Rates of exposure to environmental tobacco smoke from various indoor environments among US children and nonsmoker adolescents and adults

Research Article

Abstract

Data from National Health and Nutrition Examination Survey for 2013–2014 were used to compute rates of exposure (ROE) to environmental tobacco smoke (ETS) from various indoor environments among US children and nonsmoking adolescents and adults. In a typical week in USA, 473,000 infants (ROE, 11%), 3.36 million children aged 1–5 years (ROE, 16.4%), and 4.59 million children aged 6–11 years (ROE, 18.6%) are exposed to ETS from indoor environments only. ROE among children was found to be highest by inhaling tobacco smoke inside home, riding in a car, and when visiting other people’s homes. In a typical week, 4.1 million nonsmoking adolescents (ROE, 29.2%) were being exposed to ETS. For every one adolescent smoker, 2.4 nonsmoker adolescents were being subjected to ETS exposure. Both non-Hispanic White (NHW) and non-Hispanic Black (NHB) nonsmoking adolescents had higher ROE (p < 0.01) than Hispanics (HISP) and non-Hispanic Asians (NHAS). Also, in a typical week, 16.8 million nonsmoking adults (ROE, 29.2%) were being exposed to ETS. For every adult smoker, 0.7 nonsmoker adult was subjected to ETS exposure. Both NHW and NHB nonsmoking adults had higher ROE (p < 0.01) than HISP and NHAS and males had higher ROE than females (p < 0.01).

Keywords

Environmental tobacco smoke Rates of exposure Children Adolescents Statistical analysis 

Notes

Compliance with ethical standards

Conflict of interest

No funds were provided to the author to conduct this research. All data used in this research are available free of charge at www.cdc.gov/nchs/nhanes.htm. Author declares that he has no conflict of interest that could have affected conclusions arrived at in this communication.

