Caregiver restrictions on child access to tobacco in the home and home Smoking/Vaping bans among Black/African American women caregivers who smoke and live in Resource-limited, rural areas

Objective: This study examined relationships between home smoking/vaping bans and caregiver restrictions on child access to tobacco in the home among rural, Black/African American caregivers who smoke. Methods: Data were from the baseline survey of a randomized trial conducted in 2020–2022 among car...

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Main Authors: Ashley H. Clawson, Dina M. Jones, Jing Jin, Ruofei Du, Sandilyn Bullock, Katherine Donald, Mohammed Orloff, Wonda Miller, Sandra Cooper, Pebbles Fagan
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Preventive Medicine Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2211335524003334
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author Ashley H. Clawson
Dina M. Jones
Jing Jin
Ruofei Du
Sandilyn Bullock
Katherine Donald
Mohammed Orloff
Wonda Miller
Sandra Cooper
Pebbles Fagan
author_facet Ashley H. Clawson
Dina M. Jones
Jing Jin
Ruofei Du
Sandilyn Bullock
Katherine Donald
Mohammed Orloff
Wonda Miller
Sandra Cooper
Pebbles Fagan
author_sort Ashley H. Clawson
collection DOAJ
description Objective: This study examined relationships between home smoking/vaping bans and caregiver restrictions on child access to tobacco in the home among rural, Black/African American caregivers who smoke. Methods: Data were from the baseline survey of a randomized trial conducted in 2020–2022 among caregivers who smoke cigarettes and/or little cigars/cigarillos (N = 188). Logistic regressions examined associations between independent variables (tobacco product-specific and comprehensive home smoking/vaping bans) and dependent variables (caregiver keeps tobacco in the home; among caregivers with tobacco at home, caregiver restricts child tobacco access at home). Models were adjusted for caregiver tobacco use, income, and additional covariates based on stepwise selection. Results: Compared to caregivers with no bans, caregivers with full bans on cigar smoking and vaping were less likely to keep cigars and e-cigarettes at home, respectively. Caregivers with full bans across all tobacco products and no/partial bans across some products were less likely than those with lesser bans to keep e-cigarettes and “other tobacco products” (hookah, pipe, smokeless tobacco, IQOS) at home. Among caregivers with cigarettes at home, those with partial cigarette smoking bans were more likely than those with no bans to restrict child cigarette access at home. Among caregivers with e-cigarettes at home, those with no/partial bans on some products were less likely than those with lesser bans to restrict child e-cigarette access at home. Conclusions: Interventions addressing intergenerational tobacco use among socially-disadvantaged groups may benefit by supporting the implementation of home smoking/vaping bans and caregiver restrictions on child access to tobacco in the home.
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spelling doaj-art-882bcc26f3034abf9d2a8aa4e9e7cdb92024-12-07T08:26:12ZengElsevierPreventive Medicine Reports2211-33552024-12-0148102918Caregiver restrictions on child access to tobacco in the home and home Smoking/Vaping bans among Black/African American women caregivers who smoke and live in Resource-limited, rural areasAshley H. Clawson0Dina M. Jones1Jing Jin2Ruofei Du3Sandilyn Bullock4Katherine Donald5Mohammed Orloff6Wonda Miller7Sandra Cooper8Pebbles Fagan9Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., #820, Little Rock, AR 72205, USA; Corresponding author at: Center for the Study of Tobacco, Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., #820, Little Rock, AR 72205, USA.Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., #820, Little Rock, AR 72205, USADepartment of Biostatistics, College of Medicine and Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., Little Rock, AR 72205, USADepartment of Biostatistics, College of Medicine and Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., Little Rock, AR 72205, USADepartment of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., #820, Little Rock, AR 72205, USACoalition for a Tobacco Free Arkansas, 1100 N. University Ave, Suite 257, Little Rock, AR 72207, USADepartment of Epidemiology, Fay W. Boozman College of Public Health, USADepartment of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., #820, Little Rock, AR 72205, USADepartment of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., #820, Little Rock, AR 72205, USADepartment of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., #820, Little Rock, AR 72205, USAObjective: This study examined relationships between home smoking/vaping bans and caregiver restrictions on child access to tobacco in the home among rural, Black/African American caregivers who smoke. Methods: Data were from the baseline survey of a randomized trial conducted in 2020–2022 among caregivers who smoke cigarettes and/or little cigars/cigarillos (N = 188). Logistic regressions examined associations between independent variables (tobacco product-specific and comprehensive home smoking/vaping bans) and dependent variables (caregiver keeps tobacco in the home; among caregivers with tobacco at home, caregiver restricts child tobacco access at home). Models were adjusted for caregiver tobacco use, income, and additional covariates based on stepwise selection. Results: Compared to caregivers with no bans, caregivers with full bans on cigar smoking and vaping were less likely to keep cigars and e-cigarettes at home, respectively. Caregivers with full bans across all tobacco products and no/partial bans across some products were less likely than those with lesser bans to keep e-cigarettes and “other tobacco products” (hookah, pipe, smokeless tobacco, IQOS) at home. Among caregivers with cigarettes at home, those with partial cigarette smoking bans were more likely than those with no bans to restrict child cigarette access at home. Among caregivers with e-cigarettes at home, those with no/partial bans on some products were less likely than those with lesser bans to restrict child e-cigarette access at home. Conclusions: Interventions addressing intergenerational tobacco use among socially-disadvantaged groups may benefit by supporting the implementation of home smoking/vaping bans and caregiver restrictions on child access to tobacco in the home.http://www.sciencedirect.com/science/article/pii/S2211335524003334Black/ African AmericanRuralCaregiver smokingHome smoking bansSmoke-free rulesChild tobacco access restrictions
spellingShingle Ashley H. Clawson
Dina M. Jones
Jing Jin
Ruofei Du
Sandilyn Bullock
Katherine Donald
Mohammed Orloff
Wonda Miller
Sandra Cooper
Pebbles Fagan
Caregiver restrictions on child access to tobacco in the home and home Smoking/Vaping bans among Black/African American women caregivers who smoke and live in Resource-limited, rural areas
Preventive Medicine Reports
Black/ African American
Rural
Caregiver smoking
Home smoking bans
Smoke-free rules
Child tobacco access restrictions
title Caregiver restrictions on child access to tobacco in the home and home Smoking/Vaping bans among Black/African American women caregivers who smoke and live in Resource-limited, rural areas
title_full Caregiver restrictions on child access to tobacco in the home and home Smoking/Vaping bans among Black/African American women caregivers who smoke and live in Resource-limited, rural areas
title_fullStr Caregiver restrictions on child access to tobacco in the home and home Smoking/Vaping bans among Black/African American women caregivers who smoke and live in Resource-limited, rural areas
title_full_unstemmed Caregiver restrictions on child access to tobacco in the home and home Smoking/Vaping bans among Black/African American women caregivers who smoke and live in Resource-limited, rural areas
title_short Caregiver restrictions on child access to tobacco in the home and home Smoking/Vaping bans among Black/African American women caregivers who smoke and live in Resource-limited, rural areas
title_sort caregiver restrictions on child access to tobacco in the home and home smoking vaping bans among black african american women caregivers who smoke and live in resource limited rural areas
topic Black/ African American
Rural
Caregiver smoking
Home smoking bans
Smoke-free rules
Child tobacco access restrictions
url http://www.sciencedirect.com/science/article/pii/S2211335524003334
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