title: Evaluation of secondhand smoking characteristics in asthmatic children presenting to four emergency departments on O'ahu, Hawai'i.
abstract: Exposure to secondhand smoke causes adverse health outcomes particularly in vulnerable groups like children. This multi-centered prospective study examined the household exposure to secondhand smoke among asthmatic children presenting to emergency departments on O'ahu, Hawai'i. Findings revealed that asthmatic children of Samoan, Micronesian, Filipino, Part/Native Hawaiian and Other/Mixed Ancestry had a greater proportion of high exposure to secondhand smoke in the home compared to Japanese, Chinese and Caucasian ethnic groups. Asthmatic children with no insurance or with Medicaid had a greater frequency of high exposure to secondhand smoke in the home than those with private insurance. Additionally, an inverse relationship between caregiver educational level and exposure to secondhand smoke in the home was observed. Recommendations are provided to improve health outcomes and address the disproportionate burden of asthma in such children.
authors.affiliation: Kapiolani Medical Center For Women and Children, Emergency Department, Honolulu, HI 96826, USA. rodb@kapiolani.org
authors.forename: Rodney B
authors.initials: RB
authors.lastname: Boychuk
authors.forename: Brunhild M
authors.initials: BM
authors.lastname: Halm
authors.forename: Francisco
authors.initials: F
authors.lastname: Garcia
authors.forename: Franklin Y
authors.initials: FY
authors.lastname: Yamamoto
authors.forename: Ron R
authors.initials: RR
authors.lastname: Sanderson
authors.forename: Brenda M
authors.initials: BM
authors.lastname: Gartner
authors.forename: Sheila
authors.initials: S
authors.lastname: Beckham
authors.forename: Rebecca
authors.initials: R
authors.lastname: Fannucchi
authors.forename: Miguel
authors.initials: M
authors.lastname: Cadoy
authors.forename: Craig
authors.initials: C
authors.lastname: Day
authors.forename: Corilyn K S
authors.initials: CK
authors.lastname: Pang
authors.forename: Valerie
authors.initials: V
authors.lastname: Chong
authors.forename: Darlene
authors.initials: D
authors.lastname: Kaahaaina
authors.forename: Rebecca
authors.initials: R
authors.lastname: Donavan
authors.forename: Charles J
authors.initials: CJ
authors.lastname: DeMesa
authors.forename: Kristi M
authors.initials: KM
authors.lastname: Kiyabu
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000453:epidemiology / Q000208:ethnology*; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D004781:Environmental Exposure / Q000009:adverse effects* / Q000706:statistics & numerical data; D006254:Hawaii / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008484:Medicaid; D010287:Parent-Child Relations / Q000208:ethnology*; D011446:Prospective Studies; D013224:Status Asthmaticus / Q000209:etiology; D014028:Tobacco Smoke Pollution / Q000009:adverse effects* / Q000706:statistics & numerical data
chemical_list: D014028:Tobacco Smoke Pollution