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Environmental Tobacco Smoke Exposures in Pediatric Populations

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Environmental Health".

Deadline for manuscript submissions: closed (31 May 2022) | Viewed by 6257

Special Issue Editors

Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
Interests: pediatric asthma; environmental tobacco smoke
Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, USA
Interests: chronic obstructive pulmonary disease; asthma; tobacco dependence; health equity
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Parental or caregiver tobacco smoking has been linked to lung disease in pediatric populations, as well as to a higher likelihood of intergenerational transfer of smoking behaviors. To address this issue, a multitude of individual-directed (e.g., cognitive/behavioral approaches and pharmacotherapies) and societal-directed strategies (e.g., indoor smoking bans and/or legislative instruments) have been employed with variable effectiveness. The objective of this Special Issue of the International Journal of Environmental Research and Public Health (IJERPH) is to provide a means to enhance the global discourse on novel interventions that address pediatric tobacco smoke exposures targeting clinical outcomes (e.g., asthma) or future uptake of smoking behaviors by adolescents. We are looking for new ideas or interventions that have been conceived and/or tested in a variety of socioeconomic, geographic, or healthcare contexts. We are very interested in manuscripts from low- and middle-income countries (LMIC). Non-traditional strategies derived from disciplines outside of the medical and public health arenas are particularly encouraged (e.g., arts, engineering, economics, education, anthropology, geography, social work, etc.). Manuscripts that have a community-centric focus will be prioritized, and we are very interested in articles published with the input or authorship of non-academic stakeholders (e.g., non-profit organizations and local communities). We are open to a variety of research presentation formats, including original research articles, literature reviews, methodological papers, position papers, brief reports, and commentaries. Please remember that the objective is to incite discourse and potential uptake of non-conventional ideas.

Dr. Mandeep S. Jassal
Dr. Panagis Galiatsatos
Guest Editor

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • tobacco smoke exposure
  • secondhand smoke
  • thirdhand smoke
  • tobacco
  • cigarette
  • pediatric asthma
  • pediatric chronic lung disease
  • vaping
  • bronchopulmonary dysplasia
  • vaping-induced lung injury

Published Papers (3 papers)

