Tobacco Smoke Exposure in a Sample of Boston Public Housing Residents
Tobacco Smoke Exposure in a Sample of Boston Public Housing Residents
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DOI：
10.1016/j.amepre.2012.09.048
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发表时间：
2013-01-01
影响因子：
5.5
通讯作者：
Winickoff, Jonathan P.
中科院分区：
文献类型：
--
作者：
Levy, Douglas E.;Rigotti, Nancy A.;Winickoff, Jonathan P.
背景：烟草烟雾暴露没有安全水平。公共住房的非吸烟居民特别容易遭受烟草烟雾暴露的健康后果。目的：比较波士顿住房管理局（BHA）非吸烟居民的烟草烟雾暴露水平与国家健康和营养检查调查先前公布的数据，并确定BHA中与此类暴露相关的因素。来自两个BHA住房开发区的非吸烟成年人和儿童被邀请参加烟草烟雾暴露筛查，他们完成了一项简短的调查，并提供了唾液样本进行可替宁分析。结果：在51名符合条件的研究参与者中，88%（95%CI = 76%，95%）的受试者可替宁水平可检测（检测下限为0.15 ng/mL），而全国最多为56%（使用更灵敏的检测下限0.05 ng/mL）。研究参与者的几何平均可替宁水平为0.52 ng/mL（95% CI = 0.37 ng/mL，0.74 ng/mL），而全国最多为0.10 ng/mL。居民生活在严格的禁烟规定的家庭有较低的可替宁水平比那些没有这样的规则（0.40 ng/mL与1.07 ng/mL，p = 0.006）。结论：烟草烟雾暴露是在这个样本中的非吸烟BHA居民比非吸烟的美国人全国范围内的高。2012年10月颁布的在BHA住房单元内全面禁止吸烟的规定将有助于保护这一高度暴露的居民群体，并为其他住房当局提供示范。(Am J Prev Med 2013;44（1）：63-66）（C）2013年美国预防医学杂志
Background: There is no safe level of tobacco smoke exposure. Nonsmoking residents of public housing are at particular risk of suffering the health consequences of tobacco smoke exposure.Purpose: To compare levels of tobacco smoke exposure among nonsmoking residents of the Boston Housing Authority (BHA) to previously published data from the National Health and Nutrition Examination Survey and identify factors associated with such exposure in the BHA.Methods: Nonsmoking adults and children from two BHA housing developments were invited to participate in a tobacco smoke exposure screening in which they completed a short survey and provided a saliva sample for cotinine analysis. Data were collected in 2011 and analyzed in 2012.Results: Of 51 eligible study participants, 88% (95% CI = 76%, 95%) had detectable cotinine levels (0.15 ng/mL lower limit of detection) compared to at most 56% of residents nationally (using a more sensitive 0.05 ng/mL lower limit of detection). Geometric mean cotinine levels among study participants were 0.52 ng/mL (95% CI = 0.37 ng/mL, 0.74 ng/mL) compared to at most 0.10 ng/mL nationally. Residents living in homes with strict no-smoking rules had lower cotinine levels than those without such rules (0.40 ng/mL vs 1.07 ng/mL, p = 0.006).Conclusions: Tobacco smoke exposure is substantially higher in this sample of nonsmoking BHA residents than among nonsmoking Americans nationally. A comprehensive prohibition on smoking in BHA housing units enacted in October 2012 will help protect this highly exposed group of residents and serve as a model for other housing authorities. (Am J Prev Med 2013;44(1):63-66) (C) 2013 American Journal of Preventive Medicine