 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Soheil Soliman, MPH1, Kenneth E. Warner, PhD1, and Harold A. Pollack, PhD2. (1) Health Management and Policy, School of Public Health, University of Michigan, 109 Observatory Street, M3110 SPH II, Ann Arbor, MI 48109, 734-936-0939, solimans@umich.edu, (2) Health Management and Policy, University of Michigan School of Public Health, 109 Observatory, SPH II, Ann Arbor, MI 48109-2029
Learning objectives: To explore correlates with and changes in the prevalence of environmental tobacco smoke exposures (ETS) in the home setting.
Methods: Multivariate analysis of home ETS exposures, as reported in the 1992 and 2000 National Health Interview Survey (NHIS). Multiple logistic regression analysis is used to explore correlates of home ETS exposures. Blinder-Oaxaca decomposition is used to distinguish trend from compositional effects.
Results: ETS exposure in homes with children declined from 34% to 24% between 1992 and 2000 during a period when the smoking prevalence declined 26.5% to 23.3%, (p<0.001). In multivariate analysis, home ETS exposures were more prevalent among non-Hispanic whites (reference category) and Native Americans [AOR=1.052; 95% CI=0.686, 1.613] than among African-Americans [AOR=0.702; 95% CI=0.614, 0.802] , Asian-Americans [AOR=0.534; 95% CI=0.378, 0.754] , and Hispanics [AOR=.388; 95% C.I.= 0.294, 0.389] . Home ETS exposures declined across all educational and income groups, although greater gains were reported in higher educational and income groups. 70 percent of the observed reduction in home ETS was attributed to trend. The remaining 30 percent was attributable to composition changes, mainly an increase in the proportion of Hispanic respondents between the two survey years.
Conclusions: The prevalence of home ETS exposures declined sharply between 1992 and 2000. The decline was much larger than the observed decline in adult smoking prevalence, and larger than the predicted decline associated with population changes between the two survey years.
Learning Objectives:
Keywords: Environmental Exposures, Tobacco
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.