Full Citation
Title: Association of exposure to environmental tobacco smoke at home and risk of mortality among US never smokers by race/ethnicity, education, and income
Citation Type: Journal Article
Publication Year: 2022
ISBN:
ISSN: 0091-7435
DOI: 10.1016/J.YPMED.2022.107273
NSFID:
PMCID:
PMID: 36156283
Abstract: Environmental tobacco smoke (ETS) increases the risk of mortality among nonsmokers. Yet, few studies have examined this association among racial/ethnic minorities or among people with less education or income. We assessed self-reported ETS exposure at home among never smoking participants (n = 110,945) of the 1991–2010 National Health Interview Surveys. Deaths through 2015 were identified by the National Death Index. Hazard ratios (HRs) and 95% confidence intervals (CIs) for all-cause and cause-specific mortality were estimated using Cox proportional hazards regression models with age as the underlying time metric and adjusted for sex, race/ethnicity, education, household income, body mass index, region of residence, and survey year. We further stratified all-cause mortality analyses by race/ethnicity, household income, and education. Relative to no ETS at home, every day exposure was associated with higher risk of all-cause mortality (HR = 1.33, 95%CI: 1.23, 1.45), with similar HRs observed across strata of education and income. HRs were similar among non-Hispanic Black (HR = 1.28, 95%CI: 1.08, 1.53) and non-Hispanic White adults (HR = 1.34, 95%CI: 1.21, 1.48) although somewhat higher among Hispanic adults (HR = 1.65, 95%CI: 1.29, 2.10; P for pairwise comparison = 0.04). ETS exposure at home is an important contributor to mortality across strata of race/ethnicity, education, and income in the US.
Url: https://www.sciencedirect.com/science/article/pii/S009174352200322X
User Submitted?: No
Authors: Gutiérrez-Torres, Daniela S.; Inoue-Choi, Maki; Choi, Kelvin; McNeel, Timothy S.; Freedman, Neal D.
Periodical (Full): Preventive Medicine
Issue: 1
Volume: 164
Pages: 1-7
Data Collections: IPUMS Health Surveys - NHIS
Topics: Education, Fertility and Mortality, Health, Poverty and Welfare, Race and Ethnicity
Countries: