Biomarker evidence of tobacco smoke exposure in children participating in lead screening

A. Joseph, L. Spector, K. Wickham, G. Janis, J. Winickoff, B. Lindgren and S. Murphy

American Journal of Public Health, 2013, vol. 103, issue 12, e54-e59

Abstract: Objectives. We assessed tobacco smoke exposure (TSE), defined according to detection of cotinine, in dried blood spots collected fromchildren for lead screening. Methods. Dried blood spots collected from a national sample of 1541 Black and White children and submitted to a commercial laboratory for lead analysis were analyzed for cotinine. We used an anonymous administrative data set including information on children's characteristics to conduct univariate and multivariate analyses. Results. Cotinine was detected in 61% of dried blood spots; 17% of samples had cotinine levels above 3 nanograms per gram. Median cotinine levels were significantly higher among Black than White children (0.66 ng/g vs 0.30 ng/g) and among Medicaid recipients (0.94 ng/g vs

Keywords: biological marker; cotinine; lead; passive smoking; cotinine; lead, analysis; Black person; blood; Caucasian; confidence interval; cross-sectional study; female; health survey; human; infant; male; mass screening; passive smoking; preschool child; statistics and numerical data; United States; article; Negro; passive smoking; statistics, African Continental Ancestry Group; Biological Markers; Child, Preschool; Confidence Intervals; Cotinine; Cross-Sectional Studies; European Continental Ancestry Group; Female; Health Surveys; Humans; Infant; Lead; Male; Mass Screening; Tobacco Smoke Pollution; United States, African Continental Ancestry Group; Biological Markers; Child, Preschool; Confidence Intervals; Cotinine; Cross-Sectional Studies; European Continental Ancestry Group; Female; Health Surveys; Humans; Infant; Lead; Male; Mass Screening; Tobacco Smoke Pollution; United States (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301315_1

DOI: 10.2105/AJPH.2013.301315

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