Indoor cannabis smoke was linked to worse child health outcomes in homes with smokers

In homes where tobacco smoking already occurred, adding indoor cannabis smoking was associated with higher odds of adverse child health outcomes, though the association did not reach statistical significance.

Posis, Alexander et al.·Preventive medicine reports·2019·Preliminary EvidenceCross-Sectional
RTHC-02237Cross SectionalPreliminary Evidence2019RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Preliminary Evidence
Sample
Not reported

What This Study Found

Homes with indoor cannabis smoking had higher air particle concentrations than those with cigarette smoking alone (3,131 vs. 3,095 particles/0.01ft3). Homes with both had the highest levels (6,006). Children in homes with indoor cannabis smoking had 1.83 times the odds of more adverse health outcomes compared to non-cannabis homes, though this was not statistically significant (95% CI 0.89-3.80, p=0.10).

Key Numbers

192 families analyzed. 29 (15.1%) reported indoor cannabis smoking. Air particles: no indoor smoking 1,968, cannabis only 3,131, cigarettes only 3,095, both 6,006 particles/0.01ft3. Child health OR: 1.83 (95% CI 0.89-3.80, p=0.10).

How They Did This

Cross-sectional study of 192 families in San Diego County with at least one cigarette smoker and one child under 14. Air particle monitors were placed in homes for 7 days. Child health outcomes (ED visits for respiratory issues, ear infections, bronchitis, asthma, eczema) were assessed.

Why This Research Matters

Research on secondhand cannabis smoke exposure in children is scarce. While this study did not achieve statistical significance, the magnitude of the association suggests indoor cannabis smoking adds to the health burden on children already exposed to tobacco smoke.

The Bigger Picture

As cannabis legalization spreads, more children may be exposed to indoor cannabis smoke. Even without reaching statistical significance, this study is among the first to quantify the potential health impact on children.

What This Study Doesn't Tell Us

Not statistically significant. Small number of cannabis-smoking households (n=29). All homes already had tobacco smokers, making it hard to isolate cannabis effects. Self-reported cannabis use.

Questions This Raises

  • ?Would a larger study find a significant association?
  • ?What are the effects of cannabis smoke alone (without concurrent tobacco) on children?
  • ?Are there specific respiratory conditions most affected by secondhand cannabis smoke?

Trust & Context

Key Stat:
Homes with both cannabis and cigarette smoke had 3x the particle levels of non-smoking homes
Evidence Grade:
Preliminary: small cross-sectional study with non-significant primary finding.
Study Age:
Published in 2019.
Original Title:
Indoor cannabis smoke and children's health.
Published In:
Preventive medicine reports, 14, 100853 (2019)
Database ID:
RTHC-02237

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

Is secondhand cannabis smoke as harmful as secondhand tobacco smoke?

The research is limited. This study found that cannabis smoke added to air particle levels in homes, but the health effects were not statistically significant. More research is needed to compare the two.

Why wasn't the result statistically significant?

Likely due to the small number of cannabis-smoking households (29 out of 192). The effect size (OR 1.83) was meaningful but the study was underpowered to detect it with confidence.

Read More on RethinkTHC

Cite This Study

RTHC-02237·https://rethinkthc.com/research/RTHC-02237

APA

Posis, Alexander; Bellettiere, John; Liles, Sandy; Alcaraz, John; Nguyen, Benjamin; Berardi, Vincent; Klepeis, Neil E; Hughes, Suzanne C; Wu, Tianying; Hovell, Melbourne F. (2019). Indoor cannabis smoke and children's health.. Preventive medicine reports, 14, 100853. https://doi.org/10.1016/j.pmedr.2019.100853

MLA

Posis, Alexander, et al. "Indoor cannabis smoke and children's health.." Preventive medicine reports, 2019. https://doi.org/10.1016/j.pmedr.2019.100853

RethinkTHC

RethinkTHC Research Database. "Indoor cannabis smoke and children's health." RTHC-02237. Retrieved from https://rethinkthc.com/research/posis-2019-indoor-cannabis-smoke-and

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.