The Environmental Tobacco Smoke Social Movement: Impact on Tobacco Use and Smoking Cessation

Background: Environmental tobacco smoke (ETS) exposure in children ranks one of the major public health problems in our time. Poor parental knowledge, attitude, and practice (KAP) on ETS often contribute to worse exposure of the kids. Thus, we aimed to document parental KAP regarding tobacco use, smoking cessation and children's ETS exposure, and to analyse how knowledge and attitude relate to practice.Methods: Self-administered KAP questionnaires were distributed to smoking parents recruited from the pediatric unit at the Prince of Wales Hospital, which provides pediatric service to a population of 1.2 million in Hong Kong. The 60-item questionnaire had a range of 0–38 for knowledge, 0–44 for attitude, and 0–40 for practice. Descriptive analyses were performed for KAP response, regression analyses were performed for the exploration of associations and identification of predictive indicators.Results: 145 smoking parents (mean age: 38.0 ± 6.7 yrs.; male: 85.5%) were included. Less than half (39.3%) of them reported a smoke-free policy at home. Among those parents who had private cars, less than half (45.2%) of them had smoke-free policy in their car that they never smoked in the car. Only 25.5% of the participants correctly answered ≥70% of the knowledge questions, and 11.8 % of the participants gave favorable responses to ≥70% of the attitude questions. The total knowledge and the total attitudes score were positively associated (r = 0.49, 95% CI: 0.35–0.79, p < 0.001), yet they were only modestly correlated with parental practice on children's ETS exposure. By multivariate regressions, potential predictive factors for more favorable parental KAP included higher household income, lower parental nicotine dependence level and breastfeeding practice.Conclusions: Parental KAP related to tobacco use and children's ETS exposure needs improvement to address the significant gap between recommended and actual practice. The weak association between knowledge and practice suggested that parental education alone is not adequate to combat ETS exposure in children.

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Magnitude of exposure and perception of second hand smoking among rural population in Trichy, Tamil Nadu

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173350 ◽

2017 ◽

Vol 4 (8) ◽

pp. 2946

Author(s):

Hemalatha K. ◽

Varunkumar R. ◽

Vandana S. J.

Keyword(s):

Tobacco Use ◽

Environmental Tobacco Smoke ◽

Tobacco Smoke ◽

Tamil Nadu ◽

Cross Sectional Study ◽

Tobacco Product ◽

P Value ◽

Cluster Sampling ◽

Cross Sectional ◽

Protection Measures

Background: India is one of the countries where tobacco use is highly prevalent. Tobacco use in the form of smoking is related to occurrence of multiple health related problems in smokers and also general population.Methods: A community based cross sectional study was conducted among 360 adults residing in a rural area of Tiruchirappalli. Cluster sampling was used to select the study participants. A pretested semi-structured questionnaire was used to obtain information on tobacco use, exposure to environmental tobacco smoke (ETS), knowledge on its health effects and protection measures. Data was entered and analyzed using Epi info 7.2. The results were presented in the form of mean and percentage. Chi-square was used to find the association between the parameters and ETS. A p value of less than 0.05 was taken as significant.Results: Mean age of the study group was 38.5±10.8 years. Proportion of males and females was 53.9% and 46.1% respectively. Two hundred and fifty five (70.8%) were non-smokers and 29.2% have ever smoked some form of tobacco product. Thirty seven percent of the non-smokers were exposed to Environmental Tobacco Smoke in the past 15 days and exposure was higher among males (46.7%) than females (31.3%) (χ2 value=6.3; p=0.014). Public place was the most common place of exposure (25.5%) to ETS. Significantly higher proportion of smokers had correct knowledge on ill effects of ETS than smokers (χ2 value=12.3; p= 0.0004).Conclusions: Exposure to environmental tobacco smoke was significantly high in the study population. Either strict enforcement of laws or banning cigarette sale completely would help reducing the exposure to cigarette smoke which is an important risk factor for multiple non communicable diseases.