References

  1. Achutan C, West C, Mueller C, Bernert JT, Bernard B (2011) Environmental tobacco smoke exposure among casino dealers. J Occup Environ Med 53(4):346–351.  https://doi.org/10.1097/JOM.0b013e318212235f CrossRefGoogle Scholar
  2. Akinkugbe AA, Sanders AE, Preisser JS, Cai J, Salazar CR, Beck JD (2016) Environmental tobacco smoke exposure and periodontitis prevalence among nonsmokers in the Hispanic community health study/study of Latinos. Community Dent Oral Epidemiol 45:168–177.  https://doi.org/10.1111/cdoe.12275 CrossRefGoogle Scholar
  3. Aurrekoetxea JJ, Murcia M, Rebagliato M, Guxens M, Fernández-Somoano A, López MJ, Lertxundi A, Castilla AM, Espada M, Tardón A, Ballester F, Santa-Marina L (2016) Second-hand smoke exposure in 4-year-old children in Spain: sources, associated factors and urinary cotinine. Environ Res 145:116–125.  https://doi.org/10.1016/j.envres.2015.11.028 CrossRefGoogle Scholar
  4. Bielska DE, Kurpas D, Nitsch-Osuch A, Gomółka E, Ołdak E, Chlabicz S, Owłasiuk A (2015) Exposure to environmental tobacco smoke and respiratory tract infections in pre-school children—a cross-sectional study in Poland. Ann Agric Environ Med 22(3):524–529.  https://doi.org/10.5604/12321966.1167728 CrossRefGoogle Scholar
  5. Brunst KJ, Ryan PH, Lockey JE, Bernstein DI, McKay RT, Khurana Hershey GK, Villareal M, Biagini Myers JM, Levin L, Burkle J, Evans S, Lemasters GK (2012) Unraveling the relationship between aeroallergen sensitization, gender, second-hand smoke exposure, and impaired lung function. Pediatr Allergy Immunol 23:479–487.  https://doi.org/10.1111/j.1399-3038.2012.01292.x CrossRefGoogle Scholar
  6. Bucheli JR, Manshad A, Ehrhart MD, Camacho J, Burge MR (2017) Association of passive and active smoking with pre-diabetes risk in a predominantly Hispanic population. J Investig Med 65(2):328–332.  https://doi.org/10.1136/jim-2016-000246 CrossRefGoogle Scholar
  7. Chastang J, Baïz N, Cadwallader JS, Robert S, Dywer JL, Charpin DA, Caillaud D, de Blay F, Raherison C, Lavaud F, Annesi-Maesano I (2015) Postnatal environmental tobacco smoke exposure related to behavioral problems in children. PLoS One 10(8):e0133604.  https://doi.org/10.1371/journal.pone.0133604 CrossRefGoogle Scholar
  8. Chen R (2012) Association of environmental tobacco smoke with dementia and Alzheimer’s disease among never smokers. Alzheimers Dement 8:590–595.  https://doi.org/10.1016/j.jalz.2011.09.231 CrossRefGoogle Scholar
  9. Chen R, Wilson K, Chen Y, Zhang D, Qin X, He M, Hu Z, Ma Y, Copeland JR (2013a) Association between environmental tobacco smoke exposure and dementia syndromes. Occup Environ Med 70:63–69.  https://doi.org/10.1136/oemed-2012-100785. CrossRefGoogle Scholar
  10. Chen R, Clifford A, Lang L, Anstey KJ (2013b) Is exposure to secondhand smoke associated with cognitive parameters of children and adolescents?—a systematic literature review. Ann Epidemiol 23:652–661.  https://doi.org/10.1016/j.annepidem.2013.07.001 CrossRefGoogle Scholar
  11. Chiswell C, Akram Y (2016) Impact of environmental tobacco smoke exposure on anaesthetic and surgical outcomes in children: a systematic review and meta-analysis. Arch Dis Child.  https://doi.org/10.1136/archdischild-2016-310687
  12. Dinas PC, Metsios GS, Jamurtas AZ, Tzatzarakis MN, Wallace Hayes A, Koutedakis Y, Tsatsakis AM, Flouris AD. (2014). Acute effects of second-hand smoke on complete blood count. Int J Environ Health Res. 24(1):56-62.  https://doi.org/10.1080/09603123.2013.782603 CrossRefGoogle Scholar
  13. Dunbar A, Gotsis W, Frishman W (2013) Second-hand tobacco smoke and cardiovascular disease risk: an epidemiological review. Cardiol Rev 21:94–100.  https://doi.org/10.1097/CRD.0b013e31827362e4 CrossRefGoogle Scholar
  14. Evlampidou I, Bagkeris M, Vardavas C, Koutra K, Patelarou E, Koutis A, Chatzi L, Kogevinas M (2015) Prenatal second-hand smoke exposure measured with urine cotinine may reduce gross motor development at 18 months of age. J Pediatr.  https://doi.org/10.1016/j.jpeds.2015.03.006
