Secondhand Smoke Exposure and Pediatric Healthcare Visits and Hospitalizations

Introduction This study assessed the relationship between secondhand smoke exposure (SHSe) as measured by serum cotinine and healthcare utilization among children. Methods In 2016, the 2009–2012 National Health and Nutrition Examination Survey data were analyzed including 4,985 children aged 3–19 ye...

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Bibliographic Details
Published in:American journal of preventive medicine 2017-10, Vol.53 (4), p.441-448
Main Authors: Merianos, Ashley L., PhD, CHES, Jandarov, Roman A., PhD, Mahabee-Gittens, E. Melinda, MD, MS
Format: Article
Language:English
Subjects:
Acute services
Adolescent
Asthma
Asthma - epidemiology
Child
Child, Preschool
Children
Children & youth
Cotinine - blood
Delivery of Health Care - statistics & numerical data
Emergency services
Female
Health care
Health services utilization
Help seeking behavior
Hospital administration
Hospitalization
Hospitalization - statistics & numerical data
Humans
Internal Medicine
Male
Nicotine
Nutrition
Nutrition Surveys
Passive smoking
Pediatrics
Serum
Smoking
Smoking cessation
Tobacco smoke
Tobacco Smoke Pollution - adverse effects
United States - epidemiology
Young Adult
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Summary:Introduction This study assessed the relationship between secondhand smoke exposure (SHSe) as measured by serum cotinine and healthcare utilization among children. Methods In 2016, the 2009–2012 National Health and Nutrition Examination Survey data were analyzed including 4,985 children aged 3–19 years. Associations between SHSe and having a routine place for healthcare, type of place, and hospital utilization were examined using logistic regression models. Poisson regression analyses assessed the relationship between SHSe and number of hospital admissions. Relationships between SHSe and acute care visits and hospital utilization were examined among asthmatic children. Results SHSe level did not differ by having a routine place for healthcare, although children with high SHSe indicative of active smoking (cotinine ≥3 ng/mL) were 3.49 times (95% CI=1.77, 6.89) more likely to use an emergency department. Children with high SHSe were 2.85 times (95% CI=1.87, 4.34) more likely to have had an overnight hospital stay. Children with high SHSe had 2.05 times (95% CI=1.46, 2.87) the risk of having a higher number of hospital admissions for overnight stays versus children with no SHSe (cotinine
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2017.03.020