Secondhand Tobacco Smoke

A Source of Lead Exposure in US Children and Adolescents

Bibliographic Data

ID11033640
AuthorsAndria Apostolou (0000-0003-2440-9700, Andria Apostolou, Esther Garcia-Esquinas, Pat McLain, Virginia M. Weaver, and Ana Navas-Acien are with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Jeffrey J. Fadrowski is with the Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.), Esther Garcia-Esquinas (0000-0002-8688-5174, Andria Apostolou, Esther Garcia-Esquinas, Pat McLain, Virginia M. Weaver, and Ana Navas-Acien are with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Jeffrey J. Fadrowski is with the Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.), Jeffrey J Fadrowski (Andria Apostolou, Esther Garcia-Esquinas, Pat McLain, Virginia M. Weaver, and Ana Navas-Acien are with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Jeffrey J. Fadrowski is with the Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.), RN Pat McLain (Andria Apostolou, Esther Garcia-Esquinas, Pat McLain, Virginia M. Weaver, and Ana Navas-Acien are with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Jeffrey J. Fadrowski is with the Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.), Pat McLain (Johns Hopkins University), Virginia M Weaver (Andria Apostolou, Esther Garcia-Esquinas, Pat McLain, Virginia M. Weaver, and Ana Navas-Acien are with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Jeffrey J. Fadrowski is with the Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.), Ana Navas-Acien (Andria Apostolou, Esther Garcia-Esquinas, Pat McLain, Virginia M. Weaver, and Ana Navas-Acien are with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Jeffrey J. Fadrowski is with the Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.), Ana Navas‐Acién (0000-0001-9824-7797, Johns Hopkins University)
Year2012
Volume102
Issue4
Pages714-722
Publication date2012-04-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2011.300161
PMID21852639
PMCIDPMC3489360
OpenAlexW2100944043
LanguageEN
Citations received11
References cited32

Objectives. We evaluated the relationship between secondhand tobacco smoke (SHS) exposure and blood lead levels in US children and adolescents. Methods. We analyzed data from 6830 participants aged 3–19 years in the National Health and Nutrition Examination Survey (1999–2004) who were not active smokers and for whom SHS exposure information and blood lead measurements were available. Results. After multivariable adjustment, participants in the highest quartile of serum cotinine (≥ 0.44 μg/L) had 28% (95% confidence interval = 21%, 36%) higher blood lead levels than had those in the lowest quartile ( Conclusions. SHS may contribute to increased blood lead levels in US children. Lead dust does not appear to mediate this association, suggesting inhalation as a major pathway of exposure. Eliminating SHS exposure could reduce lead exposure in children

Blood lead level · Confidence interval · Cotinine · Environmental health · Lead (geology) · Lead exposure · National Health and Nutrition Examination Survey · Nicotine · Passive smoking · Quartile · Secondhand smoke · Tobacco smoke · Air Quality and Health Impacts · Heavy Metal Exposure and Toxicity · Internal Medicine · Medicine · Trace Elements in Health

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