  15. Fernández-Plata R, Rojas-Martínez R, Martínez-Briseño D, García-Sancho C, Pérez-Padilla R (2016) Effect of passive smoking on the growth of pulmonary function and respiratory symptoms in schoolchildren. Rev Investig Clin 68(3):119–127Google Scholar
  16. Fischer F, Kraemer A (2015) Meta-analysis of the association between second-hand smoke exposure and ischaemic heart diseases, COPD and stroke. BMC Public Health 15:1202.  https://doi.org/10.1186/s12889-015-2489-4 CrossRefGoogle Scholar
  17. Hall JC, Bernert JT, Hall DB, St Helen G, Kudon LH, Naeher LP (2009) Assessment of exposure to secondhand smoke at outdoor bars and family restaurants in Athens, Georgia, using salivary cotinine. J Occup Environ Hyg 6:698–704.  https://doi.org/10.1080/15459620903249893 CrossRefGoogle Scholar
  18. Hawkins SS, Berkman L (2014) Identifying infants at high-risk for second-hand smoke exposure. Child Care Health Dev 40:441–445.  https://doi.org/10.1111/cch.12058 CrossRefGoogle Scholar
  19. He B, Chen F, Yan L, Huang J, Liu F, Qiu Y, Lin L, Zhang Z, Cai L (2016) Independent and joint exposure to passive smoking and cooking oil fumes on oral cancer in Chinese women: a hospital-based case-control study. Acta Otolaryngol 136(10):1074–1078.  https://doi.org/10.1080/00016489.2016.1185539 CrossRefGoogle Scholar
  20. Heffernan TM, O'Neill TS (2012) Exposure to second-hand smoke damages everyday prospective memory. Addiction 108:420–426.  https://doi.org/10.1111/j.1360-0443.2012.04056.x CrossRefGoogle Scholar
  21. Homa DM, Neff LJ, King BA, Caraballo RS, Bunnell RE, Babb SD, Garrett BE, Sosnoff CS, Wang L, Centers for Disease Control and Prevention (CDC) (2015) Vital signs: disparities in nonsmokers' exposure to secondhand smoke—United States, 1999-2012. MMWR Morb Mortal Wkly Rep 64(4):103–108Google Scholar
  22. Hoyt AT, Canfield MA, Romitti PA, Botto LD, Anderka MT, Krikov SV, Tarpey MK, Feldkamp ML (2016) Associations between maternal periconceptional exposure to secondhand tobacco smoke and major birth defects. Am J Obstet Gynecol 215(5):613.e1–613.e11.  https://doi.org/10.1016/j.ajog.2016.07.022 CrossRefGoogle Scholar
  23. Ion RC, Wills AK, Bernal AL (2015) Environmental tobacco smoke exposure in pregnancy is associated with earlier delivery and reduced birth weight. Reprod Sci 22(12):1603–1611.  https://doi.org/10.1177/1933719115612135 CrossRefGoogle Scholar
  24. Jain RB (2015) Exposure to second hand smoke at home and work among nonsmokers. Chemosphere 135:225–232.  https://doi.org/10.1016/j.chemosphere.2015.04.057 CrossRefGoogle Scholar
  25. Jain RB (2016) Trends in exposure to second hand smoke at home among children and nonsmoker adolescents. Sc Tot Environ 542(Part A):144–152.  https://doi.org/10.1016/j.scitotenv.2015.10.076 CrossRefGoogle Scholar
  26. Joya X, Manzano C, Álvarez AT, Mercadal M, Torres F, Salat-Batlle J, Garcia-Algar O (2014) Transgenerational exposure to environmental tobacco smoke. Int J Environ Res Public Health 11:7261–7274.  https://doi.org/10.3390/ijerph110707261 CrossRefGoogle Scholar
  27. Kaleta D, Fronczak A (2015) Disparities in exposure to tobacco smoke pollution at Romanian worksites. Ann Agric Environ Med 22(4):755–761.  https://doi.org/10.5604/12321966.1185789 CrossRefGoogle Scholar
  28. Kim NH, Kim HC, Lee JY, Lee JM, Suh I (2015a) Association between environmental tobacco smoke and depression among Korean women. BMJ Open 5(6):e007131.  https://doi.org/10.1136/bmjopen-2014-007131 CrossRefGoogle Scholar
  29. Kim YW, Lee CH, Park YS, Kim YI, Ahn CM, Kim JO, Park JH, Lee SH, Kim JY, Chun EM, Jung TH, Yoo KH (2015b) Effect of exposure to second-hand smoke on the quality of life: a Nationwide population-based study from South Korea. PLoS One 10(9):e0138731.  https://doi.org/10.1371/journal.pone.0138731 CrossRefGoogle Scholar
  30. Konstantopoulou SS, Behrakis PK, Lazaris AC, Nicolopoulou-Stamati P (2014) Indoor air quality in a bar/restaurant before and after the smoking ban in Athens, Greece. Sci Total Environ 476-477C:136–143.  https://doi.org/10.1016/j.scitotenv.2013.11.129 CrossRefGoogle Scholar
  31. Lønnberg AS, Skov L, Skytthe A, Kyvik KO, Pedersen OB, Thomsen SF (2016 Feb) Smoking and risk for psoriasis: a population-based twin study. Int J Dermatol 55(2):e72–e78.  https://doi.org/10.1111/ijd.13073 CrossRefGoogle Scholar
