Author Affiliations: Center for Child & Adolescent Health Research and Policy and Division of General Medicine, Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, and Julius B. Richmond Center of Excellence, American Academy of Pediatrics, Elk Grove Village, Illinois (Dr Winickoff); and Department of Medicine and Masonic Cancer Center, University of Minnesota, St Paul (Dr Joseph).
Children have at least 3 times the rate of living with smokers compared with nonsmoking adults.1 Nonsmoking adults largely choose to live with other nonsmoking adults but children cannot advocate for themselves in the face of parental tobacco use. Unfortunately for children and the child health care clinicians trying to optimize patient health, parents do not reliably report tobacco smoke exposure (TSE) or in some cases may not know about it.
Winickoff JP, Joseph A. Toward a Population Free of Tobacco Smoke ExposureTesting of Children in the Pediatric Setting. Arch Pediatr Adolesc Med. 2012;166(9):871-872. doi:10.1001/archpediatrics.2012.297