Trends in the Exposure of Nonsmokers in the U.S. Population to Secondhand Smoke: 1988–2002
2006

Trends in Secondhand Smoke Exposure Among U.S. Nonsmokers (1988–2002)

Sample size: 29849 publication 10 minutes Evidence: high

Author Information

Author(s): Pirkle James L., Bernert John T., Caudill Samuel P., Sosnoff Connie S., Pechacek Terry F.

Primary Institution: Centers for Disease Control and Prevention

Hypothesis

The study aims to describe the exposure of nonsmokers in the U.S. population to secondhand smoke using serum cotinine concentrations measured over a period of 14 years.

Conclusion

There was a significant decline of approximately 70% in serum cotinine concentrations in nonsmokers in the U.S. from 1988 to 2002, indicating reduced exposure to secondhand smoke.

Supporting Evidence

  • Serum cotinine concentrations in nonsmokers decreased by about 70% from 1988 to 2002.
  • 88% of nonsmokers had detectable cotinine levels in 1988–1991, which decreased to 43% by 2001–2002.
  • Children and non-Hispanic blacks showed higher serum cotinine levels compared to other groups.

Takeaway

Over 14 years, fewer nonsmokers in the U.S. were exposed to secondhand smoke, which is a good thing for their health.

Methodology

The study analyzed serum cotinine levels from participants in the National Health and Nutrition Examination Surveys (NHANES) conducted over four distinct time periods.

Potential Biases

Potential bias due to the inclusion of occasional smokers among participants classified as nonsmokers.

Limitations

The study may not account for metabolic differences affecting cotinine levels among different ethnic/racial groups.

Participant Demographics

Participants were representative of the U.S. civilian, noninstitutionalized population, aged 4 years and older.

Statistical Information

P-Value

0.066

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.8850

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