  32. Martín-Pujol A, Fernández E, Schiaffino A, Moncada A, Ariza C, Blanch C, Martínez-Sánchez JM, RESPIR·NET research group (2013) Tobacco smoking, exposure to second-hand smoke, and asthma and wheezing in schoolchildren: a cross-sectional study. Acta Paediatr 102(7):e305–e309.  https://doi.org/10.1111/apa.12232 CrossRefGoogle Scholar
  33. Matt GE, Quintana PJ, Hovell MF, Bernert JT, Song S, Novianti N, Juarez T, Floro J, Gehrman C, Garcia M, Larson S (2004) Households contaminated by environmental tobacco smoke: sources of infant exposures. Tob Control 13:29–37CrossRefGoogle Scholar
  34. Matt GE, Quintana PJ, Hovell MF, Chatfield D, Ma DS, Romero R, Uribe A (2008) Residual tobacco smoke pollution in used cars for sale: air, dust, and surfaces. Nicotine Tob Res 10:1467–1475.  https://doi.org/10.1080/14622200802279898 CrossRefGoogle Scholar
  35. Max W, Sung HY, Shi Y (2012) Deaths from secondhand smoke exposure in the United States: economic implications. Am J Public Health 102(11):2173–2180.  https://doi.org/10.2105/AJPH.2012.300805 CrossRefGoogle Scholar
  36. McCormick-Ricket I, Canterberry M, Ghaffar A, Parada NA, Carton TW (2016) Measuring the effect of environmental tobacco smoke on lung function: results from a small observational investigation of acute exposure. J Occup Environ Med 58(10):1028–1033CrossRefGoogle Scholar
  37. Montreuil A, Tremblay M, Cantinotti M, Leclerc BS, Lasnier B, Cohen J, McGrath J, O'Loughlin J (2015) Frequency and risk factors related to smoking in cars with children present. Can J Public Health 106(6):e369–e374.  https://doi.org/10.17269/cjph.106.5070. CrossRefGoogle Scholar
  38. Moravej-Salehi E, Moravej-Salehi E, Hajifattahi F (2015) Relationship of gingival pigmentation with passive smoking in women. Tanaffos 14(2):107–114Google Scholar
  39. Murray RL, Britton J, Leonardi-Bee J (2012) Second hand smoke exposure and the risk of invasive meningococcal disease in children: systematic review and meta-analysis. BMC Public Health 12:1062.  https://doi.org/10.1186/1471-2458-12-1062 CrossRefGoogle Scholar
  40. Oberg M, Jaakkola MS, Woodward A, Peruga A, Prüss-Ustün A (2011) Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet 377(9760):139–146.  https://doi.org/10.1016/S0140-6736(10)61388-8 CrossRefGoogle Scholar
  41. Olasky SJ, Levy D, Moran A (2012) Second hand smoke and cardiovascular disease in low and middle income countries: a case for action. Glob Heart 7:151–160.e5CrossRefGoogle Scholar
  42. Patel MA, Mener DJ, Garcia-Esquinas E, Navas-Acien A, Agrawal Y, Lin SY (2016) Tobacco smoke exposure and eustachian tube disorders in us children and adolescents. PLoS One 11(10):e0163926.  https://doi.org/10.1371/journal.pone.0163926 CrossRefGoogle Scholar
  43. Rees VW, Connolly GN (2006) Measuring air quality to protect children from secondhand smoke in cars. Am J Prev Med 31:363–368CrossRefGoogle Scholar
  44. Rivera GA, Wakelee H (2016) Lung cancer in never smokers. Adv Exp Med Biol 893:43–57.  https://doi.org/10.1007/978-3-319-24223-1_3 CrossRefGoogle Scholar
  45. Sendzik T, Fong GT, Travers MJ, Hyland A (2009) An experimental investigation of tobacco smoke pollution in cars. Nicotine Tob Res 11:627–634.  https://doi.org/10.1093/ntr/ntp019 CrossRefGoogle Scholar
  46. Shirinde J, Wichmann J, Voyi K (2015) Environmental tobacco smoke and the risk of eczema symptoms among school children in South Africa: a cross-sectional study. BMJ Open 5(8):e008234.  https://doi.org/10.1136/bmjopen-2015-008234 CrossRefGoogle Scholar
  47. Singh S, Sharma BB, Salvi S, Chhatwal J, Jain KC, Kumar L, Joshi MK, Pandramajal SB, Awasthi S, Bhave S, Rego S, Sukumaran TU, Khatav VA, Singh V, Sharma SK, Sabir M (2016a) Allergic rhinitis, rhinoconjunctivitis, and eczema: prevalence and associated factors in children. Clin Respir J 12:547–556.  https://doi.org/10.1111/crj.12561 CrossRefGoogle Scholar
  48. Singh S, Sharma BB, Sharma SK, Sabir M, Singh V, collaborating investigators ISAAC (2016b) Prevalence and severity of asthma among Indian school children aged between 6 and 14 years: associations with parental smoking and traffic pollution. J Asthma 53(3):238–244.  https://doi.org/10.3109/02770903.2015.1087558 CrossRefGoogle Scholar
