Financial Insecurity and Food Insecurity among U.S. Children with Secondhand and Thirdhand Smoke Exposure.

Financial Insecurity and Food Insecurity among U.S. Children with Secondhand and Thirdhand Smoke Exposure.
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美国二手烟和三手烟暴露儿童的财务不安全和食品不安全

DOI:
10.3390/ijerph19159480
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发表时间:
2022-08-02
影响因子:
--
通讯作者:
Merianos AL
Merianos AL
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Mahabee-Gittens EM;King KA;Vidourek RA;Merianos AL

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目标:经济和食品不安全的吸烟者可能很难戒烟并减少其子女的烟草烟雾暴露(TSE)。目的是研究儿童TSE与美国学龄儿童的经济和食品不安全之间的关系。方法:对2018-2019年全国儿童健康调查的17484名6-11岁儿童的数据进行分析。将儿童分为以下两组:(1)无TSE:没有与吸烟者生活在一起;(2)单独接触三手烟:与家中没有吸烟的吸烟者同住;或(3)二手烟(SHS)和三手烟暴露:与在家中吸烟的吸烟者一起生活。我们进行了加权逻辑、有序和线性回归分析,以评估儿童TSE状况与经济和粮食不安全之间的关系,并对协变量进行了调整。结果:总体而言,单独接触三手烟的儿童占13.1%,接触三手烟的儿童占1.8%。与没有TSE的儿童相比,单独暴露于THS的儿童出现财务不安全感的几率增加了2.17 (95% CI = 1.83, 2.58, p < 0.001),同时暴露于THS的儿童出现财务不安全感的几率增加了2.24 (95% CI = 1.57, 3.19, p < 0.001)。单独暴露于三手烟的儿童发生食物不安全的几率增加1.92 (95% CI = 1.58, 2.33, p < 0.001),同时暴露于三手烟的儿童发生食物不安全的几率增加2.14 (95% CI = 1.45, 3.16, p < 0.001)。结论:患有TSE的儿童面临经济和粮食不安全的风险增加。在制定烟草干预措施时,采取一种全面的烟草控制方法,解决减少财政和粮食困难的方法,可能会改善结果。
Objectives: Smokers with financial and food insecurity may find it difficult to quit smoking and reduce their children’s tobacco smoke exposure (TSE). The objective was to examine the associations between child TSE and financial and food insecurity among U.S. school-aged children. Methods: We examined the 2018–2019 National Survey of Children’s Health data on 17,484 children 6–11 years old. Children were categorized into TSE groups: (1) No TSE: did not live with a smoker; (2) thirdhand smoke (THS) exposure alone: lived with a smoker who did not smoke inside the home; or (3) secondhand smoke (SHS) and THS exposure: lived with a smoker who smoked inside the home. We conducted weighted logistic, ordinal, and linear regression analyses to assess the relationships between child TSE status and financial and food insecurity, adjusting for covariates. Results: Overall, 13.1% and 1.8% of children had THS exposure alone and SHS and THS exposure, respectively. Compared to children with no TSE, children with THS exposure alone were at 2.17 increased odds (95% CI = 1.83, 2.58, p < 0.001) and children with SHS and THS exposure were at 2.24 increased odds (95% CI = 1.57, 3.19, p < 0.001) of having financial insecurity. Children with THS exposure alone were at 1.92 increased odds (95% CI = 1.58, 2.33, p < 0.001) and children with SHS and THS exposure were at 2.14 increased odds (95% CI = 1.45, 3.16, p < 0.001) of having food insecurity. Conclusions: Children with TSE are at increased risk of experiencing financial and food insecurity. When developing tobacco interventions, a holistic approach to tobacco control that addresses ways to decrease financial and food hardships may improve outcomes.
DOI: 10.1001/jamanetworkopen.2020.24385
发表时间: 2020-11-02
期刊: JAMA network open
影响因子: 13.8
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Thorpe LE;Anastasiou E;Wyka K;Tovar A;Gill E;Rule A;Elbel B;Kaplan SA;Jiang N;Gordon T;Shelley D
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DOI: 10.1016/j.ypmed.2019.03.028
发表时间: 2019-06-01
影响因子: 5.1
作者:
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发表时间: 2015-08-01
影响因子: 2.4
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通讯作者: Paul, Christine
DOI: 10.1007/s11524-017-0166-x
发表时间: 2017-08-01
影响因子: 6.6
作者:
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通讯作者: Riley, Elise D.