IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i4p3523-d1071200.html
   My bibliography  Save this article

Tobacco Smoke Exposure According to Location of Home Smoking in Israel: Findings from the Project Zero Exposure Study

Author

Listed:
  • Laura J. Rosen

    (Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • David M. Zucker

    (Department of Statistics and Data Science, Hebrew University, Jerusalem 9190501, Israel)

  • Shannon Gravely

    (Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Michal Bitan

    (Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    Department of Computer Science, College of Management Academic Studies, Rishon LeTsiyon 7579806, Israel)

  • Ana M. Rule

    (Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Vicki Myers

    (Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    Gertner Institute of Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan 5262100, Israel)

Abstract

Young children are particularly vulnerable to harms from tobacco smoke exposure (TSE). This study aimed to compare TSE: (1) between children who live in smoking families and those who do not; and (2) among children who live in smoking households with varying smoking locations. The data came from two studies that were conducted concurrently in Israel (2016–2018). Study 1: a randomized controlled trial of smoking families ( n = 159); Study 2: a cohort study of TSE among children in non-smoking families ( n = 20). Hair samples were collected from one child in each household. Baseline hair nicotine data were analyzed for 141 children in Study 1 and 17 children in Study 2. Using a logistic regression analysis (exposed vs. not exposed as per laboratory determination) and a linear regression (log hair nicotine), we compared TSE between: (1) children in Study 1 vs. Study 2; (2) children in families with different smoking locations in Study 1: balcony; garden, yard, or other place outside of the home; or inside the home (designated smoking areas within the home (DSAs) or anywhere). A higher proportion of children living in smoking households were measurably exposed to tobacco smoke (68.8%) compared to children living in non-smoking households (35.3%, p = 0.006). Among children from smoking families, 75.0% of those whose parents smoked in the house were exposed, while 61.8% of children whose parents restricted smoking to the porch ( n = 55) were exposed, and 71.4% of those whose parents smoked outside the home (including gardens and yards) ( n = 42) were exposed. In univariable and multivariable models, smoking location was not significantly associated with exposure. The majority of children in smoking families were measurably exposed to TSE, even if smoking was restricted to designated areas in the home, balconies, orgarden/yard/other outdoor areas. Reducing population smoking rates, particularly among parents, restricting smoking to at least 10 meters from homes and children, and denormalizing smoking around others are recommended to reduce population-level child TSE and tobacco-attributable disease and death.

Suggested Citation

  • Laura J. Rosen & David M. Zucker & Shannon Gravely & Michal Bitan & Ana M. Rule & Vicki Myers, 2023. "Tobacco Smoke Exposure According to Location of Home Smoking in Israel: Findings from the Project Zero Exposure Study," IJERPH, MDPI, vol. 20(4), pages 1-13, February.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3523-:d:1071200
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/4/3523/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/4/3523/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Vicki Myers & Shoshana Shiloh & David M. Zucker & Laura J. Rosen, 2020. "Changing Exposure Perceptions: A Randomized Controlled Trial of an Intervention with Smoking Parents," IJERPH, MDPI, vol. 17(10), pages 1-10, May.
    2. Vicki Myers & Laura J. Rosen & David M. Zucker & Shoshana Shiloh, 2020. "Parental Perceptions of Children’s Exposure to Tobacco Smoke and Parental Smoking Behaviour," IJERPH, MDPI, vol. 17(10), pages 1-10, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Naowarut Charoenca & Stephen L. Hamann & Nipapun Kungskulniti & Nopchanok Sangchai & Ratchayaporn Osot & Vijj Kasemsup & Suwanna Ruangkanchanasetr & Passara Jongkhajornpong, 2023. "Air Pollution inside Vehicles: Making a Bad Situation Worse," IJERPH, MDPI, vol. 20(21), pages 1-12, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Salma El-Amin & Jaana M. Kinnunen & Arja Rimpelä, 2022. "Adolescents’ Perceptions of Harmfulness of Tobacco and Tobacco-like Products in Finland," IJERPH, MDPI, vol. 19(3), pages 1-9, January.
    2. Vicki Myers & Shoshana Shiloh & David M. Zucker & Laura J. Rosen, 2020. "Changing Exposure Perceptions: A Randomized Controlled Trial of an Intervention with Smoking Parents," IJERPH, MDPI, vol. 17(10), pages 1-10, May.
    3. Laura Campo & Francesca Vecera & Silvia Fustinoni, 2021. "Validation of a Questionnaire to Assess Smoking Habits, Attitudes, Knowledge, and Needs among University Students: A Pilot Study among Obstetrics Students," IJERPH, MDPI, vol. 18(22), pages 1-13, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3523-:d:1071200. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.