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AJPH First Look, published online ahead of print Oct 15, 2008
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December 2008, Vol 98, No. 12 | American Journal of Public Health 2140-2145
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.130856

HEALTH POLICY AND ETHICS

Children's Secondhand Smoke Exposure in Private Homes and Cars: An Ethical Analysis

Jill A. Jarvie, RN, MS and Ruth E. Malone, RN, PhD

Jill A. Jarvie is with the San Francisco Department of Public Health, San Francisco, CA. Ruth E. Malone is with the Department of Social and Behavioral Sciences, University of California, San Francisco.

Correspondence: Requests for reprints should be sent to Ruth E. Malone, 3333 California St, Suite 455, San Francisco, CA 94118 (e-mail: ruth.malone{at}ucsf.edu).

Secondhand smoke (SHS) exposure is a known cause of disease among nonsmokers, contributing to lung cancer, heart disease, and sudden infant death syndrome, as well as other diseases. In response to the growing body of scientific literature linking SHS with serious diseases, many countries, states, and cities have established policies mandating smoke-free public spaces. Yet thousands of children remain unprotected from exposure to SHS in private homes and cars.

New initiatives targeting SHS in these spaces have raised ethical questions about imposing constraints on private behavior. We reviewed legislation and court cases related to such initiatives and used a principlist approach to analyze the ethical implications of policies banning smoking in private cars and homes in which children are present.




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