血清可替宁水平为0.7 ± 1.6 ng/mL。在至少有一名报告吸烟者的家庭中，平均每天吸烟20支。相比7.6%的儿童，年龄在3-19岁，暴露于SHS全国，36.6%的儿童在我们的研究中暴露于SHS生活在阿巴拉契亚县。父母自我报告的吸烟低估了儿童暴露于SHS作为衡量血清可替宁水平。应探索制定风险宣传信息和实施文化上适当的干预措施，以减少阿巴拉契亚农村地区的烟草依赖。
BACKGROUND: Secondhand smoke (SHS) exposure in Appalachian children and associated adverse effects is understudied and not well documented. This study assessed the prevalence of SHS exposure in Appalachian children by parental self-report and internal biological measure.METHODS: SHS exposure was determined in children residing in rural Appalachian communities during their participation in the Communities Actively Researching Exposure Study between 2009 and 2013. Parents reported the number of smokers in the household and number of cigarettes smoked/day. Children ages 7-9 provided a serum sample for cotinine analysis. Parent reported measures and child serum cotinine measures of SHS exposure were compared with national and Appalachian-state estimates. Data analysis for the study was done in 2013.RESULTS: Approximately 37% parents reported at least one smoker in the home, yet 50% of children had a detectible level of cotinine in serum. The mean serum cotinine level in children was 0.7 + 1.6 ng/mL. In homes of at least one reported smoker, an average of 20 cigarettes were smoked//day. Compared to 7.6% children, aged 3-19 years, exposed to SHS nationally, 36.6% children in our study were exposed to SHS living in Appalachian counties.IMPLICATIONS: Children living in rural Appalachian counties are significantly exposed to SHS exposure. Parental self-reports of smoking underestimates child exposure to SHS as measured by serum cotinine levels. Developing risk communication messages and implementing culturally appropriate interventions aimed at reducing tobacco dependence in rural Appalachian regions should be explored.