Child Tobacco Smoke Exposure, Indoor Home Characteristics, and Housing Stability among a National Sample of U.S. Children.
Child Tobacco Smoke Exposure, Indoor Home Characteristics, and Housing Stability among a National Sample of U.S. Children.
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DOI：
10.3390/toxics10110639
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发表时间：
2022-10-25
期刊：
影响因子：
4.6
通讯作者：
中科院分区：
文献类型：
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作者：
(1)目的：研究儿童烟草烟雾暴露（TSE）与家庭质量和住房不稳定性的关系。(2)方法.对2018-2019年全国儿童健康调查中的32，066名美国0-11岁儿童进行了二次分析。儿童家庭TSE状态定义为：无TSE：儿童与不吸烟者生活在一起;仅三手烟（THS）暴露：儿童与不在室内吸烟的吸烟者生活在一起;二手烟（SHS）和THS暴露：儿童与在室内吸烟的吸烟者生活在一起。通过霉菌或杀虫剂使用的存在来评估房屋质量，通过房屋所有权、搬家频率和家庭成员数量来评估住房不稳定性。我们进行了加权多变量逻辑回归和线性回归模型，同时调整了重要的儿童协变量。(3)结果：总共有12.3%的家庭THS暴露，1.6%的家庭SHS和THS暴露。与没有家庭TSE的儿童相比，有家庭SHS和THS暴露的儿童发生TSE的可能性高2.60倍，（95%CI = 1.73，3.92）家中有霉菌;（95%CI = 1.09，2.26）居住在过去12个月内使用农药≥1次的家庭;更可能有更频繁的移动（β = 1.06，95%CI = 0.62，1.50）。(4)结论：与没有家庭TSE的儿童相比，家庭TSE的儿童有更高的霉菌，农药使用，频繁移动和家庭成员的比率。患有TSE的儿童还应接受家庭质量和住房不稳定性的筛查，并提供适当的干预措施和资源。
(1) Objectives: To examine the associations of child tobacco smoke exposure (TSE) with home quality and housing instability. (2) Methods. A secondary analysis of 32,066 U.S. 0–11-year-old children from the 2018–2019 National Survey of Children’s Health was conducted. Child home TSE status was defined as: no TSE: child lived with no smokers; thirdhand smoke (THS) exposure only: child lived with a smoker(s) who did not smoke indoors; and secondhand smoke (SHS) and THS exposure: child lived with a smoker(s) who smoked indoors. Home quality was assessed by the presence of mold or pesticide use and housing instability was assessed by home ownership, frequency of moves, and number of household members. We conducted weighted multivariable logistic regression and linear regression models while adjusting for important child covariates. (3) Results: In total, 12.3% had home THS exposure only and 1.6% had home SHS and THS exposure. Compared to children with no home TSE, children with home SHS and THS exposure were 2.60 times more likely (95%CI = 1.73, 3.92) to have mold inside their homes; 1.57 times more likely (95%CI = 1.09, 2.26) to live in homes where pesticides were used ≥1 time during the past 12-months; and more likely to have more frequent moves (β = 1.06, 95%CI = 0.62, 1.50). (4) Conclusions: Children with home TSE have higher rates of mold, pesticide use, frequent moves, and household members compared to children with no home TSE. Children with TSE should also be screened for home quality and housing instability and provided with appropriate interventions and resources.
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DOI：
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发表时间：
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影响因子：
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作者：
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发表时间：
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影响因子：
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