Home Smoking Bans Among US Households with Children and Smokers Opportunities for Intervention
Home Smoking Bans Among US Households with Children and Smokers Opportunities for Intervention
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DOI：
10.1016/j.amepre.2011.08.016
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发表时间：
2011-12-01
影响因子：
5.5
通讯作者：
Messer, Karen
中科院分区：
文献类型：
--
作者：
Mills, Alice L.;White, Martha M.;Messer, Karen
背景：公共卫生运动减少了美国儿童在家中接触二手烟的机会；然而，这些措施在各个亚组中的效果可能并不相同。 目的：按时间和人口亚组调查美国有儿童和吸烟者的家庭中家庭吸烟禁令的流行情况。方法：当前人口调查的烟草使用补充（TUS-CPS）是一项具有全国代表性的烟草使用家庭调查。 1992/1993 和 2006/2007 年 TUS-CPS 采访了来自主要种族/族裔群体的 22,746 个家庭，其中包括儿童和成年吸烟者。使用多元逻辑回归确定了人口亚组中完全家庭吸烟禁令的预测因素。分析于 2010 年至 2011 年进行。 结果：美国有儿童和吸烟者的家庭（吸烟家庭）中完全禁止家庭吸烟的比例增加了两倍多，从 1992/1993 年的 14.1% 增加到 2006/2007 年的 50.0%。然而，非西班牙裔白人和非裔美国吸烟家庭落后于亚洲/太平洋岛民和西班牙裔。 2006/2007 年，67.2% 的非裔美国吸烟家庭允许在家中吸烟，59.2% 的儿童年龄大于等于 14 岁的吸烟家庭也允许在家中吸烟。受教育程度较高的家庭和成人吸烟率较低的州更有可能实施禁令；然而，这些差异在某些种族/族裔群体中有所减弱。结论：截至 2006/2007 年，只有一半有儿童和吸烟者的美国家庭完全禁止在家吸烟。家庭禁令在有较大孩子的吸烟家庭、非裔美国家庭以及吸烟率高的州的西班牙裔或非西班牙裔白人家庭中不太常见。需要采取干预措施来促进这些群体的无烟家庭。 (Am J Prev Med 2011;41(6):559-565) (C) 2011 美国预防医学杂志
Background: Public health campaigns have reduced the exposure of U. S. children to secondhand smoke at home; however, these may not have been equally effective across subgroups.Purpose: To examine prevalence of home smoking bans among U. S. households with both children and smokers, over time and by demographic subgroups.Methods: The Tobacco Use Supplement to the Current Population Survey (TUS-CPS) is a nationally representative household survey of tobacco use. The 1992/1993 and 2006/2007 TUS-CPS interviewed 22,746 households from a major racial/ethnic group with both children and adult smokers. Predictors of complete home smoking bans among demographic subgroups were identified using multivariate logistic regression. Analyses were conducted in 2010 - 2011.Results: Complete home smoking bans among U. S. households with children and smokers (smoking families) more than tripled, from 14.1% in 1992/1993 to 50.0% in 2006/2007. However, non-Hispanic white and African-American smoking families lagged behind Asian/Pacific Islanders and Hispanics. In 2006/2007, 67.2% of African-American smoking families allowed smoking in the home, as did 59.2% of smoking families with all children aged >= 14 years. Bans were more likely among more-educated households and in states with lower adult smoking prevalence; however, these differences were attenuated in some racial/ethnic groups.Conclusions: As of 2006/2007, only half of U. S. households with both children and smokers had complete home smoking bans. Home bans were less common among smoking families with older children, in African-American households, and in Hispanic or non-Hispanic white households in states with high smoking prevalence. Interventions are needed to promote smokefree homes among these groups. (Am J Prev Med 2011;41(6):559-565) (C) 2011 American Journal of Preventive Medicine