Technical report - Secondhand and prenatal tobacco smoke exposure

Dana Best, Helen J. Binns, Joel A. Forman, Catherine J. Karr, Jerome A. Paulson, Kevin C. Osterhoudt, James R. Roberts, Megan T. Sandel, James M. Seltzer, Robert O. Wright, Kelly R. Moore, Joseph T. Bell, Ruth A. Etzel, Benjamin D. Hoffman, Stephen W. Ponder, Mark M. Redding, Debra Waldron, Margaret J. Blythe, Michelle S. Barratt, Paula K. BravermanPamela J. Murray, David S. Rosen, Warren M. Seigel, Charles J. Wibbelsman

Research output: Contribution to journalArticlepeer-review

69 Scopus citations


Secondhand tobacco smoke (SHS) exposure of children and their families causes significant morbidity and mortality. In their personal and professional roles, pediatricians have many opportunities to advocate for elimination of SHS exposure of children, to counsel tobacco users to quit, and to counsel children never to start. This report discusses the harms of tobacco use and SHS exposure, the extent and costs of tobacco use and SHS exposure, and the evidence that supports counseling and other clinical interventions in the cycle of tobacco use. Recommendations for future research, policy, and clinical practice change are discussed. To improve understanding and provide support for these activities, the harms of SHS exposure are discussed, effective ways to eliminate or reduce SHS exposure are presented, and policies that support a smoke-free environment are outlined.

Original languageEnglish (US)
Pages (from-to)e1017-e1044
Issue number5
StatePublished - Nov 2009
Externally publishedYes


  • Cigar
  • Cigarette
  • Environmental tobacco
  • Nicotine
  • Secondhand
  • Smoke
  • Smoke free
  • Smokeless
  • Tobacco

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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