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Tobacco Use, Exposure to Environmental Tobacco Smoke, and Crew Attitudes Regarding Smoking Policy Aboard the USS Theodore Roosevelt (CVN-71)

PsycEXTRA Dataset ◽

10.1037/e583702011-001 ◽

1994 ◽

Author(s):

Suzanne L. Hurtado

Keyword(s):

Tobacco Use ◽

Environmental Tobacco Smoke ◽

Tobacco Smoke ◽

Theodore Roosevelt ◽

Smoking Policy

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Prevention and Cessation of Tobacco Use and Exposure to Environmental Tobacco Smoke

Comprehensive Handbook of Childhood Cancer and Sickle Cell Disease ◽

10.1093/oso/9780195169850.003.0029 ◽

2006 ◽

Author(s):

Vida L. Tyc

Keyword(s):

Children And Adolescents ◽

Tobacco Use ◽

Health Care Providers ◽

Environmental Tobacco Smoke ◽

Health Risks ◽

Tobacco Smoke ◽

Healthy Lifestyle ◽

Young Patients ◽

Control And Prevention ◽

Health Objectives

Tobacco use remains the single most important preventable cause of premature death and disability in the United States and is a critical health issue for our nation’s youths. Cigarette smoking is the most common form of tobacco use among adolescents (Centers for Disease Control and Prevention, 2001), with over 90% of adult smokers initiating smoking at or before age 19 years (Mowery, Brick, & Farrelly, 2000). Consequently, reduction of tobacco use during adolescence is especially critical before lifelong smoking habits are established. Current national health objectives for children and adolescents focus on reducing health risks related to tobacco use and exposure to secondhand smoke (U.S. Department of Health and Human Services, 2000). Specific objectives include reducing the initiation of tobacco use among children and adolescents, reducing their average age of first use of tobacco products, increasing cessation attempts by current smokers, and reducing the proportion of children who are regularly exposed to tobacco smoke in the home. These health objectives are especially important for children and adolescents with cancer, who may be at even greater risk than their healthy peers for tobacco-related health problems because of their compromised health status (Hollen & Hobbie, 1996). Exposure to environmental tobacco smoke (ETS) has similar serious consequences for the child with cancer (Alligne & Stoddard, 1997; Cook & Strachan, 1999). Interventions that attempt to prevent, reduce, or terminate tobacco use and ETS exposure could therefore contribute to a decrease in the morbidity and mortality of patients treated for cancer. This chapter reviews the prevalence of tobacco use, the magnified health effects associated with tobacco use, and some of the correlates associated with tobacco use among young patients treated for cancer. We also describe tobacco interventions that have been conducted with this population and discuss how health care providers involved in the treatment or long-term care of childhood cancer patients can assist their high-risk patients in making healthy lifestyle choices, including the decision to abstain from, reduce, or quit smoking and to avoid environmental tobacco exposures. Tobacco use is a significant behavioral health problem that poses serious health risks for young patients treated for cancer.

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The importance of socioeconomic position in smoking, cessation and environmental tobacco smoke exposure during pregnancy

Scientific Reports ◽

10.1038/s41598-020-72298-8 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Joana Madureira ◽

Alexandra Camelo ◽

Ana Inês Silva ◽

Ana Teresa Reis ◽

Filipa Esteves ◽

...

Keyword(s):

Smoking Cessation ◽

Pregnant Women ◽

Environmental Tobacco Smoke ◽

Tobacco Smoke ◽

Socioeconomic Position ◽

Smoking Prevalence ◽

Disease Onset ◽

Tobacco Smoke Exposure ◽

Cross Sectional ◽

Exposure During Pregnancy

Abstract Tobacco is still a leading cause of premature death and morbidity. Particular attention has been given to pregnant women due to the scientific evidence on the importance of early life exposures for disease onset later in life. The purpose of this study was to assess smoking prevalence, smoking cessation rate and environmental tobacco smoke (ETS) exposure, and the role of socioeconomic position (SEP) on these behaviors among pregnant women. Cross-sectional data of 619 pregnant women, aged between 18 and 46 years, from Porto Metropolitan Area, Portugal, on current smoking, ETS exposure and SEP indicators was collected, face-to-face, using a questionnaire filled in during a personal interview at the postpartum hospital stay. The smoking prevalence, and ETS exposure among non-smokers before pregnancy was 27.6% and 57.4%, respectively. 4.1% of the participants reported to have stopped smoking before pregnancy, whereas about 41% quitted along pregnancy, resulting in a smoking prevalence at birth of 14.6%. Exposure to ETS also decreased throughout pregnancy to 49.8% at birth. Lower educational level was significantly associated with both higher smoking prevalence and exposure to ETS and lower smoking cessation. This study demonstrates that smoking and ETS exposure during pregnancy remains high, and that there are still significant socioeconomic inequalities in smoking; thus tobacco-focused preventive interventions need to be reinforced.

