Parental Smoking and E-cigarette Use in Homes and Cars

• Published in: Pediatrics (Evanston) Vol. 143; no. 4
• Main Authors: Drehmer, Jeremy E, Nabi-Burza, Emara, Hipple Walters, Bethany, Ossip, Deborah J, Levy, Douglas E, Rigotti, Nancy A, Klein, Jonathan D, Winickoff, Jonathan P
• Format: Journal Article
• Language: English
• Published: United States 01.04.2019
• Subjects: Adult; Automobiles; Child; Child, Preschool; Electronic Nicotine Delivery Systems - statistics & numerical data; Female; Humans; Incidence; Interviews as Topic; Logistic Models; Male; Multivariate Analysis; Parents; Risk Assessment; Smoke-Free Policy; Smoking - epidemiology; Smoking Prevention; Tobacco Smoke Pollution - adverse effects; United States; United States
• ISSN: 1098-4275
• DOI: 10.1542/peds.2018-3249

To determine how smoke-free and vape-free home and car policies differ for parents who are dual users of cigarettes and electronic cigarettes (e-cigarettes), who only smoke cigarettes, or who only use e-cigarettes. To identify factors associated with not having smoke-free or vape-free policies and how often smoke-free advice is offered at pediatric offices. Secondary analysis of 2017 parental interview data collected after their children's visit in 5 control practices participating in the Clinical Effort Against Secondhand Smoke Exposure trial. Most dual users had smoke-free home policies, yet fewer had a vape-free home policies (63.8% vs 26.3%; < .01). Dual users were less likely than cigarette users to have smoke-free car ( < .01), vape-free home ( < .001), or vape-free car ( < .001) policies. Inside cars, dual users were more likely than cigarette users to report smoking ( < .001), e-cigarette use ( < .001), and e-cigarette use with children present ( < .001). Parental characteristics associated with not having smoke-free or vape-free home and car policies include smoking ≥10 cigarettes per day, using e-cigarettes, and having a youngest child >10 years old. Smoke-free home and car advice was infrequently delivered. Parents may perceive e-cigarette aerosol as safe for children. Dual users more often had smoke-free policies than vape-free policies for the home. Dual users were less likely than cigarette-only smokers to report various child-protective measures inside homes and cars. These findings reveal important opportunities for intervention with parents about smoking and vaping in homes and cars.