Key Takeaways
- Secondhand smoke exposure causes more than 41,000 deaths per year among nonsmoking adults from heart disease and lung cancer
- Nonsmokers exposed to secondhand smoke have a 25-30% increased risk of coronary heart disease
- Secondhand smoke increases the risk of stroke by 20-30% in nonsmokers
- Children exposed to secondhand smoke have 50% higher risk of sudden infant death syndrome (SIDS)
- Secondhand smoke increases children's risk of lower respiratory infections by 50-100%
- Infants whose mothers smoked during pregnancy have 2-4 times higher SIDS risk, compounded by postnatal exposure
- Secondhand smoke causes about 20% of lung cancers in nonsmokers, primarily adenocarcinoma
- Long-term secondhand smoke exposure increases lung cancer risk by 22% in never-smokers
- Secondhand smoke classified as Group 1 carcinogen by IARC
- Secondhand smoke causes coronary heart disease risk increase of 25-30% in nonsmokers
- Secondhand smoke exposure triggers acute myocardial infarction with 30% risk increase
- Nonsmokers exposed to secondhand smoke have 20-30% higher stroke risk
- 37% of US children aged 3-11 are exposed to secondhand smoke at home
- 25% of US adults report secondhand smoke exposure in past 7 days
- Globally, 1.2 billion non-smokers exposed to secondhand smoke at home
Secondhand smoke causes tens of thousands of preventable deaths every year.
Adult Health Risks
- Secondhand smoke exposure causes more than 41,000 deaths per year among nonsmoking adults from heart disease and lung cancer
- Nonsmokers exposed to secondhand smoke have a 25-30% increased risk of coronary heart disease
- Secondhand smoke increases the risk of stroke by 20-30% in nonsmokers
- Exposure to secondhand smoke raises the risk of lung cancer by 20-30% in nonsmoking adults
- Secondhand smoke contains over 7,000 chemicals, hundreds toxic and about 70 that cause cancer, affecting adult respiratory health
- Nonsmokers living with a smoker have 30% higher risk of heart disease death
- Secondhand smoke exposure leads to 34,000 premature deaths annually from coronary heart disease in US nonsmokers
- Adults exposed to secondhand smoke show 15-20% reduced lung function over time
- Secondhand smoke increases adult asthma exacerbations by 40%
- Nonsmoking spouses of smokers have 91% higher lung cancer risk if exposed long-term
- Secondhand smoke causes 7,300 lung cancer deaths yearly in US nonsmokers
- Adult exposure to secondhand smoke elevates blood pressure by 5-10 mmHg acutely
- Secondhand smoke doubles the risk of heart attacks in nonsmokers
- Nonsmokers with workplace secondhand smoke exposure have 24% higher coronary heart disease risk
- Secondhand smoke increases adult COPD risk by 50% in heavy exposure scenarios
- Adults exposed to secondhand smoke have 1.3 times higher risk of type 2 diabetes
- Secondhand smoke exposure causes endothelial dysfunction in adults, reducing artery dilation by 20%
- Nonsmoking adults in homes with smokers show 25% higher hospitalization rates for heart disease
- Secondhand smoke leads to 15% increase in adult rheumatoid arthritis risk
- Long-term secondhand smoke exposure in adults increases dementia risk by 30%
- Secondhand smoke exposure triples the risk of sudden cardiac death in nonsmoking adults
- Adults with secondhand smoke exposure have 40% higher risk of peripheral artery disease
- Secondhand smoke causes 20% increase in adult sinusitis incidence
- Nonsmokers exposed to secondhand smoke exhibit 35% higher C-reactive protein levels indicating inflammation
- Secondhand smoke increases adult risk of severe periodontitis by 1.5 times
- Exposure to secondhand smoke in adults leads to 28% higher risk of atrial fibrillation
- Secondhand smoke exposure causes a 22% increase in adult breast cancer risk among never-smokers
- Nonsmoking adults with high secondhand smoke exposure have 50% higher carotid plaque prevalence
- Secondhand smoke doubles adult risk of acoustic neuroma tumors
- Adults exposed to secondhand smoke show 18% higher incidence of chronic rhinosinusitis
Adult Health Risks Interpretation
Cancer Risks
- Secondhand smoke causes about 20% of lung cancers in nonsmokers, primarily adenocarcinoma