  49. Sonego M, Pellegrin MC, Becker G, Lazzerini M (2015) Risk factors for mortality from acute lower respiratory infections (ALRI) in children under five years of age in low and middle-income countries: a systematic review and meta-analysis of observational studies. PLoS One 10(1):e0116380.  https://doi.org/10.1371/journal.pone.0116380. eCollection 2015.
  50. Talaat HS, Metwaly MA, Khafagy AH, Abdelraouf HR (2014) Dose passive smoking induce sensorineural hearing loss in children? Int J Pediatr Otorhinolaryngol 78(1):46–49.  https://doi.org/10.1016/j.ijporl.2013.10.016 CrossRefGoogle Scholar
  51. Treyster Z, Gitterman B (2011) Second hand smoke exposure in children: environmental factors, physiological effects, and interventions within pediatrics. Rev Environ Health 26(3):187–195CrossRefGoogle Scholar
  52. Un Lam C, Hsu CS, Yee R, Koh D, Lee YS, Chong MF, Cai M, Kwek K, Saw SM, Gluckman P, Chong YS (2016) Early-life factors affect risk of pain and fever in infants during teething periods. Clin Oral Investig 20:1861–1870CrossRefGoogle Scholar
  53. Vitória PD, Machado JC, Araújo AC, Ravara SB, Samorinha C, Antunes H, Rosas M, Becoña E, Precioso J (2015a) Children’s exposure to second hand smoke at home: a cross-sectional study in Portugal. Rev Port Pneumol 21(4):178–184.  https://doi.org/10.1016/j.rppnen.2014.09.003 Google Scholar
  54. Vitória PD, Machado JC, Ravara SB, Araújo AC, Samorinha C, Antunes H, Rosas M, Becoña E, Precioso J (2015b) Portuguese children’s exposure to second-hand tobacco smoke in the family car. Gac Sanit 29(2):131–134.  https://doi.org/10.1016/j.gaceta.2014.10.011 CrossRefGoogle Scholar
  55. Weaver AM, Khatun-E-Jannat K, Cercone E, Krytus K, Sohel BM, Ahmed M, Rahman M, Azziz-Baumgartner E, Yu J, Fry AM, Luby SP, Ram PK (2016) Household-level risk factors for secondary influenza-like illness in a rural area of Bangladesh. Tropical Med Int Health 22:187–195.  https://doi.org/10.1111/tmi.12820 CrossRefGoogle Scholar
  56. Wong JY, Chang PY, Gold EB, Johnson WO, Lee JS (2016) Environmental tobacco smoke and risk of late-diagnosis incident fibroids in the study of Women’s Health across the Nation (SWAN). Fertil Steril 106(5):1157–1164.  https://doi.org/10.1016/j.fertnstert.2016.06.025 CrossRefGoogle Scholar
  57. Wu L, Yang S, He Y, Liu M, Wang Y, Wang J, Jiang B (2016) Association between passive smoking and hypertension in Chinese non-smoking elderly women. Hypertens Res 40:399–404.  https://doi.org/10.1038/hr.2016.162 CrossRefGoogle Scholar
  58. Yadav R, Deo V, Kumar P, Heda A (2015) Influence of environmental tobacco smoke on gingival pigmentation in schoolchildren. Oral Health Prev Dent 13(5):407–410.  https://doi.org/10.3290/j.ohpd.a33918. Google Scholar
  59. Yang B, Li M, Chen B, Xu Y, Li TD (2012) Deterioration of endothelial function and carotid intima-media thickness in Tibetan male adolescents exposed to second-hand smoke. J Renin-Angiotensin-Aldosterone Syst 13:413–419.  https://doi.org/10.1177/1470320312440901 CrossRefGoogle Scholar
  60. Yang C, Wang X, Huang CH, Yuan WJ, Chen ZH (2016) Passive smoking and risk of colorectal cancer: a meta-analysis of observational studies. Asia Pac J Public Health 28(5):394–403.  https://doi.org/10.1177/1010539516650724 CrossRefGoogle Scholar
  61. Yeo TP, Lowenfels AB (2012) Demographics and epidemiology of pancreatic cancer. Cancer J 18:477–484.  https://doi.org/10.1097/PPO.0b013e3182756803 CrossRefGoogle Scholar
  62. Yilmaz G, Caylan ND, Karacan CD (2012) Effects of active and passive smoking on ear infections. Curr Infect Dis Rep 14:166–174CrossRefGoogle Scholar
  63. Zhang X, Lv CC, Tian J, Miao RJ, Xi W, Hertz-Picciotto I, Qi L (2010) Prenatal and perinatal risk factors for autism in China. J Autism Dev Disord 40(11):1311–1321.  https://doi.org/10.1007/s10803-010-0992-0 CrossRefGoogle Scholar

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© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.DaculaUSA

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