Ashley L Merianos1, Roman A Jandarov2, E Melinda Mahabee-Gittens3. 1. College of Education, Criminal Justice, and Human Services, School of Human Services, University of Cincinnati, Cincinnati, Ohio ashley.merianos@uc.edu. 2. Department of Environmental Health, College of Medicine, and. 3. Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, and.
Abstract
OBJECTIVES: Our objective was to examine the relationship between distinct tobacco smoke exposure (TSE) measures and TSE-related symptoms and emergency department (ED) and/or urgent care (UC) use among nonsmoking adolescents without asthma diagnoses. METHODS: We performed a secondary analysis of 7389 adolescents who completed the Population Assessment of Tobacco and Health Study wave 2. Logistic regression and Poisson regression models were built. RESULTS: Adolescents with TSE were at increased risk of reporting: shortness of breath, finding it hard to exercise, wheezing during or after exercise, and dry cough at night. Adolescents who lived with a smoker and had home TSE were at increased odds of reporting wheezing or whistling in the chest, and only adolescents with home TSE were at increased risk of reporting wheezing that disturbed sleep. Adolescents with TSE were less likely to report very good or excellent overall health and physical health but were more likely to report they sometimes, often, or very often missed school because of illness. Participants who lived with a smoker and had TSE ≥1 hour were more likely to have had an ED and/or UC visit. Participants with any TSE were at increased risk of having a higher number of ED and/or UC visits. CONCLUSIONS: Different TSE measures uniquely increased the risk of TSE-related symptoms, but any TSE increased the risk of having a higher number of ED and/or UC visits. The providers at these high-volume settings should offer interventions to adolescents who are exposed to tobacco smoke and their families to decrease these symptoms and related morbidity.
OBJECTIVES: Our objective was to examine the relationship between distinct tobacco smoke exposure (TSE) measures and TSE-related symptoms and emergency department (ED) and/or urgent care (UC) use among nonsmoking adolescents without asthma diagnoses. METHODS: We performed a secondary analysis of 7389 adolescents who completed the Population Assessment of Tobacco and Health Study wave 2. Logistic regression and Poisson regression models were built. RESULTS: Adolescents with TSE were at increased risk of reporting: shortness of breath, finding it hard to exercise, wheezing during or after exercise, and dry cough at night. Adolescents who lived with a smoker and had home TSE were at increased odds of reporting wheezing or whistling in the chest, and only adolescents with home TSE were at increased risk of reporting wheezing that disturbed sleep. Adolescents with TSE were less likely to report very good or excellent overall health and physical health but were more likely to report they sometimes, often, or very often missed school because of illness. Participants who lived with a smoker and had TSE ≥1 hour were more likely to have had an ED and/or UC visit. Participants with any TSE were at increased risk of having a higher number of ED and/or UC visits. CONCLUSIONS: Different TSE measures uniquely increased the risk of TSE-related symptoms, but any TSE increased the risk of having a higher number of ED and/or UC visits. The providers at these high-volume settings should offer interventions to adolescents who are exposed to tobacco smoke and their families to decrease these symptoms and related morbidity.
Authors: E Melinda Mahabee-Gittens; Judith W Dexheimer; Meredith Tabangin; Jane C Khoury; Ashley L Merianos; Lara Stone; Gabe T Meyers; Judith S Gordon Journal: Am J Prev Med Date: 2018-01 Impact factor: 5.043
Authors: Esther Melinda Mahabee-Gittens; Ashley L Merianos; Judith W Dexheimer; Gabe T Meyers; Lara Stone; Meredith Tabangin; Jane C Khoury; Judith S Gordon Journal: Pediatr Emerg Care Date: 2020-11 Impact factor: 1.602
Authors: Kira E Riehm; Darlynn M Rojo-Wissar; Kenneth A Feder; Ramin Mojtabai; Adam P Spira; Johannes Thrul; Rosa M Crum Journal: J Adolesc Date: 2019-08-20
Authors: Kelvin Choi; Julia Cen Chen-Sankey; Ashley L Merianos; Carol McGruder; Valerie Yerger Journal: Am J Prev Med Date: 2020-03-05 Impact factor: 5.043
Authors: E Melinda Mahabee-Gittens; Ashley L Merianos; Lara Stone; Meredith E Tabangin; Jane C Khoury; Judith S Gordon Journal: Tob Use Insights Date: 2019-06-19
Authors: Ashley L Merianos; Roman A Jandarov; Judith S Gordon; Michael S Lyons; E Melinda Mahabee-Gittens Journal: PLoS One Date: 2021-02-23 Impact factor: 3.240