Determinants of exposure to second-hand smoke at home and outside the home among students aged 11-17 years: Results from the Mumbai Student Tobacco Survey 2010

Lj, Raute; Pednekar, Mangesh S.; Mistry, Ritesh; Pc, Gupta; Sa, Pimple; Shastri, SS

doi:10.4103/0019-509x.107750

Cited by 20 publications

(26 citation statements)

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“…Ten of the 41 studies were conducted in the UK (England [5] , [24] – [26] , Scotland [27] – [30] , Wales [31] , England and Wales [32] ), eight in the USA [33] – [40] , three in Germany [41] – [43] , three in Greece [44] – [46] , two in Korea [47] , [48] and one each in Denmark [49] , Sweden [50] , Finland [51] , Norway [52] , Italy [53] , Spain [54] , Puerto Rica [55] , Australia [56] , Malaysia [57] , Mongolia [58] , South Africa [59] , India [60] , Taiwan [61] , Thailand [62] and Tehran [63] .…”

Section: Resultsmentioning

confidence: 99%

Predictors of Children's Secondhand Smoke Exposure at Home: A Systematic Review and Narrative Synthesis of the Evidence

et al. 2014

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BackgroundChildren's exposure to secondhand smoke (SHS) has been causally linked to a number of childhood morbidities and mortalities. Over 50% of UK children whose parents are smokers are regularly exposed to SHS at home. No previous review has identified the factors associated with children's SHS exposure in the home.AimTo identify by systematic review, the factors which are associated with children's SHS exposure in the home, determined by parent or child reports and/or biochemically validated measures including cotinine, carbon monoxide or home air particulate matter.MethodsElectronic searches of MEDLINE, EMBASE, PsychINFO, CINAHL and Web of Knowledge to July 2014, and hand searches of reference lists from publications included in the review were conducted.FindingsForty one studies were included in the review. Parental smoking, low socioeconomic status and being less educated were all frequently and consistently found to be independently associated with children's SHS exposure in the home. Children whose parents held more negative attitudes towards SHS were less likely to be exposed. Associations were strongest for parental cigarette smoking status; compared to children of non-smokers, those whose mothers or both parents smoked were between two and 13 times more likely to be exposed to SHS.ConclusionMultiple factors are associated with child SHS exposure in the home; the best way to reduce child SHS exposure in the home is for smoking parents to quit. If parents are unable or unwilling to stop smoking, they should instigate smoke-free homes. Interventions targeted towards the socially disadvantaged parents aiming to change attitudes to smoking in the presence of children and providing practical support to help parents smoke outside the home may be beneficial.

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Section: Resultsmentioning

confidence: 99%

Predictors of Children's Secondhand Smoke Exposure at Home: A Systematic Review and Narrative Synthesis of the Evidence

et al. 2014

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“…[1] In a study done among school children in Mumbai, 16.5% of students were exposed to secondhand smoke at home and 39.9% of students were exposed to secondhand smoke outside their homes. [13] The figure was 42% for adults in Kerala state.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of exposure to secondhand smoke among higher secondary school students in Ernakulam District, Kerala, Southern India

2017

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Introduction:The association between secondhand smoke and health outcomes, such as frequent respiratory infections, ischemic heart disease, lung cancer, asthma, and stroke, has long been established. The study aimed to estimate the prevalence of secondhand smoking exposure among higher secondary school students in Ernakulam district, Kerala, Southern India.Materials and Methods:A structured questionnaire was administered to all students from four randomly selected higher secondary schools in Ernakulam district. Descriptive statistics was done using frequencies and percentages. Univariate and multivariate analyses were done for factors associated with household exposure to tobacco smoke generating odds ratios (ORs) and 95% confidence intervals (CIs).Results:A total of 629 students participated in the study. The prevalence of ever smokers was 11.9% and of current smokers was 5.2%. Among the study participants, 23.2% were exposed to secondhand smoking from a family member and 18.8% from friends. Lower educational status of father was associated with the household exposure to secondhand smoke (adjusted OR 4.51 [95% CI 1.66–12.22]). More than half of the study participants (56.3%) reported that they were exposed to cigarette smoke in past 1 week in a public place and 10.2% in closed public places. Nearly one-third of the students reported that they have seen somebody smoking inside school campus in the past 30 days.Conclusion:Exposure to secondhand smoke at home, schools, and public places was higher among the late adolescent higher secondary school students in Ernakulam district. The findings underscore the urgent need for increased efforts to implement the strategies to reduce secondhand smoke exposure among adolescents.

