Does a Smoke-Free Home for a Parent Who Smokes Mean a Smoke-Free Car in the Era of
LewisFirst, MD, MS, Editor in Chief, Pediatrics
Second-hand smoke exposure is never a good thing for anyone—and certainly not for
infants, children, and teens. Although we often stress the dangers of second-hand
smoke (SHS) during health-maintenance visits, it is easy to forget about the emergence
of vaping. To gain a better understanding of just what parents who smoke do in terms
of keeping their homes or cars tobacco smoke or e-cigarette vapor-free, Drehmer et
al. (10.1542/peds.2018-3249) looked at parents who smoke tobacco, vape or do both (dual users) in 5 pediatric
practices and had parents report whether their homes or cars were kept smoke-free.
The authors discover lots of interesting findings that are well worth linking to
this article to learn more. For example, if parents are dual users, their home may
be tobacco-smoke free but less likely to be vape-free. In fact dual users were less
likely than cigarette-only users to have smoke-free or vape-free cars. The authors
also determined factors that are more likely to be associated with not having a smoke-free
or vape-free home or car including smoking >10 conventional cigarettes a day, using
e-cigarettes, or having a youngest child >10 years of age. One of the saddest findings
in this important study is how low the rate was for parents to note they had received
advice during health maintenance visits to keep their homes and cars smoke- and vape-free.
Do you counsel your patients’ caregivers on the dangers of SHS from cigarettes and
e-cigarettes in homes or cars? Do you think your counseling works? We would be interested
in your thoughts on this study and what you might do differently as a result. Consider
also letting us know what is working in your practice or community to curb SHS exposure
by a comment to our website where you can link to this article, or by sharing your
thoughts on our Facebook, Twitter, or Instagram pages.