To further investigate the
environment in which
Iowa
children live, parents were asked questions about problems with tobacco,
alcohol, and drug use in the household. Overall, 82% of children live in
households where tobacco, alcohol, and drug use are not a reported problem.
Among the 18% who live in households where there were substance use problems,
13% lived in a household where smoking was reported as a problem, 6% reported
problems with alcohol use and 2% reported a problem with prescription or
illegal drugs.
Tobacco use
Twenty-nine percent of children live
in a household where cigarettes are smoked. Of those households with at least
one smoker, 35% of children had parents who reported that tobacco use had some
effect on their child. The rate of children living in households with a smoker
varied by income level.

Figure 14. Percent of children
living in a household with a smoker,
by income status
Alcohol use
In the 2005 survey, six percent of
children lived in households where alcohol use was reported to be a problem.
Four percent of children lived in a household where alcohol use was reported to
be a ‘small,’ problem, and for the remaining children, alcohol use was reported
to be a ‘moderate’ or ‘big’ problem. Parents were asked about the people in the
household whose alcohol use was a problem. Among children living with
alcohol-use problems in the household, 64% lived in a household where this
problem was reported to be with the child’s father, 20% with another child in
the family, and 8% with the mother. Eighty-three percent of children living in
a household where alcohol use was a problem had parents who reported that there
was some effect on the child resulting from alcohol use. Problems primarily
stemmed from family stress and financial burden.
Prescription and illegal drug use
Two
percent of children live in households with a reported drug-use problem. Among
these children, 53% were in a household where a problem was caused by illegal
drugs, 34% prescription medications, and 13% both illegal and prescription
drugs. When rating the effect of the problem, one-third of children had parents
reporting that the drug use had no effect on their child; almost another
one-third of children had parents reporting the highest effect on their child.
As with alcohol, problems stemmed primarily from family stress and financial
burden.