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Journal of Pediatric Psychology Advance Access published online on December 13, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm123
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Measuring Secondhand Smoke Exposure in Children: An Ecological Measurement Approach

Georg E. Matt1, John T. Bernert2 and Melbourne F. Hovell3

1Department of Psychology, San Diego State University, 2Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, and 3Graduate School of Public Health, San Diego State University

All correspondence concerning this article should be addressed to Dr Georg E. Matt, Department of Psychology, San Diego State University, San Diego, CA 92182-4611, USA. E-mail: gmatt{at}sciences.sdsul.edu


  Abstract

Objective Behavioral, environmental, and biological measures of secondhand smoke (SHS) exposure are reviewed with special consideration of medically at-risk children. Methods An ecological measurement framework is introduced to examine SHS exposure of children in the context of their physical and social environments. Results The proposed approach emphasizes the need to measure (a) who uses tobacco, (b) where and when exposure takes place, (c) what media are contaminated, (d) how exposure takes place, (e) how much a child was exposed, and (f) factors that contribute to why tobacco is used in a child's environment. Conclusions Existing research suggests that medically at-risk children are among the most vulnerable populations for the harmful effects of SHS exposure. Yet, little is currently known about how SHS exposure affects these populations. The proposed approach provides a framework for the comprehensive assessment of SHS exposure to study its health effects and to design effective interventions.

Key words: children; contamination; exposure; measurement; secondhand smoke.

Received December 15, 2006; revision received November 1, 2007; accepted November 12, 2007


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