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“…One such study was conducted in Mumbai in 2010, found that students own tobacco use, their age, their parents tobacco use, their close friends tobacco use were associated with their exposure to second hand smoke at home and outside home. 16 The family members and friends tobacco use was associated with adults 17 and children's 10,14,15,18,19 tobacco use. A population base survey of high school students in Mumbai 19 further delineated that both parents using tobacco increased the odds four times while any one parent using tobacco increased the odds two times that their children will also use tobacco.…”

Section: Discussionmentioning

confidence: 97%

“…Smoking and chewing tobacco has severe influence on social, 11,13-24 economic 13,14,18,21-24 and health [11][12][13][14][15][16][17][19][20][21][22][23][24] components of individuals. Use of tobacco exposes, both the first hand users and second hand smokers, to many harmful carcinogenic chemicals and diseases.…”

Section: Discussionmentioning

confidence: 99%

Compliance with Tobacco Control Policies and Global Youth Tobacco Survey: A Cross-Sectional Comparison between GYTS 2000 and 2015 in Maharashtra, India

Pednekar¹,

Kerkar²,

Narake³

et al. 2019

Epidemiol Open J

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Background Tobacco is the leading avertable cause of death in the world. Adolescents are the most vulnerable population to initiate the use of tobacco. Most adult users start tobacco use in their childhood or adolescence. The Global Youth Tobacco Survey (GYTS) was design to obtain information on tobacco use, exposure to tobacco smoke and other related indicators among adolescent. This study aims to compare the GYTS data between 2000 and 2015 for the state of Maharashtra in India. Methods The GYTS is a school-based two-stage cluster design survey of students aged 13-15 years. This was a self-administered crosssectional survey conducted in Maharashtra using standardized GYTS questionnaire. To record student survey responses, in 2000 optically readable answer sheets and in 2015 tablets were used. For statistical data analysis SPSS 20.0 was used. Results Between 2000 and 2015 the prevalence of tobacco use reduced from 17% to 11% among boys and 14.5% to 8.5% among girls. Age of tobacco initiation has shifted from 11 years or younger (~70%) in 2000 to older than 11 years (~70%) in 2015. Proportion of students who received pocket money increased from 20.2% to 42.7% for boys and 18.7% to 33.8% for girls in 2015. Discussions about harmful effects of tobacco in schools and at home had reduced from 2000 to 2015. Distribution of free tobacco products decreased over the years, however sale of tobacco products to minors and sale around educational institutions continued. Conclusion Prevalence of overall tobacco use has decreased. Strengthening the existing Cigarettes and Other Tobacco Products Act (COTPA) laws and improving implementation and effective monitoring will not only reduce youth's tobacco use but might restrict future initiation among youths. Continuous tobacco education at home and at school will further strengthen the tobacco control efforts.

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Determinants of exposure to second-hand smoke at home and outside the home among students aged 11-17 years: Results from the Mumbai Student Tobacco Survey 2010

Abstract: Self-reported tobacco use status, age, parents' tobacco use, close friends' smoking, and the route they take to school were significant determinants of exposure to SHS at home and outside the home.

Cited by 20 publications

References 11 publications

Predictors of Children's Secondhand Smoke Exposure at Home: A Systematic Review and Narrative Synthesis of the Evidence

Predictors of Children's Secondhand Smoke Exposure at Home: A Systematic Review and Narrative Synthesis of the Evidence

Prevalence of exposure to secondhand smoke among higher secondary school students in Ernakulam District, Kerala, Southern India

Compliance with Tobacco Control Policies and Global Youth Tobacco Survey: A Cross-Sectional Comparison between GYTS 2000 and 2015 in Maharashtra, India

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