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Effect of Secondhand Smoke on Healthcare Utilization and Expenditures among Children with and without Asthma

Jin, Yue
http://rave.ohiolink.edu/etdc/view?acc_num=osu1337974377

Abstract Details

2012, Master of Science, Ohio State University, Public Health.
Objective: This study aimed to estimate the annual healthcare utilization and expenditures associated with smoke exposure inside the home and childhood asthma. Methods: Healthcare utilization and expenditures data came from the 2001 and 2006 Medical Expenditure Panel Survey (MEPS). Child’s asthma diagnosis and demographic information were from MEPS as well. Secondhand smoke exposure data were determined by in-person interviews in the 2000 and 2005 National Health Interview Survey (NHIS), which used same nationally representatives as MEPS. A total of 7482 children aged 0-11 years were included in the present study. Multivariable regression models that controlling for potential confounders were used for the analysis. Results: The presence of smoking inside the home was associated with an 18% increased odds of having childhood asthma (p<0.1). Among asthmatic children, smoking inside the home was associated with an increased odds of hospital stays (OR=2.18, 95% CI=1.29, 3.67). Indoor smoking was also associated with an 37% increased odds of emergency visits. The increases in expenditures for hospital stays and emergency department visits caused by childhood asthma depend on the presence of smoking inside the home. Both asthmatic and non-asthmatic children tend to spend more for hospital stays and emergency department visits because of the exposure to secondhand smoke. The increased expenditures caused by smoking inside the home among asthmatic children were significant higher compare to non-asthmatic children. Overall, secondhand smoke exposure was associated with $50.61 in additional expenditures for health services. Childhood asthma was significantly related to higher probability of healthcare utilization and higher expenditures. Conclusion: The presence of secondhand smoke exposure among children with asthma aggravated the risk of hospital stays and increased the expenditures for hospital stays and emergency visits. Reducing secondhand smoke exposure inside the home would help to reduce healthcare expenditures for children, especially asthmatic children.
Amy Ferketich, PhD (Advisor)
Eric Seiber, PhD (Committee Member)
68 p.
Public Health
secondhand smoke; asthma; healthcare utilization; healthcare expenditures; MEPS

Recommended Citations

Citations

  • Jin, Y. (2012). Effect of Secondhand Smoke on Healthcare Utilization and Expenditures among Children with and without Asthma [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1337974377

    APA Style (7th edition)

  • Jin, Yue. Effect of Secondhand Smoke on Healthcare Utilization and Expenditures among Children with and without Asthma. 2012. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1337974377.

    MLA Style (8th edition)

  • Jin, Yue. "Effect of Secondhand Smoke on Healthcare Utilization and Expenditures among Children with and without Asthma." Master's thesis, Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1337974377

    Chicago Manual of Style (17th edition)

osu1337974377
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© 2012, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.