Socio-economic inequalities in secondhand smoke exposure at home in the context of mother-child pairs in Bangladesh

Rahman, Mosiur; Haque, Md. Nuruzzaman; Mostofa, Md. Golam; Zahan, Md. Sarwar; Hasan, S. M. Mahmudul; Huda, Md Durrul; Ahmed, Md. Kapil; Mahmud, Howlader Mohammad Miraz

doi:10.1016/j.puhe.2018.04.018

Cited by 6 publications

(4 citation statements)

References 45 publications

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“…We observed that the prevalence of secondhand smoke exposure increased as school grade increased, which can be explained as older adolescents from higher grades being more accepting of tobacco use among their peers and being more likely to smoke themselves; both factors increase the probability of secondhand smoke exposure [ 14 , 20 ]. We also found that the prevalence of exposure decreased when moving from low to high provincial GDP per capita categories, as others have shown [ 21 , 22 ]. This might be partly explained by lower awareness of the harm of secondhand smoke exposure among adolescents in lower GDP per capita regions than higher GDP per capita regions.…”

Section: Discussionsupporting

confidence: 86%

Trends in Exposure to Secondhand Smoke Among Adolescents in China From 2013-2014 to 2019: Two Repeated National Cross-sectional Surveys

Ma¹,

Huang²,

Li³

et al. 2023

JMIR Public Health Surveill

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Background It is well-known that secondhand smoke exposure in childhood or adolescence is positively associated with morbidity and mortality. However, less is known about the current status of and most recent trends in secondhand smoke exposure among adolescents in China. Objective We aimed to assess recent changes in the prevalence of secondhand smoke exposure among adolescents in China using nationally representative data. Methods We used data from 2 repeated national cross-sectional surveys conducted in 2013-2014 and 2019. A total of 155,117 students (median age 13.5 years) in 2013-2014 and 147,270 students (median age 13.1 years) in 2019 were included in this study. Sociodemographic factors and secondhand smoke exposure information were collected via a standardized questionnaire. Exposure was defined as secondhand smoke exposure ≥1 day during the past 7 days at home or in public places. Other frequencies of secondhand smoke exposure (ie, ≥3 days, ≥5 days, and every day) during the past 7 days were also assessed. The weighted prevalence of secondhand smoke exposure was calculated according to the complex sample design for surveys. Results The prevalence of secondhand smoke exposure in any place (home or public places ≥1 day during the past 7 days) decreased from 2013-2014 (72.9%, 95% CI 71.5%-74.3%) to 2019 (63.2%, 95% CI 62%-64.5%), as did exposure at home (2013-2014: 44.4%, 95% CI 43.1%-45.7%; 2019: 34.1%, 95% CI 33.1%-35.2%) and in public places (2013-2014: 68.3%, 95% CI 66.9%-69.6%; 2019: 57.3%, 95% CI 56%-58.6%). The prevalence of secondhand smoke exposure decreased with increased gross domestic product per capita in each of the 2 survey years irrespective of exposure frequency or location. The prevalence of exposure at other frequencies (ie, ≥3 days, ≥5 days, or every day during the past 7 days) also decreased in any place, at home, and in public places. Secondhand smoke exposure was associated with higher school grade level (ninth vs seventh grade: odds ratio [OR] 1.76, 95% CI 1.68-1.84), gender (boys vs girls: OR 1.18, 95% CI 1.15-1.22), urban status (urban vs rural: OR 1.10, 95% CI 1.01-1.19), and cigarette smoking (yes vs no: OR 6.67, 95% CI 5.83-7.62). Conclusions Although the prevalence of secondhand smoke exposure among Chinese adolescents declined from 2013-2014 to 2019, it remains unacceptably high. More effective strategies and stronger action are needed in China to further, and dramatically, curb secondhand smoke exposure among adolescents.

