Maternal smoking and medical expenditures for childhood respiratory illness
Open accessAbstract
OBJECTIVES: This study sought to assess the association between environmental tobacco smoke exposure from maternal smoking and health care expenditures for respiratory conditions among US children. METHODS: Multivariate analysis of the 1987 National Medical Expenditure Survey was undertaken with a sample that included 2624 children 5 years of age and under. RESULTS: After analysis that controlled for various sociodemographic factors associated with health care usage, respiratory-related health care expenditures among children whose mothers smoke were found to be significantly higher than those expenditures for children of nonsmoking mothers. Truncated regression techniques were used to estimate that maternal smoking was associated with increased health care expenditures averaging (in 1995 dollars) $120 per year for children aged 5 years and under and $175 per year for children aged 2 years and under. Our analysis indicates that passive smoking was associated with $661 million in annual medical expenditures in 1987, representing 19% of all expenditures for childhood respiratory conditions. CONCLUSIONS: Maternal smoking is associated with significantly increased child health expenditures and contributes significantly to the overall cost of medical care.
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Sheahan, S. L., Free, T. A., & Rayens, M. K. (2003) · Applied Nursing Research · doi:10.1016/s0897-1897(03)00045-4 · Cited by 6 · see citing works
Jedrychowski, W. A., Gałaś, A., Flak, E., Jacek, R., Pac, A., Spengler, J. D., & Perera, F. P. (2006) · Early Child Development and Care · doi:10.1080/03004430500507719 · Cited by 6 · see citing works
“The evidence from our study support the results of other studies on utilization of health care system by infants who were exposed to ETS (Evans et al., 1987; Stoddard & Gray, 1997; Gergen et al., 1998; Lam et al., 2001).”
BackgroundResultSumber dan Cara Mengatasi Rasa Bersalah pada Wanita Perokok yang Memiliki Anak Balita
Fitri, R. A. (2015) · Humaniora · doi:10.21512/humaniora.v6i1.3293 · Cited by 5 · see citing works
The economic burden of environmental tobacco smoke in the first year of life
Leung, G. M., Ho, L., & Lam, T.-H. (2003) · Tobacco Control · doi:10.1136/tc.12.4.400 · Cited by 5 · see citing works
Smoking Status as a Vital Sign in Pediatric Settings
Turner‐Henson, A., Kohler, C. L., Lyrene, R. K., Johnston, J., O'Brien, J., Rodgers, T. F., & CNP, M. (1999) · PEDIATRICS · doi:10.1542/peds.103.5.1079-a · Cited by 5 · see citing works
Physiological Effects of Infant Exposure to Environmental Tobacco Smoke: A Passive Observation Study
Flanders-Stepans, M. B., & Fuller, S. G. (1999) · The Journal of Perinatal Education · doi:10.1624/105812499x86944 · Cited by 4 · see citing works
“Carbon monoxide (CO) comprises 5% of the content Stoddard & Gray, 1997).”
BackgroundEarly-life Tobacco Smoke/Nicotine Exposure and Offspring Health
Kuniyoshi, K. M., Hang, B., & Rehan, V. K. (2020) · Springer eBooks · doi:10.1007/978-981-15-3797-4_2 · Cited by 4 · see citing works
Addiction and the Utilization of Medical Care
Lin, Y., Chen, C., Liu, T., & Lin, Y. (2011) · Economics Research International · doi:10.1155/2012/801204 · Cited by 3 · see citing works
“Compared to those who do not smoke, smokers have shorter life expectancy and incur higher medical expenditure [14, 16, 19, 29, 30], and the people who are affected by secondhand smoke also tend to incur higher medical expenditure [25, 31].”
BackgroundEnvironmental Effects on Lung Morphogenesis and Function:
McEvoy, C. T., & Spindel, E. R. (2016) · Cambridge University Press eBooks · doi:10.1017/cbo9781139680349.006 · Cited by 3 · see citing works
Smoking Cessation and Adherence
Rohrer, L. D., Lynn, B., Hill, M., Fish, L. J., & Bastian, L. A. (2010) · Springer eBooks · doi:10.1007/978-1-4419-5866-2_5 · Cited by 2 · see citing works
“The presence of multiple smokers in a household not only contributes to relapse but also exposes vulnerable children to passive smoking [ 94 , 95].”
BackgroundThe Contribution of Health Promotion to Community Children's Nursing
Baxter, R., & Gorman, M. P. (1997) · Issues in Comprehensive Pediatric Nursing · doi:10.3109/01460869709046558 · Cited by 2 · see citing works
Damages to Medicaid from SmokingPreprint
Harrison, G. W. (1999) · SSRN Electronic Journal · doi:10.2139/ssrn.185531 · Cited by 1 · see citing works
Progressivity and determinants of out-of-pocket health care financing in Zambia
Mwenge, F. (2010) · Open University of Cape Town (University of Cape Town) · Cited by 1 · see citing works
'Smoking to forget' : the impact of prolonged smoking on prospective memory
O'Neill, T. S. (2010) · Northumbria Research Link (Northumbria University)
Going Back: Regaining Solace, Sanity and Self. Women's Return to Smoking Postpartum
Goldsmith, M. M. (2003) · UA Campus Repository (The University of Arizona)
Making the Case for Funding of Smoking Cessation Treatment Programs in Alabama
McCallum, D. M. (2009)
Health and Economic Impacts of the Proposed Florida Smokefree for Health Initiative
Francisco, U. S. (2003)
Bhandari, V. (2020) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.734628074.793576199
- Authors
- Stoddard, J. J., & Gray, B.
- Affiliations
- University of Wisconsin–Madison (US)
- ORCID
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 1997-02
- Volume
- 87
- Issue
- 2
- Pages
- 205-209
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1380795
- OpenAlex
- W2015074140
- Cited by
- 80
- References
- 32
- Citations by year
- 2023: 1 · 2022: 2 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 3 · 2013: 1 · 2012: 2
- FWCI
- 3.46
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Health Professions › Emergency Medical Services › Pediatric health and respiratory diseases
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- maternal smoking, passive smoking, environmental tobacco smoke, pediatric respiratory disease, health care costs, children under five, National Medical Expenditure Survey
- MeSH terms
- Child, Preschool, Dose-Response Relationship, Drug, Health Expenditures, Female, Humans, Infant, Infant, Newborn, Male, Mothers, Respiratory Tract Diseases, Tobacco Smoke Pollution, Multivariate Analysis
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