Abstract
Purpose
This study estimated secondhand smoke (SHS) exposure at home among nonsmoking children (age 0–18) and adults (age ≥ 19) in rural China, and examined associated socio-demographic factors.
Methods
A total of 5,442 nonsmokers (including 1,456 children and 3,986 adults) living in six rural areas in China were interviewed in person. The standardized questionnaire obtained information on their demographic characteristics and SHS exposure at home. Differences in SHS exposure were assessed by use of the chi-squared test. Logistic regression analysis was used to examine the associated factors.
Results
Occurrence of SHS exposure at home among nonsmoking children and adults was 68.0 and 59.3%, respectively. Logistic regression analysis found that children living in households with married, low-education, and low-income heads of household, and those who resided in the Qinghai province of China were more likely to be exposed to SHS. Among adults, those who were female, aged 19–34, single, low-education, and low-income, and those who lived in Qinghai province were more likely to be exposed to SHS at home.
Conclusions
Our findings of substantial SHS exposure at home in rural China emphasize the importance of implementing interventions to reduce SHS exposure among this population.
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References
Chinese Center for Disease Control and Prevention (2010) Global adult tobacco survey (GATS) fact sheet China. http://www.cdc.gov/tobacco/global/gats/countries/wpr/fact_sheets/china/2010/index.htm. Accessed 25 March 2011
Chinese Center for Disease Control and Prevention (2011) Tobacco control and China’s future. http://www.notc.org.cn/n4772065/n5001162/40983.html. Accessed on March 29, 2011 (Chinese)
Yang GH, Ma JM, Liu N et al. (2005) Smoking and passive smoking in Chinese, 2002. Zhonghua Liu Xing Bing Xue Za Zhi 26:77–83 (Chinese)
U.S. Department of Health and Human Services (US DHHS) (2006) The health consequences of involuntary exposure to tobacco smoke: a report of the surgeon general—executive summary. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health
California Environmental Protection Agency (CA EPA) (2005) Proposed Identification of environmental tobacco smoke as a toxic air contaminant. California Environmental Protection Agency, Office of Environmental Health Hazard Assessment: Sacramento, CA, US
Gan Q, Smith KR, Hammond SK et al (2007) Disease burden of adult lung cancer and ischaemic heart disease from passive tobacco smoking in China. Tob Control 16:417–422
Li L, Chen QL, Jia RX et al (2008) The smoking pattern and disease burden of tobacco use in China. Chin Health Econ 27(1):26–30
Hou GB, Wang XC, Zhou F (2008) Comment on definition of peasant and village under PE building background of new village and division of peasants group. J Xiangnan Univ 29(5):108–111
3-1 Population and Its Composition, China Statistical Yearbook (2009) China Statistics Press
Gan Q, Hammond SK, Jiang Y et al (2008) Effectiveness of a smoke-free policy in lowering secondhand smoke concentrations in offices in China. J Occup Environ Med 50(5):570–575
Zheng P, Li W, Chapman S et al (2011) Workplace exposure to secondhand smoke and its association with respiratory symptoms—a cross-sectional study among workers in Shanghai. Tob Control 20(1):58–63
Liu R, Hammond SK, Hyland A et al (2011) Restaurant and bar owners’ exposure to secondhand smoke and attitudes regarding smoking bans in five Chinese cities. Int J Environ Res Public Health 8(5):1520–1533
Wang CP, Ma SJ, Xu XF et al (2009) The prevalence of household second-hand smoke exposure and its correlated factors in six counties of China. Tob Control 18(2):121–126
Koh HK, Alpert HR, Judge CM et al. (2010) Understanding worldwide youth attitudes towards smoke-free policies: an analysis of the Global Youth Tobacco Survey. Tob Control. doi:10.1136/tc.2010.038885
Morello P, Linetzky B, Kaplan J (2010) Knowledge, attitudes, and practices of Argentine pediatricians regarding second hand smoke exposure in children. Arch Argent Pediatr 108(4):318–324
Guyer B, Ma S, Grason H et al (2009) Early childhood health promotion and its life course health consequences. Acad Pediatr 9(3):142–149.e1-71
Lee AH (2008) A pilot intervention for pregnant women in Sichuan, China on passive smoking. Patient Educ Couns 71(3):396–401
Cheng KW, Glantz SA, Lightwood JM (2011) Association between smokefree laws and voluntary smokefree-home rules. Am J Prev Med 41(6):566–572
2007 China Tobacco Control Report (2007) Ministry of Health, PRC, Beijing, China
http://www.thechinaperspective.com/topics/province/qinghai-province/
Wipfli H, Avila-Tang E, Navas-Acien A (2008) Secondhand smoke exposure among women and children: evidence from 31 countries. Am J Public Health 98:672–679
Reynolds P, Goldberg D, Hurley S et al (2009) Passive smoking and risk of breast cancer in the California teachers study. Cancer Epidemiol Biomarkers Prev 18(12):3389–3398
Cinar N, Dede C, Cevahir R et al (2010) Smoking status in parents of children hospitalized with a diagnosis of respiratory system disorders. Bosn J Basic Med Sci 10(4):319–322
Hsieh SJ, Ware LB, Eisner MD et al (2011) Biomarkers increase detection of active smoking and secondhand smoke exposure in critically ill patients. Crit Care Med 39(1):40–45
Kalkbrenner AE, Hornung RW, Bernert JT et al (2010) Determinants of serum cotinine and hair cotinine as biomarkers of childhood secondhand smoke exposure. J Expo Sci Environ Epidemiol 20(7):615–624
Acknowledgments
This study was conducted with support from the US National Institutes of Health, Fogarty International Center (grant R01 TW05938), the US National Cancer Institute (grant CA-113710), the Australia Government’s Overseas Aid Program (HSS080020), the China-Australia Health and HIV/AIDS Facility, the Operational Research on Integration of NCMS and MA Rural Health Financing Schemes, the Sichuan University Scientific Research Foundation for Young Teachers, and the Flight Attendants Medical Research Institute (FAMRI). The authors would like to thank the China National Health Development Research Center for collection of the data, and members of the UCSF Writer’s Task Force for their helpful comments and suggestions.
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The authors declare that they have no conflict of interest.
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Yao, T., Sung, HY., Mao, Z. et al. Secondhand smoke exposure at home in rural China. Cancer Causes Control 23 (Suppl 1), 109–115 (2012). https://doi.org/10.1007/s10552-012-9900-6
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DOI: https://doi.org/10.1007/s10552-012-9900-6