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Updated: Jan 21, 2026
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Cigarette Smoke Exposure in Mice using a Whole-Body Inhalation System
Published on: October 22, 2020
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Asking the Right Questions About Secondhand Smoke
Jonathan D Klein1,2, Margaret E Chamberlin3, Elizabeth A Kress4
1Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, USA.
Summary
Experts recommend universal screening for secondhand smoke (SHS) exposure in clinical settings for both adults and children. Implementing consistent training and policy interventions is crucial for effective SHS screening and improved public health outcomes.
Area of Science:
- Public Health
- Tobacco Control
- Clinical Prevention
Background:
- Significant health risks associated with secondhand tobacco smoke (SHS) exposure are well-documented.
- Despite this knowledge, systematic integration of SHS screening and counseling into routine clinical practice remains limited.
Purpose of the Study:
- To achieve consensus among tobacco control experts on essential screening questions for SHS exposure.
- To identify key opportunities and barriers related to SHS exposure screening and counseling in clinical settings.
Main Methods:
- A modified Delphi Panel approach involving tobacco control experts over three rounds.
- Systematic summarization and prioritization of expert responses to structured questions regarding SHS screening.
Main Results:
- Consensus was reached that all adults and children should be screened for SHS exposure during clinical encounters.
- Key facilitators for consistent screening include clinician training, quality measurement/accountability, and policy/EHR interventions.
Conclusions:
- The panel successfully developed screening questions and identified priorities for enhancing SHS exposure screening.
- Policy interventions and stakeholder engagement are essential to surmount barriers and implement effective SHS screening programs.
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