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Tobacco use and exposure to environmental tobacco smoke in relation to certain work characteristics

Scandinavian Journal of Public Health ◽

10.1080/14034949850153482 ◽

1998 ◽

Vol 26 (3) ◽

pp. 183-189

Author(s):

Anders Knutsson, Tohr Nilsson

Keyword(s):

Tobacco Use ◽

Environmental Tobacco Smoke ◽

Tobacco Smoke ◽

Work Characteristics

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Subjective exposure to environmental tobacco smoke and tobacco use among U.S. Navy Atlantic Fleet Aircraft Carrier personnel.

PsycEXTRA Dataset ◽

10.1037/e479972004-001 ◽

1995 ◽

Author(s):

Suzanne L. Hurtado ◽

Scott A. Shappell ◽

James R. Fraser

Keyword(s):

Tobacco Use ◽

Environmental Tobacco Smoke ◽

Tobacco Smoke ◽

Aircraft Carrier

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Smoking at home: The impact of smoking cessation on nonsmokers' exposure to environmental tobacco smoke.

Health Psychology ◽

10.1037/0278-6133.13.6.516 ◽

1994 ◽

Vol 13 (6) ◽

pp. 516-520 ◽

Cited By ~ 17

Author(s):

Karen M. Emmons ◽

S. Katharine Hammond ◽

David B. Abrams

Keyword(s):

Smoking Cessation ◽

Environmental Tobacco Smoke ◽

Tobacco Smoke ◽

The Impact ◽

At Home

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Are Canadian hospitals leading by example to promote smoke-free hospital properties? Rationale, challenges and opportunities

Journal of Hospital Administration ◽

10.5430/jha.v5n4p9 ◽

2016 ◽

Vol 5 (4) ◽

pp. 9 ◽

Cited By ~ 1

Author(s):

Kerrie Ellen Luck

Keyword(s):

Policy Implementation ◽

Patient Care ◽

Tobacco Use ◽

Environmental Tobacco Smoke ◽

Tobacco Smoke ◽

Tobacco Dependence ◽

Healthcare Facilities ◽

Quit Smoking ◽

Challenges And Opportunities ◽

Negative Perceptions

Knowing the devastation of tobacco use and the evidence to support proven tobacco reduction approaches, such as smoke-free hospital property policies, are Canadian hospitals doing all they can to lead by example? This paper explores the background and diverse views on smoke-free hospital properties to illuminate the rationale, challenges and opportunities of this important healthcare initiative. Currently, some hospitals in Canada have transitioned to smoke-free properties; however, many still allow smoking in designated areas or do not have any policies in place. Fear, speculation and reservations around compliance, leadership, negative perceptions, safety and patient care are some of the reasons that appear to be stalling progress in many healthcare facilities; nevertheless, the evidence supporting the implementation of comprehensive smoke-free hospital property policies far outweighs the concerns. Key considerations for successful policy implementation include: leadership and enforcement; systematic tobacco dependence treatment; and elimination of designated smoking areas (DSA’s) and policy exclusions. Hospitals are ideal institutions to continue the downward trend in tobacco use prevalence. Through smoke-free property policies, Canadian hospitals can make a significant impact and lead by example in their communities by creating opportunities to promote healthy choices, protecting individuals from exposure to environmental tobacco smoke (ETS), supporting those who are trying to quit or who have quit smoking and by sending a clear message that smoking and exposure to tobacco smoke is harmful. As witnessed though the learnings of leading hospitals, transitioning to a smoke-free hospital property is achievable.

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