Household exposure to secondhand smoke is associated with decreased physical and mental health of mothers in the USA

L. Sobotova, Y. H. Liu, A. Burakoff, L. Sevcikova, Michael Weitzman

    Research output: Contribution to journalArticle

    Abstract

    Secondhand smoke is one of the most common toxic environmental exposures to children, and maternal health problems also have substantial negative effects on children. We are unaware of any studies examining the association of living with smokers and maternal health. To investigate whether non-smoking mothers who live with smokers have worse physical and mental health than non-smoking mothers who live in homes without smokers. Nationally representative data from the 2000-2004 Medical Expenditure Panel Survey were used. The health of non-smoking mothers with children <18 years (n = 18,810) was assessed, comparing those living with one or more smokers (n = 3,344) to those living in households with no adult smokers (n = 14,836). Associations between maternal health, household smoking, and maternal age, race/ethnicity, and marital, educational, poverty and employment status were examined in bivariable and multivariable analyses using SUDAAN software to adjust for the complex sampling design. Scores on the Medical Outcomes Short Form-12 (SF-12) Physical Component Scale (PCS) and Mental Component Scale (MCS) were used to assess maternal health. About 79.2% of mothers in the USA are non-smokers and 17.4% of them live with ≥1 adult smokers: 14.2% with 1 and 3.2% with ≥2 smokers. Among non-smoking mothers, the mean MCS score is 50.5 and mean PCS is 52.9. The presence of an adult smoker and increasing number of smokers in the home are both negatively associated with MCS and PCS scores in bivariable analyses (P < 0.001 for each). Non-smoking mothers with at least one smoker in the household had an 11% (95% CI = 0.80-0.99) lower odds of scoring at or above the mean MCS score and a 19% (95% CI = 0.73-0.90) lower odds of scoring at or above the mean PCS score compared to non-smoking mothers with no smokers in the household. There is an evidence of a dose response relationship with increasing number of smokers in the household for PCS (P < 0.001). These findings demonstrate a previously unrecognized child health risk: living with smokers is independently associated with worse physical and mental health among non-smoking mothers.

    Original languageEnglish (US)
    Pages (from-to)128-137
    Number of pages10
    JournalMaternal and Child Health Journal
    Volume15
    Issue number1
    DOIs
    StatePublished - Jan 1 2011

    Fingerprint

    Tobacco Smoke Pollution
    Mental Health
    Mothers
    Educational Status
    Poisons
    Environmental Exposure
    Maternal Age
    Marital Status
    Poverty
    Health Expenditures
    Software
    Smoking
    Maternal Health
    Health

    Keywords

    • Maternal health
    • Secondhand smoke

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health
    • Epidemiology
    • Obstetrics and Gynecology
    • Public Health, Environmental and Occupational Health

    Cite this

    Household exposure to secondhand smoke is associated with decreased physical and mental health of mothers in the USA. / Sobotova, L.; Liu, Y. H.; Burakoff, A.; Sevcikova, L.; Weitzman, Michael.

    In: Maternal and Child Health Journal, Vol. 15, No. 1, 01.01.2011, p. 128-137.

    Research output: Contribution to journalArticle

    Sobotova, L. ; Liu, Y. H. ; Burakoff, A. ; Sevcikova, L. ; Weitzman, Michael. / Household exposure to secondhand smoke is associated with decreased physical and mental health of mothers in the USA. In: Maternal and Child Health Journal. 2011 ; Vol. 15, No. 1. pp. 128-137.
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