243801 Perceived social and environmental correlates of smoking in the home in households with children

Monday, October 31, 2011

Nancy Hood, MPH , College of Public Health, Ohio State University, Columbus, OH
Background: Despite dramatic decreases in overall secondhand smoke (SHS) exposure, almost one-fifth of children in the U.S. still live with someone who smokes in the home. Individual and household factors such as race and poverty are strongly associated with in-home smoking. However, the influence of social and environmental factors has not been examined. Methods: The 2007 National Survey of Children's Health is a random-digit-dialed survey of households with children less than 18 years of age. Analyses were limited to children living in households where anyone smoked tobacco and a mother was present (n=20,328). Multiple logistic regression was used to test whether social and environmental factors (perceptions of neighborhood safety, conditions, and cohesion) were associated with in-home smoking after controlling for individual and household factors (demographics, health status, family stress). STATA 10.1 commands for complex survey design were used. Results: More than one-fourth (27.9%; 95% CI: 26.6-29.3%) of children lived in a home where a household member smoked inside. Social and environmental factors were significantly associated with in-home smoking in hypothesized directions in bivariate analyses. In the final model, poor neighborhood condition was associated with higher odds of in-home smoking (AOR=1.30, 95% CI: 1.11-1.51) while high neighborhood cohesion was associated with lower odds (AOR=0.80, 95% CI: 0.66-0.96). Conclusion: Results provide preliminary evidence that efforts to address disparities in children's SHS exposure in the home should use a broader social ecological framework that includes social and environmental factors. Additional literature and data will be presented to further develop this framework.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe a social ecological framework for addressing SHS exposure in the home. Evaluate preliminary research findings that several social and environmental factors are associated with smoking in the home.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have completed all coursework to obtain a doctorate in public health with an emphasis on applied statistics. I have 10 years of experience conducting evaluation and applied research in health and social issues, including tobacco control.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.