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8 pages, 304 KiB  
Article
Unintentional Tobacco Smoke Exposure in Children
by Caseng Zhang, Kaden Lam, Patrick Hicks, Matt Hicks, Lesley Brennan, Irena Buka and Anne Hicks
Int. J. Environ. Res. Public Health 2022, 19(12), 7076; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19127076 - 09 Jun 2022
Cited by 1 | Viewed by 1636
Abstract
Secondhand smoke (SHS) exposure increases the prevalence and severity of sinopulmonary diseases in children. The primary source of SHS exposure in children is through adults who live in the same house; however, the level of exposure may vary based on the adult smoking [...] Read more.
Secondhand smoke (SHS) exposure increases the prevalence and severity of sinopulmonary diseases in children. The primary source of SHS exposure in children is through adults who live in the same house; however, the level of exposure may vary based on the adult smoking habits at home. This prospective cross-sectional study in Alberta, Canada, investigated the relationship between self-reported caregiver smoking, location, outdoor temperature and children’s’ urine cotinine: creatinine ratio (CCR), a marker of nicotine metabolism. Participants aged 0–9 were recruited from the Child Health Clinics at the Misericordia Community Hospital in Edmonton, Alberta, from 8 January to 24 February 2016 and 30 June to 18 August 2016. Participant CCR levels were compared to caregiver-reported smoking location and environmental factors such as temperature and season. Of the 233 participants who reported smoking status, 21% reported smoking, in keeping with local smoking rates. More participants smoked indoors during the winter than the summer; however, some families limited indoor smoking to a garage. Of the 133 parent–child dyads who provided smoking information and a child urine sample, 18 had an elevated cotinine:creatinine ratio, suggestive of significant tobacco smoke exposure, 15 of whom were from homes that reported smoking. Age < 1 year and number of cigarettes smoked in the home weekly were risks for significant exposure while season, outdoor temperature and smoking location in the home did not reach significance. Smokers should be counseled to protect children, particularly infants, from exposure by limiting the number of cigarettes smoked and isolating smoking to outside the home. Segregated areas such as a garage may provide a useful harm mitigation strategy for indoor smokers, provided the garage does not share ventilation or is not in close proximity to high-traffic areas of the home. Full article
(This article belongs to the Special Issue Environmental Tobacco Smoke Exposures in Pediatric Populations)
15 pages, 834 KiB  
Article
Environmental Tobacco Smoke and Early Language Difficulties among U.S. Children
by Dylan B. Jackson and Alexander Testa
Int. J. Environ. Res. Public Health 2021, 18(12), 6489; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126489 - 16 Jun 2021
Cited by 1 | Viewed by 2020
Abstract
Objective: Environmental Tobacco Smoke (ETS) is a serious public health concern with the potential to interfere with various components of healthy child development. Even so, there has been limited nationally representative research investigating these connections. The current study examines the relationship between [...] Read more.
Objective: Environmental Tobacco Smoke (ETS) is a serious public health concern with the potential to interfere with various components of healthy child development. Even so, there has been limited nationally representative research investigating these connections. The current study examines the relationship between ETS and language difficulties among toddlers and preschool-aged children in the United States. Method: Data are derived from the 2018 National Survey of Children’s Health and facilitate strategic comparisons between different forms of ETS—namely, children who live with family members who smoke vs. children whose family members smoke inside the housing unit. Results: The findings reveal a robust association between family members smoking inside the housing unit and both receptive and expressive language difficulties, but only among male children. After adjusting for covariates, smoking inside the housing unit is associated with a 182% increase in the rate of early composite language difficulties among male children. These associations persist even when compared to male children who live with smoking family members who do not smoke inside the housing unit. Conclusions: The findings suggest a need for interventions designed to reduce ETS in households with young children and increase targeted language skill training for vulnerable children in an effort to enhance child development and well-being. To maximize this effort, we advocate for interdisciplinary teams, including medical and public health practitioners, educators, and researchers, to work together to develop and implement evidence-based strategies to limit ETS in homes and facilitate healthy language development among young children. Full article
(This article belongs to the Special Issue Environmental Tobacco Smoke Exposures in Pediatric Populations)
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11 pages, 913 KiB  
Brief Report
Alignment of Medical and Psychosocial Sectors for Promotion of Tobacco Cessation among Residents of Public Housing: A Feasibility Study
by Mandeep S. Jassal, Tracey Oliver-Keyser, Panagis Galiatsatos, Catherine Burdalski, Bonnie Addison, Cassia Lewis-Land and Arlene Butz
Int. J. Environ. Res. Public Health 2020, 17(21), 7970; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17217970 - 29 Oct 2020
Cited by 2 | Viewed by 1824
Abstract
The inequity in cessation resources is at the forefront of the recently enacted US smoking ban in public housing facilities. This pre-post, non-randomized pilot study assessed the feasibility of a smoking cessation program targeting smokers in Baltimore City public housing. The study implemented [...] Read more.
The inequity in cessation resources is at the forefront of the recently enacted US smoking ban in public housing facilities. This pre-post, non-randomized pilot study assessed the feasibility of a smoking cessation program targeting smokers in Baltimore City public housing. The study implemented a four-phased, 10-week, community-based cessation program using a joint academic–housing partnership that provided on-site cessation pharmacotherapy, behavioral counseling, and psychosocial/legal services. The community-led strategy involved: (1) two-week smoking cessation training for lay health workers; (2) screening and recruitment of smokers by housing authority residential leadership; (3) four-week resident-led cessation using evidenced-based strategies along with wraparound support services; (4) formative evaluation of the intervention’s acceptability and implementation. Thirty participants were recruited of which greater than one-half attended the majority of weekly cessation events. Thirty percent were able to achieve biomarker-proven cessation, as measured by a reduction in exhaled CO levels—a percentage comparable to the reported state quitline 30-day cessation rate. Despite weekly joint community–academic led-education of nicotine replacement therapy (NRT) therapies, only two participants regularly and properly used NRT transdermal patches; <20% of participants used NRT gum correctly at their first follow-up visit. Less than one-half utilized psychosocial and legal services by our community-based organization partners. Post-intervention interviews with participants noted broad approval of the ease in accessibility of the cessation intervention, but more diversification in the timing and personalization of offerings of services would have assisted in greater adoptability and participant retention. Though a reduction in smoking behaviors was not broadly observed, we elucidated modifiable social, educational, and physical features that could enhance the likelihood of smoking cessation among public housing residents. Full article
(This article belongs to the Special Issue Environmental Tobacco Smoke Exposures in Pediatric Populations)
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