HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Stoddard, J J Articles by Gray, B Search for Related Content PubMed PubMed Citation Articles by Stoddard, J J Articles by Gray, B

Maternal smoking and medical expenditures for childhood respiratory illness.

J J Stoddard and B Gray

Department of Pediatrics, University of Wisconsin Medical School, USA.

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.

This article has been cited by other articles:

				S C Hill and L Liang Smoking in the home and children's health Tob. Control, January 1, 2008; 17(1): 32 - 37. [Abstract] [Full Text] [PDF]

				C. D. Perry and G. M. Kenney Preventive Care for Children in Low-Income Families: How Well Do Medicaid and State Children's Health Insurance Programs Do? Pediatrics, December 1, 2007; 120(6): e1393 - e1401. [Abstract] [Full Text] [PDF]

				M. B. F. Stepans, S. L. Wilhelm, and K. Dolence Smoking hygiene: reducing infant exposure to tobacco. Biol Res Nurs, October 1, 2006; 8(2): 104 - 114. [Abstract] [PDF]

				J. A. Groner, S. Hoshaw-Woodard, G. Koren, J. Klein, and R. Castile Screening for Children's Exposure to Environmental Tobacco Smoke in a Pediatric Primary Care Setting Arch Pediatr Adolesc Med, May 1, 2005; 159(5): 450 - 455. [Abstract] [Full Text] [PDF]

				G M Leung, L-M Ho, and T-H Lam The economic burden of environmental tobacco smoke in the first year of life Arch. Dis. Child., September 1, 2003; 88(9): 767 - 771. [Abstract] [Full Text] [PDF]

				T.-H. Lam, G. M. Leung, and L.-M. Ho The Effects of Environmental Tobacco Smoke on Health Services Utilization in the First Eighteen Months of Life Pediatrics, June 1, 2001; 107(6): e91 - 91. [Abstract] [Full Text] [PDF]

				S. M McGhee, P. Adab, A. J Hedley, T. H. Lam, L. M. Ho, R. Fielding, and C. M. Wong Passive smoking at work: the short-term cost J. Epidemiol. Community Health, September 1, 2000; 54(9): 673 - 676. [Abstract] [Full Text]

				A. Turner-Henson, D. RN, C. Kohler, R. Lyrene, J. Johnston, J. O'Brien, T. F. Rodgers, and C. MSN Smoking Status as a Vital Sign in Pediatric Settings Pediatrics, May 1, 1999; 103(5): 1079a - 1079. [Full Text]

				M. J. Ashley and R. Ferrence Reducing children's exposure to environmental tobacco smoke in homes: issues and strategies Tob. Control, March 1, 1998; 7(1): 61 - 65. [Abstract] [Full Text]