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Soheil Soliman, MPH, Harold A. Pollack, PhD and Kenneth E. Warner, PhD

Soheil Soliman, Harold A. Pollack, and Kenneth E. Warner are with the University of Michigan School of Public Health, Department of Health Management and Policy, Ann Arbor, Mich.

Correspondence: Requests for reprints should be sent to Soheil Soliman, Department of Health Management and Policy, 109 S Observatory St, Room M3110, Ann Arbor, MI 48109 (e-mail: solimans{at}umich.edu).

Objectives. This study explored correlates with and changes in the prevalence of environmental tobacco smoke (ETS) exposure of children in the home.

Methods. We used multiple logistic regression to explore ETS exposures as reported in the 1992 and 2000 National Health Interview Survey.

Results. ETS exposure in homes with children declined from 35.6% to 25.1% (P < .001) between 1992 and 2000, whereas smoking prevalence declined 26.5% to 23.3%. Home ETS exposures were more prevalent among non-Hispanic Whites than among African Americans (adjusted odds ratio [AOR] = 0.702; 95% confidence interval [CI] = 0.614, 0.802), Asian Americans (AOR = 0.534; 95% CI = 0.378, 0.754), and Hispanics (AOR = 0.388; 95% CI = 0.294, 0.389). Exposures declined across all groups, with greater gains in higher education and income groups.

Conclusions. Home ETS exposure declined sharply between 1992 and 2000, more than would be predicted by the decline in adult smoking prevalence.

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