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Journal of Child Health Care
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Smoking among parents of pediatric cancer patients and children’s exposure to environmental tobacco smoke

Vida L. Tyc, PhD

Division of Behavioral Medicine, St Jude Children’s Research Hospital; Department of Pediatrics, University of Tennessee, College of Medicine, Memphis, TN, vida.tyc{at}stjude.org

Leslee Throckmorton-Belzer, PhD

Division of Behavioral Medicine, St Jude Children’s Research Hospital

James L. Klosky, PhD

Division of Behavioral Medicine, St Jude Children’s Research Hospital

Frances L. Greeson, MSSW

Division of Behavioral Medicine, St Jude Children’s Research Hospital

Shelly Lensing, MS

Department of Biostatistics, St Jude Children’s Research Hospital

Shesh N. Rai, PhD

Department of Biostatistics, St Jude Children’s Research Hospital

Melissa M. Hudson, MD

Department of Hematology-Oncology, St Jude Children’s Research Hospital; Department of Pediatrics, University of Tennessee, College of Medicine, Memphis, TN

For 303 children newly diagnosed with cancer, we investigated the prevalence of parental smoking and examined patients’ respiratory or pulmonary symptoms according to household smoking status. Results indicated that approximately 45 percent of patients came from households with at least one current parent smoker and 20 percent of current non-smoking parents reported past tobacco use. There was a trend for more patients from smoking households to experience respiratory problems than patients from non-smoking households (p = .068). In conclusion, many patients are at risk for parental smoke exposure and associated health problems if they are continually exposed during therapy. Clinician-delivered interventions to reduce environmental smoke exposure are clearly warranted.

Key Words: environmental tobacco smoke • pediatric cancer

Journal of Child Health Care, Vol. 8, No. 4, 288-300 (2004)
DOI: 10.1177/1367493504047319
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