- Long-term secondhand smoke exposure increases lung cancer risk by 22% in never-smokers
- Secondhand smoke classified as Group 1 carcinogen by IARC
- Spousal secondhand smoke exposure raises lung cancer odds ratio to 1.24
- Secondhand smoke contains 70 carcinogens including benzene, formaldehyde
- Workplace secondhand smoke exposure increases lung cancer risk by 16%
- Secondhand smoke linked to 7,300 lung cancer deaths annually in US nonsmokers
- Childhood secondhand smoke exposure triples adult lung cancer risk later in life
- Secondhand smoke elevates nasal sinus cancer risk by 100% in nonsmokers
- Secondhand smoke increases cervical cancer risk by 40% in nonsmoking women
- Exposure to secondhand smoke raises breast cancer risk by 30% in never-smoking women
- Secondhand smoke linked to increased stomach cancer risk with OR 1.44
- Secondhand smoke exposure increases bladder cancer risk by 36% in nonsmokers
- Parental smoking increases childhood brain tumor risk by 50%
- Secondhand smoke elevates colorectal cancer risk by 20%
- Secondhand smoke causes DNA damage in nonsmokers leading to cancer mutations
- Secondhand smoke increases pancreatic cancer risk by 40% in heavy exposure
- Secondhand smoke linked to lymphoma with relative risk 1.2
- Exposure raises leukemia risk in adults by 20%
- Secondhand smoke increases prostate cancer risk by 25% in nonsmokers
- Secondhand smoke elevates endometrial cancer risk by 30%
- Secondhand smoke causes oral cancer risk increase of 50% in nonsmokers
- Secondhand smoke linked to multiple myeloma with OR 1.3
- Secondhand smoke exposure increases liver cancer risk by 15%
- Secondhand smoke raises ovarian cancer risk by 25% in nonsmokers
Cancer Risks Interpretation
Cardiovascular Risks
- Secondhand smoke causes coronary heart disease risk increase of 25-30% in nonsmokers
- Secondhand smoke exposure triggers acute myocardial infarction with 30% risk increase
- Nonsmokers exposed to secondhand smoke have 20-30% higher stroke risk
- Secondhand smoke causes 34,000 annual coronary heart disease deaths in US nonsmokers
- Secondhand smoke induces platelet aggregation increasing thrombosis by 25%
- Exposure to secondhand smoke raises blood pressure by 7 mmHg systolic in nonsmokers
- Secondhand smoke doubles heart attack risk in nonsmoking spouses
- Secondhand smoke exposure increases aortic stiffness by 20% in adults
- Nonsmokers with secondhand smoke exposure have 40% higher atherosclerosis risk
- Secondhand smoke elevates fibrinogen levels by 15% promoting clotting
- Secondhand smoke causes endothelial dysfunction reducing flow-mediated dilation by 40%
- Workplace secondhand smoke increases coronary events by 24%
- Secondhand smoke raises homocysteine levels by 10% in nonsmokers
- Exposure leads to 30% increase in ventricular arrhythmias risk
- Secondhand smoke increases carotid intima-media thickness by 0.03 mm
- Nonsmokers exposed have 50% higher risk of acute coronary syndrome
- Secondhand smoke elevates oxidized LDL by 20%
- Secondhand smoke exposure triples sudden cardiac death risk
- Secondhand smoke causes 28% increase in atrial fibrillation incidence
- Exposure increases peripheral artery disease risk by 40%
- Secondhand smoke raises C-reactive protein by 35% indicating CV inflammation
- Secondhand smoke leads to 25% higher prevalence of hypertension in nonsmokers
- Secondhand smoke exposure increases heart failure risk by 19%
Cardiovascular Risks Interpretation
Child Health Risks
- Children exposed to secondhand smoke have 50% higher risk of sudden infant death syndrome (SIDS)
- Secondhand smoke increases children's risk of lower respiratory infections by 50-100%
- Infants whose mothers smoked during pregnancy have 2-4 times higher SIDS risk, compounded by postnatal exposure
- Secondhand smoke causes 150,000-300,000 annual lower respiratory tract infections in US children under 18 months
- Children exposed to secondhand smoke have 20-30% higher asthma attack rates
- Secondhand smoke doubles the risk of middle ear infections in children
- Prenatal and postnatal secondhand smoke exposure increases childhood asthma risk by 30%
- Children in smoking households have 40% higher bronchitis and pneumonia rates
