scholarly journals Secondhand Smoke Exposure of Expectant Mothers in China: Factoring in the Role of Culture in Data Collection

JMIR Cancer ◽  
10.2196/24984 ◽  
2021 ◽  
Vol 7 (4) ◽  
pp. e24984
Author(s):  
Zhaohui Su ◽  
Dean McDonnell ◽  
Jaffar Abbas ◽  
Lili Shi ◽  
Yuyang Cai ◽  
...  

Cancer is the leading cause of death worldwide. Tobacco smoking, including secondhand smoking, causes cancer and is responsible for over 22% of global cancer deaths. The adverse impacts of secondhand smoke are more pronounced for expectant mothers, and can deteriorate both mothers’ and infants’ health and well-being. Research suggests that secondhand smoke significantly increases expectant mothers’ risk of miscarriage, cancer, and other chronic disease conditions, and exposes their unborn babies to an increased likelihood of having life-long poor health. In China, a pregnant woman’s family members, such as her husband, parents, or in-laws, are the most likely people to be smoking around her. Due to traditional Chinese cultural practices, even though some expectant mothers understand the harm of secondhand smoke, they may be reluctant to report their family members’ smoking behaviors. Resulting in severe underreporting, this compromises health experts’ ability to understand the severity of the issue. This paper proposes a novel approach to measure secondhand smoke exposure of pregnant women in the Chinese context. The proposed system could act as a stepping stone that inspires creative methods to help researchers more accurately measure secondhand smoking rates of expectant mothers in China. This, in turn, could help health experts better establish cancer control measures for expectant mothers and decrease their cancer risk.


2020 ◽  
Author(s):  
Zhaohui Su ◽  
Dean McDonnell ◽  
Jaffar Abbas ◽  
Lili Shi ◽  
Yuyang Cai ◽  
...  

UNSTRUCTURED Cancer is the leading cause of death worldwide. Tobacco smoking, including secondhand smoking, causes cancer and is responsible for over 22% of global cancer deaths. The adverse impacts of secondhand smoke are more pronounced for expectant mothers, and can deteriorate both mothers’ and infants’ health and well-being. Research suggests that secondhand smoke significantly increases expectant mothers’ risk of miscarriage, cancer, and other chronic disease conditions, and exposes their unborn babies to an increased likelihood of having life-long poor health. In China, a pregnant woman’s family members, such as her husband, parents, or in-laws, are the most likely people to be smoking around her. Due to traditional Chinese cultural practices, even though some expectant mothers understand the harm of secondhand smoke, they may be reluctant to report their family members’ smoking behaviors. Resulting in severe underreporting, this compromises health experts’ ability to understand the severity of the issue. This paper proposes a novel approach to measure secondhand smoke exposure of pregnant women in the Chinese context. The proposed system could act as a stepping stone that inspires creative methods to help researchers more accurately measure secondhand smoking rates of expectant mothers in China. This, in turn, could help health experts better establish cancer control measures for expectant mothers and decrease their cancer risk.



PLoS ONE ◽  
2016 ◽  
Vol 11 (8) ◽  
pp. e0161761 ◽  
Author(s):  
Xin Wang ◽  
Man Ping Wang ◽  
Kasisomayajula Viswanath ◽  
Alice Wan ◽  
Tai Hing Lam ◽  
...  


Author(s):  
Masayuki Teramoto ◽  
Hiroyasu Iso ◽  
Kenji Wakai ◽  
Akiko Tamakoshi

Abstract We examined whether secondhand smoke exposure during childhood was associated with cancer mortality in adulthood among never smokers. In the Japan Collaborative Cohort Study, we analyzed data from 45,722 Japanese lifetime non-smokers who were aged 40–79 years with no history of cancer at the baseline (1988–1990) and completed a lifestyle questionnaire including the number of family members who smoked at home during their childhood (0/1/2/3+ members). The Cox proportional hazards model and competing risk regression were used to calculate the multivariable hazard ratios (HRs) and subdistribution hazard ratios (SHRs) with 95% confidence intervals (CIs) of all and site-specific cancer mortality, according to the number of smoking family members during the participant’s childhood after adjusting for potential confounding factors. During the median follow-up of 19.2 years, a total of 2,356 deaths from cancer were documented. Secondhand smoke exposure was positively associated with the risk of mortality from pancreatic cancer in adulthood; the multivariable HR of 3+ smoking family members was 2.32 (95% CI: 1.14, 4.72), compared with 0 members. The associations were not evident for the risks of total or other types of smoking-related cancers. In conclusion, secondhand smoke exposure during childhood was associated with an increased risk of mortality from pancreatic cancer in adulthood.



PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 602A-602A
Author(s):  
Jyothi Nagraj Marbin ◽  
Cindy Nelson Purdy ◽  
Gena Lewis ◽  
Kathleen Tebb




2020 ◽  
Vol 130 ◽  
pp. 109807
Author(s):  
Rajeev Subramanyam ◽  
Ignacio E. Tapia ◽  
Bingqing Zhang ◽  
Janell L. Mensinger ◽  
Annery Garcia-Marcinkiewicz ◽  
...  


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Leiter ◽  
K L Greenberg ◽  
M Donchin ◽  
O Keidar ◽  
S Siemiatycki ◽  
...  

Abstract Background Women from low socio-economic, culturally insular populations are at increased risk for cardiovascular disease (CVD). The ultra-Orthodox Jewish (UOJ) community in Israel is a difficult to access, rapidly growing low socio-economic, insular minority with numerous obstacles to health. The current study investigates CVD-related risk factors (RF) in a sample of OUJ women, comparing sample characteristics with the general population. Addressing the questions, 'Are UOJ women at increased risk for CVD?', 'Which RFs should be addressed beyond the general population's?', this study can inform public health initiatives (PHI) for this and similar populations. Methods Self-administered questionnaires completed by a cluster randomized sample of 239 women from a UOJ community included demographics, fruit, vegetables, and sweetened drink consumption, secondhand smoke exposure, physical activity (PA) engagement, and BMI. Population statistics utilized for comparison of demographic and cardiovascular risk factors were obtained from government-sponsored national surveys. Results Compared with the general population, UOJ women were less likely to consume 5 fruits and vegetables a day (12.7% vs. 24.3%, p<.001) and more likely to consume > 5 cups of sweetened beverages a day (18.6% vs. 12.6%, p=.019). UOJ women also reported less secondhand smoke exposure (7.2% vs. 51.4%, p<.001) and higher rates of PA recommendation adherence (60.1% vs. 25.6%, p<.0001) than the general population. Obesity was higher in UOJ women (24.3% vs. 16.1%, p<.0001). Conclusions This study suggests that PHIs in this population target healthy weight maintenance, nutrition, and PA. As a consequence of this study, the first CVD prevention intervention has been implemented in this population, targeting the identified RFs. Utilizing a mixed methods and community-based participatory approach, this innovative 3-year intervention reached over 2,000 individuals. Key messages This study identified nutrition risk behaviors and high levels of obesity in a difficult to access, minority population. This study informed the planning and implementation of a community-based PHI.



Author(s):  
Westley L. Fallavollita ◽  
Elizabeth K. Do ◽  
Julia C. Schechter ◽  
Scott H. Kollins ◽  
Junfeng (Jim) Zheng ◽  
...  

Smoke-free home rules restrict smoking in the home, but biomarkers of secondhand smoke exposure are needed to help understand the association between smoke-free homes and child secondhand smoke exposure. Participants (n = 346) were majority Black/African American mother–child dyads from a longitudinal study in North Carolina. Mothers completed questionnaires on household smoking behaviors and rules, and child saliva samples were assayed for secondhand smoke exposure. Regression models used smoke-free home rules to predict child risk for secondhand smoke exposure. Children in households with smoke-free home rules had less salivary cotinine and risk for secondhand smoke exposure. After controlling for smokers in the household, home smoking rules were not a significant predictor of secondhand smoke exposure. Compared to children in households with no smokers, children in households with at least one smoker but a non-smoking mother (OR 5.35, 95% CI: 2.22, 13.17) and households with at least one smoker including a smoking mother (OR 13.73, 95% CI: 6.06, 33.28) had greater risk for secondhand smoke exposure. Results suggest smoke-free home rules are not sufficient to fully protect children from secondhand smoke exposure, especially in homes with smokers. Future research should focus on how household members who smoke can facilitate the prevention of child secondhand smoke exposure.



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