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Section: Discussionsupporting

confidence: 86%

Trends in Exposure to Secondhand Smoke Among Adolescents in China From 2013-2014 to 2019: Two Repeated National Cross-sectional Surveys

Ma¹,

Huang²,

Li³

et al. 2023

JMIR Public Health Surveill

View full text Add to dashboard Cite

show abstract

“…Although the binary comparisons in the present study were consistent with the literature, no significant difference was found in logistic regression analysis. This may be attributable to the fact that the region where the study was conducted is a rural area even though it includes villages and city centers [17,18].…”

Section: Discussionmentioning

confidence: 99%

Passive exposure to cigarette smoke of pregnants and the effect of passive exposure from cigarette smoke on newborn body sizes: A hospital focused cross-sectional study

Aras¹

2022

Med-Science

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Our aim is to examine the risk factors affecting the exposure of pregnant women to secondhand smoke. Sociodemographic, biodemographic, socioeconomic characteristics and newborn body measurements of pregnant women affected by cigarette smoke between January and November 2021 were evaluated. A study was conducted with 717 women in a second-level state hospital. Passive exposure to cigarette smoke; Compared to those with civil marriage, 1.519 (CI: 1.091-9499) times for those without a civil marriage, 4.625 (CI: 3.328-6.427) times for those who do not smoke a partner, 1.519 times for those with extended families compared to those with a nuclear family with income family type (CI: 1.091-2.114 ) times, it is 3.781 (CI: 1.960-7.292) times more for men who do not want pregnancy than for those who do not want to be pregnant. Health policies should not only inform the mother but also inform the whole society.

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“…To quantify distinct dimensions of SES inequalities in the CCI scores, we employed three regression-based methods: (1) relative index of inequality (RII), (2) slope index of inequality (SII), and (3) adjusted odds ratio (AOR). The RII and SII are regression-based inequality measures that consider CCI scores throughout the whole socioeconomic distribution in the study population, whereas the AOR simply examines relative disparities in CCI scores between the wealthiest and most disadvantaged groups 22 , 23 .…”

Section: Methodsmentioning

confidence: 99%

Socioeconomic inequalities in the continuum of care across women’s reproductive life cycle in Bangladesh

Parvin

Rahman

Islam

et al. 2022

Sci Rep

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We examined the association between socioeconomic status (SES) and continuum of care (CoC) completion rate in maternal, neonatal, and child health among mothers in Bangladesh. We used data from the Bangladesh Demographic Health Survey (BDHS) from 2017 to 2018. Our findings were based on the responses of 1527 married women who had at least one child aged 12 to 23 months at the time of the survey. As a measure of SES, we focused on the standard of living (hereinafter referred to as wealth). The CoC for maternal and child health (MNCH) services is the study's outcome variable. The CoC was calculated using seven MNCH interventions: four or more antenatal care (ANC) visits with a skilled practitioner, delivery by a skilled birth attendant, post-natal care for mothers (PNCM) within two days of giving birth, post-natal care for newborns (PNCM) within two days of birth, immunization, age-appropriate breastfeeding, and maternal current use of modern family planning (FP) methods. Only 18.1% of Bangladeshi women completed all seven MNCH care interventions during the reproductive life span. Participants in the high SES group were 2.30 times (95% confidence interval [CI] 1.61–3.28) more likely than those in the low SES group to have higher composite care index (CCI) scores. Women with secondary or higher secondary education, as well as women who were exposed to mass media at least once a week, women who lived in an urban setting, women who had an intended pregnancy, and women with one parity, are associated with high CCI scores when other sociodemographic variables are considered. The complete CoC for MNCH reveals an extremely low completion rate, which may suggest that Bangladeshi mothers, newborns, and children are not receiving the most out of their present health care. Participants in the high SES group displayed higher CCI values than those in the low SES group, indicating that SES is one of the primary drivers of completion of CoC for MNCH services.

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Socio-economic inequalities in secondhand smoke exposure at home in the context of mother-child pairs in Bangladesh

Cited by 6 publications

References 45 publications

Trends in Exposure to Secondhand Smoke Among Adolescents in China From 2013-2014 to 2019: Two Repeated National Cross-sectional Surveys

Trends in Exposure to Secondhand Smoke Among Adolescents in China From 2013-2014 to 2019: Two Repeated National Cross-sectional Surveys

Passive exposure to cigarette smoke of pregnants and the effect of passive exposure from cigarette smoke on newborn body sizes: A hospital focused cross-sectional study

Socioeconomic inequalities in the continuum of care across women’s reproductive life cycle in Bangladesh

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