Tobacco smoke exposure disparities persist in US children: NHANES 1999-2014
Tobacco smoke exposure disparities persist in US children: NHANES 1999-2014
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DOI：
10.1016/j.ypmed.2019.03.028
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发表时间：
2019-06-01
影响因子：
5.1
通讯作者：
Mahabee-Gittens, E. Melinda
中科院分区：
文献类型：
--
作者：
Merianos, Ashley L.;Jandarov, Roman A.;Mahabee-Gittens, E. Melinda
烟草烟雾暴露（TSE）是儿童常见的可改变的危害。目的是调查1999年至2014年美国儿童中TSE的患病率如何变化，并通过两年的增长计算社会人口特征和TSE之间的差异。我们还评估了2013-2014年社会人口统计学与TSE之间的关联。对1999-2014年国家健康和营养检查调查的数据进行了二次分析，其中包括全国14，199名3-11岁的儿童。我们进行了逻辑回归分析，以评估TSE趋势，以及2013-2014年社会人口统计学与TSE之间的关联。1999-2014年期间，TSE患病率从64.5%降至38.1%（相对降低44.4%）。TSE在所有社会人口统计学中均下降。在2013-2014年，TSE的差异被发现的种族/民族，家庭每月贫困水平[FPL]，和房子的状态。非西班牙裔黑人儿童的可能性是非西班牙裔黑人儿童的1.85倍。（95%CI[1.39-2.47]）暴露于烟草烟雾比非西班牙裔白色儿童，而非西班牙裔其他（OR = 0.71，95%CI[0.52-0.96]）、西班牙裔其他（OR = 0.42，95%CI[0.30-0.59]）和西班牙裔墨西哥（OR = 0.27，95%CI[0.21-0.35]）儿童的暴露风险较低。与FPL最高类别（> 185%）的儿童相比，
Tobacco smoke exposure (TSE) is a common modifiable hazard to children. The objective was to investigate how the prevalence of TSE varied from 1999 to 2014 among U.S. children and to calculate differences between sociodemographic characteristics and TSE by two-year increases. We also assessed associations between sociodemographics and TSE in 2013-2014. A secondary analysis of data from the National Health and Nutrition Examination Survey 1999-2014 was performed including 14,199 children 3-11 years old from nationwide. We conducted logistic regression analyses to assess TSE trends, and associations between sociodemographics and TSE in 2013-2014. TSE prevalence declined from 64.5% to 38.1% during 1999-2014 (a relative reduction of 44.4%). TSE declined among all sociodemographics. In 2013-2014, differences in TSE were found by race/ethnicity, family monthly poverty level [FPL], and house status. Non-Hispanic black children were 1.85 times more likely (95%CI[1.39-2.47]) to be exposed to tobacco smoke than non-Hispanic white children, whereas Non-Hispanic other (OR = 0.71, 95%CI[0.52-0.96]), Hispanic other (OR = 0.42, 95%CI[0.30-0.59]), and Hispanic Mexican (OR = 0.27, 95%CI[0.21-0.35]) children were at lower risk of exposure. Compared to those in the highest FPL category (> 185%), children with FPL