Clarifying the role of tobacco retail outlets on maternal smoking during pregnancy and child secondhand smoke exposure

澄清烟草零售店对孕期母亲吸烟和儿童二手烟暴露的影响

• 批准号: 10394918
• 负责人: Bernard F Fuemmeler
• 金额: $ 44.43万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-02 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10394918
• 关键词: Address; Adult; Affect; American; Area; Biological; Biological Markers; Birth; Censuses; Child; Child Health; Child health care; Childhood; Chronic Disease; Communities; Community Surveys; Cotinine; Data; Data Sources; Education; Environment; Epidemiology; Epigenetic Process; Family; Fathers; Health; Health Care Costs; Health Services; Health Services Research; High Prevalence; Income; Individual; Infant; Intervention; Knowledge; Laws; Lead; Life; Link; Literature; Location; Malignant Neoplasms; Measures; Methods; Modification; Mothers; National Cancer Institute; Neighborhoods; Newborn Infant; Outcome; Policies; Population; Positioning Attribute; Poverty; Pregnancy; Pregnant Women; Public Health; Regulation; Risk Factors; Role; Sales; Science; Side; Smoke; Smoking; Smoking Behavior; Socioeconomic Status; Source; Spatial Distribution; Statistical Methods; Subgroup; Testing; Tobacco; Tobacco use; Variant; Woman; adolescent smoking; aged; cancer risk; cohort; community-level factor; cost; data integration; density; early childhood; environmental tobacco smoke; environmental tobacco smoke exposure; health care service utilization; home smoking ban; improved; innovation; insight; maternal cigarette smoking; prenatal; public policy on tobacco; residence; smoking during pregnancy; smoking prevalence; social; socioeconomics; tobacco regulation

Abstract Both smoking and second hand smoke (SHS) exposure are established risk factors for chronic disease and cancer. While the prevalence of smoking has decreased in the population as whole, there are subgroups that are particularly vulnerable to smoke exposure, such as pregnant women and children, and it is recommended to eliminate exposure almost entirely among these subgroups. Many states are active in either planning or proposing new regulations limiting tobacco retail outlet (TRO) density as a means of reducing smoking. Presumably, reducing TRO density should lead to lower levels of adult smoking, which should also reduce maternal smoking during pregnancy and SHS exposure in children. There is scant evidence that TRO density is related to smoking behaviors, and there is no evidence showing that reducing TRO density will extend to vulnerable subgroups and those passively exposed, like pregnant women and children. The purpose of proposed study is to examine the extent to which TRO density is related to biomarkers of smoke exposure (cotinine) in 1000 women during their pregnancy and in 400 children aged 4-10 born of these mothers. In addition, the study will determine the degree to which cotinine levels and TRO density relate to health care utilization and costs during pregnancy and early childhood. To accomplish this study, the team will integrate data on biomarkers of smoke exposure and health-care utilization data from a longitudinal pre-birth cohort with publically available data sources on TROs and census data (American Community Survey). By better understanding the link that TROs have with smoke exposure and the related health-care costs associated with such exposure, we will be better positioned to make data-driven policies that aim to modify the TRO landscape. Successful completion of this project will provide evidence supporting continued efforts to expand policies reducing TRO density and retain them where they are being enacted.

摘要

项目成果

Neighborhood Deprivation is Associated with Increased Risk of Prenatal Smoke Exposure.

• DOI: 10.1007/s11121-022-01355-7
• 发表时间: 2022-10
• 期刊: PREVENTION SCIENCE
• 影响因子: 3.5
• 作者: Wheeler, David C;Boyle, Joseph;Barsell, D Jeremy;Maguire, Rachel L;Dahman, Bassam;Murphy, Susan K;Hoyo, Cathrine;Zhang, Jim;Oliver, Jason A;McClernon, Joseph;Fuemmeler, Bernard F
• 通讯作者: Fuemmeler, Bernard F