PMID- 35954841 OWN - NLM STAT- MEDLINE DCOM- 20220815 LR - 20231213 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 19 IP - 15 DP - 2022 Aug 2 TI - Financial Insecurity and Food Insecurity among U.S. Children with Secondhand and Thirdhand Smoke Exposure. LID - 10.3390/ijerph19159480 [doi] LID - 9480 AB - Objectives: Smokers with financial and food insecurity may find it difficult to quit smoking and reduce their children's tobacco smoke exposure (TSE). The objective was to examine the associations between child TSE and financial and food insecurity among U.S. school-aged children. Methods: We examined the 2018-2019 National Survey of Children's Health data on 17,484 children 6-11 years old. Children were categorized into TSE groups: (1) No TSE: did not live with a smoker; (2) thirdhand smoke (THS) exposure alone: lived with a smoker who did not smoke inside the home; or (3) secondhand smoke (SHS) and THS exposure: lived with a smoker who smoked inside the home. We conducted weighted logistic, ordinal, and linear regression analyses to assess the relationships between child TSE status and financial and food insecurity, adjusting for covariates. Results: Overall, 13.1% and 1.8% of children had THS exposure alone and SHS and THS exposure, respectively. Compared to children with no TSE, children with THS exposure alone were at 2.17 increased odds (95% CI = 1.83, 2.58, p < 0.001) and children with SHS and THS exposure were at 2.24 increased odds (95% CI = 1.57, 3.19, p < 0.001) of having financial insecurity. Children with THS exposure alone were at 1.92 increased odds (95% CI = 1.58, 2.33, p < 0.001) and children with SHS and THS exposure were at 2.14 increased odds (95% CI = 1.45, 3.16, p < 0.001) of having food insecurity. Conclusions: Children with TSE are at increased risk of experiencing financial and food insecurity. When developing tobacco interventions, a holistic approach to tobacco control that addresses ways to decrease financial and food hardships may improve outcomes. FAU - Mahabee-Gittens, E Melinda AU - Mahabee-Gittens EM AUID- ORCID: 0000-0002-3893-885X AD - Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA. FAU - King, Keith A AU - King KA AD - School of Human Services, University of Cincinnati, Cincinnati, OH 45221, USA. FAU - Vidourek, Rebecca A AU - Vidourek RA AD - School of Human Services, University of Cincinnati, Cincinnati, OH 45221, USA. FAU - Merianos, Ashley L AU - Merianos AL AUID- ORCID: 0000-0002-5640-7227 AD - School of Human Services, University of Cincinnati, Cincinnati, OH 45221, USA. LA - eng GR - R21ES032161, R01ES03743, R01ES027815/ES/NIEHS NIH HHS/United States GR - K01DA044313/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20220802 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0 (Tobacco Smoke Pollution) SB - IM MH - Child MH - Child Health MH - Family MH - Food Insecurity MH - Humans MH - Nicotiana MH - *Tobacco Smoke Pollution/adverse effects PMC - PMC9368407 OTO - NOTNLM OT - children OT - financial insecurity OT - food insecurity OT - secondhand smoke OT - thirdhand smoke OT - tobacco smoke exposure COIS- The authors declare no conflict of interest. EDAT- 2022/08/13 06:00 MHDA- 2022/08/16 06:00 PMCR- 2022/08/02 CRDT- 2022/08/12 01:07 PHST- 2022/06/23 00:00 [received] PHST- 2022/07/22 00:00 [revised] PHST- 2022/07/23 00:00 [accepted] PHST- 2022/08/12 01:07 [entrez] PHST- 2022/08/13 06:00 [pubmed] PHST- 2022/08/16 06:00 [medline] PHST- 2022/08/02 00:00 [pmc-release] AID - ijerph19159480 [pii] AID - ijerph-19-09480 [pii] AID - 10.3390/ijerph19159480 [doi] PST - epublish SO - Int J Environ Res Public Health. 2022 Aug 2;19(15):9480. doi: 10.3390/ijerph19159480.