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Logo of tobcontTobacco ControlCurrent TOCInstructions for authors
Tob Control. Mar 2004; 13(1): 29–37.
PMCID: PMC1747815

Households contaminated by environmental tobacco smoke: sources of infant exposures


Objectives: To examine (1) whether dust and surfaces in households of smokers are contaminated with environmental tobacco smoke (ETS); (2) whether smoking parents can protect their infants by smoking outside and away from the infant; and (3) whether contaminated dust, surfaces, and air contribute to ETS exposure in infants.

Design: Quasi-experiment comparing three types of households with infants: (1) non-smokers who believe they have protected their children from ETS; (2) smokers who believe they have protected their children from ETS; (3) smokers who expose their children to ETS.

Setting: Homes of smokers and non-smokers.

Participants: Smoking and non-smoking mothers and their infants [less-than-or-eq, slant] 1 year.

Main outcome measures: ETS contamination as measured by nicotine in household dust, indoor air, and household surfaces. ETS exposure as measured by cotinine levels in infant urine.

Results: ETS contamination and ETS exposure were 5–7 times higher in households of smokers trying to protect their infants by smoking outdoors than in households of non-smokers. ETS contamination and exposure were 3–8 times higher in households of smokers who exposed their infants to ETS by smoking indoors than in households of smokers trying to protect their children by smoking outdoors.

Conclusions: Dust and surfaces in homes of smokers are contaminated with ETS. Infants of smokers are at risk of ETS exposure in their homes through dust, surfaces, and air. Smoking outside the home and away from the infant reduces but does not completely protect a smoker's home from ETS contamination and a smoker's infant from ETS exposure.

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Selected References

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  • Pirkle JL, Flegal KM, Bernert JT, Brody DJ, Etzel RA, Maurer KR. Exposure of the US population to environmental tobacco smoke: the Third National Health and Nutrition Examination Survey, 1988 to 1991. JAMA. 1996 Apr 24;275(16):1233–1240. [PubMed]
  • Daisey JM. Tracers for assessing exposure to environmental tobacco smoke: what are they tracing? Environ Health Perspect. 1999 May;107 (Suppl 2):319–327. [PMC free article] [PubMed]
  • Vaughan WM, Hammond SK. Impact of "designated smoking area" policy on nicotine vapor and particle concentrations in a modern office building. J Air Waste Manage Assoc. 1990 Jul;40(7):1012–1017. [PubMed]
  • Roberts JW, Dickey P. Exposure of children to pollutants in house dust and indoor air. Rev Environ Contam Toxicol. 1995;143:59–78. [PubMed]
  • Tulve Nicolle S, Suggs Jack C, McCurdy Thomas, Cohen Hubal Elaine A, Moya Jacqueline. Frequency of mouthing behavior in young children. J Expo Anal Environ Epidemiol. 2002 Jul;12(4):259–264. [PubMed]
  • Hein HO, Suadicani P, Skov P, Gyntelberg F. Indoor dust exposure: an unnoticed aspect of involuntary smoking. Arch Environ Health. 1991 Mar-Apr;46(2):98–101. [PubMed]
  • Matt GE, Hovell MF, Zakarian JM, Bernert JT, Pirkle JL, Hammond SK. Measuring secondhand smoke exposure in babies: the reliability and validity of mother reports in a sample of low-income families. Health Psychol. 2000 May;19(3):232–241. [PubMed]
  • Matt GE, Wahlgren DR, Hovell MF, Zakarian JM, Bernert JT, Meltzer SB, Pirkle JL, Caudill S. Measuring environmental tobacco smoke exposure in infants and young children through urine cotinine and memory-based parental reports: empirical findings and discussion. Tob Control. 1999 Autumn;8(3):282–289. [PMC free article] [PubMed]
  • Hovell MF, Zakarian JM, Matt GE, Hofstetter CR, Bernert JT, Pirkle J. Effect of counselling mothers on their children's exposure to environmental tobacco smoke: randomised controlled trial. BMJ. 2000 Aug 5;321(7257):337–342. [PMC free article] [PubMed]
  • Murray DM, O'Connell CM, Schmid LA, Perry CL. The validity of smoking self-reports by adolescents: a reexamination of the bogus pipeline procedure. Addict Behav. 1987;12(1):7–15. [PubMed]
  • Bernert JT, Jr, Turner WE, Pirkle JL, Sosnoff CS, Akins JR, Waldrep MK, Ann Q, Covey TR, Whitfield WE, Gunter EW, et al. Development and validation of sensitive method for determination of serum cotinine in smokers and nonsmokers by liquid chromatography/atmospheric pressure ionization tandem mass spectrometry. Clin Chem. 1997 Dec;43(12):2281–2291. [PubMed]
  • Al-Delaimy WK. Hair as a biomarker for exposure to tobacco smoke. Tob Control. 2002 Sep;11(3):176–182. [PMC free article] [PubMed]
  • Al-Delaimy WK, Crane J, Woodward A. Is the hair nicotine level a more accurate biomarker of environmental tobacco smoke exposure than urine cotinine? J Epidemiol Community Health. 2002 Jan;56(1):66–71. [PMC free article] [PubMed]
  • Klein J, Koren G. Hair analysis--a biological marker for passive smoking in pregnancy and childhood. Hum Exp Toxicol. 1999 Apr;18(4):279–282. [PubMed]
  • Lofroth G. Environmental tobacco smoke: multicomponent analysis and room-to-room distribution in homes. Tob Control. 1993 Sep;2(3):222–225. [PMC free article]
  • Al-Delaimy WK, Crane J, Woodward A. Passive smoking in children: effect of avoidance strategies, at home as measured by hair nicotine levels. Arch Environ Health. 2001 Mar-Apr;56(2):117–122. [PubMed]
  • Daisey JM, Mahanama KR, Hodgson AT. Toxic volatile organic compounds in simulated environmental tobacco smoke: emission factors for exposure assessment. J Expo Anal Environ Epidemiol. 1998 Jul-Sep;8(3):313–334. [PubMed]
  • Ashley MJ, Ferrence R. Reducing children's exposure to environmental tobacco smoke in homes: issues and strategies. Tob Control. 1998 Spring;7(1):61–65. [PMC free article] [PubMed]
  • Hovell MF, Zakarian JM, Wahlgren DR, Matt GE. Reducing children's exposure to environmental tobacco smoke: the empirical evidence and directions for future research. Tob Control. 2000;9 (Suppl 2):II40–II47. [PMC free article] [PubMed]

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