- Secondhand smoke exposure leads to 24,000-72,000 annual hospitalizations for respiratory infections in US infants
- Children exposed to secondhand smoke have 1.6 times higher risk of developing asthma by age 5
- Secondhand smoke reduces lung function growth in children by 10-20%
- Infants exposed to secondhand smoke have 50% increased apnea risk
- Secondhand smoke increases childhood cancer risk, specifically leukemia by 20%
- Children of smokers have twice the rate of chronic cough and phlegm production
- Secondhand smoke exposure triples childhood risk of invasive meningococcal disease
- Prenatal secondhand smoke exposure increases low birth weight risk by 20%
- Secondhand smoke causes 430,000 doctor visits yearly for ear infections in US children
- Children exposed to secondhand smoke have 30% higher risk of behavior problems like ADHD
- Secondhand smoke increases preterm delivery risk by 20% in nonsmoking mothers exposed
- Childhood exposure to secondhand smoke elevates lifelong cardiovascular risk by 25%
- Secondhand smoke doubles childhood risk of cryptorchidism in boys
- Infants in smoking homes have 1.5 times higher hospitalization for RSV infections
- Secondhand smoke exposure increases childhood obesity risk by 15%
- Children exposed show 40% higher wheezing episodes under age 3
- Secondhand smoke raises childhood dental caries risk by 30%
- Exposure leads to 20% increase in childhood sleep disturbances
- Secondhand smoke increases childhood eczema risk by 25%
Child Health Risks Interpretation
Exposure Prevalence
- 37% of US children aged 3-11 are exposed to secondhand smoke at home
- 25% of US adults report secondhand smoke exposure in past 7 days
- Globally, 1.2 billion non-smokers exposed to secondhand smoke at home
- 40% of children worldwide exposed to secondhand smoke
- In US, secondhand smoke exposure declined 66% from 1988-2012 in nonsmokers
- 58 million nonsmokers in US exposed to secondhand smoke in 2011-2012
- Secondhand smoke levels in homes 3-8 times higher than outdoor air
- 21% of US nonsmokers exposed to secondhand smoke via air in 2011-12
- In Europe, 19% of adults exposed to secondhand smoke at work
- US homes with smokers have nicotine levels 10 times EPA outdoor standard
- 33% of US children live with smoker, increasing exposure risk
- Secondhand smoke exposure in bars pre-ban was 4-10 times outdoor PM2.5
- Globally, 828,000 deaths from secondhand smoke in 2016
- In low-income countries, 44% women exposed to SHS at home
- US nonsmoker cotinine levels dropped 90% since 1991 due to policies
- 12% of US children have detectable cotinine from SHS exposure
- Secondhand smoke in cars reaches concentrations 10x higher than homes
- In India, 37% children exposed to SHS at home
- Post-smoke-free laws, workplace SHS exposure fell 89% in US
- 83% of world population protected by some smoke-free laws
- Secondhand smoke biomarkers in 15% of US nonsmokers post-2012
- In China, 52% nonsmokers exposed to SHS in 2018 survey
- US hospitality workers had 6x higher SHS before bans
- Multi-unit housing exposes 28% US residents to SHS infiltration
- Secondhand smoke exposure in US declined to 12.2% in adults 2015-18
- 40 million US youth exposed to SHS in past week per 2019 data
- Secondhand smoke causes 41,000 deaths yearly in US nonsmokers
- Globally, secondhand smoke kills 1.3 million people annually
Exposure Prevalence Interpretation
Sources & References
- Reference 1CDCcdc.govVisit source
- Reference 2SURGEONGENERALsurgeongeneral.govVisit source
- Reference 3LUNGlung.orgVisit source
- Reference 4HEARTheart.orgVisit source
- Reference 5NCBIncbi.nlm.nih.govVisit source
- Reference 6ATSJOURNALSatsjournals.orgVisit source
- Reference 7IARCiarc.who.intVisit source
- Reference 8PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 9NEJMnejm.orgVisit source
- Reference 10ERJerj.ersjournals.comVisit source
- Reference 11AHAJOURNALSahajournals.orgVisit source
- Reference 12ARDard.bmj.comVisit source
- Reference 13THELANCETthelancet.comVisit source
- Reference 14PEDIATRICSpediatrics.aappublications.orgVisit source
- Reference 15CANCERcancer.govVisit source
- Reference 16MONOGRAPHSmonographs.iarc.frVisit source
- Reference 17EPAepa.govVisit source
- Reference 18WHOwho.intVisit source






