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Journal of Pediatric Psychology Advance Access published online on January 11, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm135
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© The Author 2008. 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

Reducing Secondhand Smoke Exposure Among Children and Adolescents: Emerging Issues for Intervening with Medically At-Risk Youth*

Vida L. Tyc, PhD1, Melbourne F. Hovell, PhD2 and Jonathan Winickoff, MD3

1Division of Behavioral Medicine, St. Jude Children's Research Hospital, 2Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, and 3MGH Center for Child and Adolescent Health Policy, Division of General Pediatrics, Massachusetts General Hospital for Children

All correspondence concerning this article should be addressed to Vida L. Tyc, PhD, Division of Behavioral Medicine, St Jude Children's Research Hospital, 332 N. Lauderdale, Memphis, TN 38105, USA. E-mail: vida.tyc{at}stjude.org


  Abstract

Objective To summarize information on rates of secondhand smoke (SHS) exposure among healthy and medically at-risk pediatric populations, discusses the clinical manifestations of pediatric disease that are exacerbated by exposure, and provide an overview of promising strategies for reducing SHS in vulnerable pediatric populations. Methods The success of exposure reduction and smoking cessation interventions implemented with parents of healthy children and those with respiratory disease, in the context of their child's health care, is reviewed. Results Concurrent implementation of multiple levels of intervention, including clinical interventions within the medical setting, will help to maximize the reduction in childhood SHS exposure. Conclusion Ongoing intervention research and identification of strategies to capitalize on opportunities for providing effective SHS counseling in primary care and specialty clinics will be critical for effective tobacco control among medically at-risk children.

Key words: chronic illness; environmental tobacco smoke (ETS) exposure; pediatrics; secondhand smoke; tobacco control.

*This article is based on the proceedings from the conference, "Tobacco Control Strategies for Medically At-Risk Youth" held at St Jude Children's Research Hospital in Memphis, TN on October 6–8, 2005.

Received December 15, 2006; revision received December 9, 2007; accepted December 15, 2007


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