Sources and Biomarkers of Secondhand Tobacco Smoke Exposure in Urban Adolescents
| العنوان: | Sources and Biomarkers of Secondhand Tobacco Smoke Exposure in Urban Adolescents |
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| المؤلفون: | Natalie Nardone, Neal L. Benowitz, Newton Addo, Peyton Jacob, Shonul Jain, Gideon St.Helen |
| المصدر: | Academic pediatrics, vol 20, iss 4 Acad Pediatr |
| بيانات النشر: | Elsevier BV, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Urban Population, Ethnic group, Psychological intervention, Cardiovascular, Pediatrics, Tobacco smoke, Substance Misuse, chemistry.chemical_compound, 0302 clinical medicine, Secondhand tobacco smoke, Outpatient clinic, Medicine, adolescents, 030212 general & internal medicine, Cotinine, Lung, Cancer, education.field_of_study, Smoking, Lung Cancer, Stroke, Respiratory, Biomarker (medicine), Female, Adolescent, Population, sensitive populations, Article, Paediatrics and Reproductive Medicine, 03 medical and health sciences, Clinical Research, 030225 pediatrics, Environmental health, Tobacco, Humans, cotinine, education, Tobacco Smoke and Health, business.industry, Prevention, Environmental Exposure, Health Effects of Indoor Air Pollution, Good Health and Well Being, chemistry, Pediatrics, Perinatology and Child Health, Tobacco Smoke Pollution, business, Biomarkers, secondhand smoke |
| الوصف: | ObjectiveIn an urban adolescent population, we evaluated sources of exposure to secondhand smoke exposure (SHS), examined differences in exposure by race/ethnicity, age and sex, and determined the relationship between exposure source(s) and the biomarkers cotinine and NNAL.MethodsParticipants were recruited from a public hospital-based outpatient clinic in San Francisco, CA, USA.ResultsOf a sample of N=298 adolescents screened, 235 were biologically confirmed to be exposed to tobacco smoke. Of those, N=16 were active smokers and N=219 were exposed to SHS; 91 (39%) were heavily SHS exposed (median cotinine=0.76 ng/mL) and 128 (54%) had light SHS exposure (median cotinine=0.11 ng/mL). Within those SHS exposed, the most common source of exposure was in a public area. No significant racial/ethnic differences were found, although African American adolescents were more likely to live in a home that allowed smoking. Older adolescents were more likely to be exposed across several difference sources, and females more likely to be exposed in a car and in public areas. Past 7-day exposure in the home, in a car, and current blunt use were significantly related to biomarkers of exposure.ConclusionsUrban adolescents are exposed to SHS across a variety of sources. Although exposure in a public area is most common, exposure in the home and in cars significantly influences tobacco biomarker levels. Interventions to reduce exposure would have the greatest impact in this population if they focused on reducing exposure in the home and in cars. History of blunt use is a strong determinant of tobacco exposure. |
| وصف الملف: | application/pdf |
| تدمد: | 1876-2859 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::318d31533008e1c9d07dc88b06fdca43Test https://doi.org/10.1016/j.acap.2019.12.006Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....318d31533008e1c9d07dc88b06fdca43 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18762859 |
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