scholarly journals Effectiveness of Interventions to Reduce Exposure to Parental Secondhand Smoke at Home among Children in China: A Systematic Review

2019 ◽  
Vol 16 (1) ◽  
pp. 107 ◽  
Author(s):  
Yan Hua Zhou ◽  
Yim Wah Mak ◽  
Grace W. K. Ho
Keyword(s):  
Secondhand Smoke ◽  
Tobacco Consumption ◽  
Text Messages ◽  
Family Interactions ◽  
Positive Effects ◽  
Quit Smoking ◽  
Shs Exposure ◽  
Exposure To Secondhand Smoke ◽  
At Home

There are health consequences to exposure to secondhand smoke (SHS). About two-thirds of children in China live with at least one person, usually a parent, who smokes at home. However, none of the reviews of interventions for reducing SHS have targeted children in China. The purpose of this study was to review the effectiveness of interventions for reducing parental SHS exposure at home among children in China. We searched various electronic databases for English and Chinese publications appearing between 1997 and 2017. Thirteen relevant studies were identified. Common strategies used in intervention groups were non-pharmacological approaches such as counseling plus self-help materials, and attempting to persuade fathers to quit smoking. Family interactions and follow-up sessions providing counseling or using text messages could be helpful to successful quitting. Several encouraging results were observed, including lower cotinine levels in children (n = 2), reduced tobacco consumption (n = 5), and increased quit rates (n = 6) among parents. However, the positive effects were not sustained 3~6 months after the interventions. Self-reported quitting without bio-chemical validation was the most common outcome measure. A study design using biochemical validations, a longer follow-up period, and targeting all people living with children in the same household is recommended.

Reducing secondhand smoke exposure at home in rural areas, Thailand: a cluster randomised controlled trial

2020 ◽  
Vol 24 (11) ◽  
pp. 1172-1177
Author(s):  
N. Intarut ◽  
V. Chongsuvivatwong ◽  
P. Pukdeesamai
Keyword(s):  
Randomised Controlled Trial ◽  
Secondhand Smoke ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Text Messages ◽  
Cluster Randomised ◽  
Shs Exposure ◽  
Free Environment ◽  
Randomised Controlled ◽  
At Home

BACKGROUND: Secondhand smoke (SHS) exposure cause of morbidity and mortality, especially in non-smokers and children. This study tested the effectiveness of an intervention for reducing exposure to SHS in homes by creating smoke-free environment where 1 to 5-year old infants reside.METHODS: A cluster randomised controlled trial was conducted in a rural geographic area of Thailand, with 47 villages assigned to either an intervention or a comparison group. The intervention consisted of self-education and infographic material, together with 45 text messages delivered via short message service. The control group received the self-education after the intervention at 3 months. The primary outcome was assessed by parent´s self-reported in exposure to SHS in home. Multiple logistic regression was used to test the effect of the intervention.RESULTS: The effects of the intervention increased the likelihood of a reducing exposure to SHS at home by 1.8-fold (95%CI 1.04 to 3.11). The average number of days of SHS exposure at home (7 days) also decreased by –1.25-fold (95%CI –1.85 to –0.66) in the intervention group.CONCLUSION: The effectiveness of the intervention in reducing SHS exposure at home by a creating a smoke-free environment was observed to be statistically significant.

Childhood Secondhand Smoke Exposure and Risk of Dementia, Alzheimer’s Disease and Stroke in Adulthood: A Prospective Cohort Study

2021 ◽  
pp. 1-6
Author(s):  
S. Zhou ◽  
K. Wang
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Secondhand Smoke ◽  
Smoking Status ◽  
Smoke Exposure ◽  
Secondhand Smoke Exposure ◽  
Heart Study ◽  
Wide Range ◽  
Exposure To Secondhand Smoke

Background: This study aimed to investigate the associations between secondhand smoke exposure and dementia, Alzheimer’s disease (AD) and stroke. Methods: This prospective study analyzed Framingham Offspring (FHS-OS) cohort participants with parents in the original Framingham Heart Study (FHS) cohort with known smoking status during offspring childhood. Surveillance for incident events, including dementia and stroke, among offspring participants exposed to parental smoking up to the age of 18 years commenced at examination 9 through 2014 and continued for approximately 30 years. Results: At baseline, a total of 1683 (56.2%) subjects were not exposed to any secondhand smoke, whereas 670 (22.4%) subjects were exposed to 0-1 packs (20 cigarettes)/day, and 640 (21.4%) were exposed to over 1 pack/day. On follow-up (median: 31 years), 2993 patients developed dementia, including 103 with AD dementia and 315 with stroke. After adjusting for a wide range of established risk factors, participants with the highest exposure to secondhand smoke exhibited increased risks of all dementia, AD dementia and stroke compared with individuals with no exposure [HR 2.86 (2.00-4.09) for dementia; HR 3.13 (1.80-5.42) for AD dementia; HR 1.89 (1.37-2.61) for stroke]. The results remained comparable in the subgroup for individuals with median exposure to secondhand smoke. Conclusion: Exposure to secondhand smoke may be associated with increased risks of dementia, AD dementia and stroke.

Effects of Secondhand Smoke Exposure and Noise Exposure on Tinnitus Occurrence in College Students and Adolescents

2019 ◽  
Author(s):  
Laurel Elise Money ◽  
Ishara Ramkissoon
Keyword(s):  
Risk Factors ◽  
College Students ◽  
Young Adults ◽  
Secondhand Smoke ◽  
Noise Exposure ◽  
Adolescents And Young Adults ◽  
Chi Square ◽  
Main Effect ◽  
Shs Exposure

Background: Recent research indicated that young adults and adolescents reported tinnitus in highernumbers than previously. Thus, it is important to fully investigate risk factors for tinnitus in adolescentsand young adults.<br />Purpose: The current study examined the influence of two environmental risk factors, secondhandsmoke (SHS) exposure and noise exposure on tinnitus occurrence as self-reported by U.S. adolescentsand young adults.<br />Research Design: A nonexperimental, cross-sectional design was used for this survey study.<br />Study Sample: Of 265 surveys received, 43 were excluded due to ineligibility. The remaining 222 surveysconstituted the study sample. Participant respondents included 80 high school students (ages14–17) and 142 college students (ages 18–30). The sample was primarily female (n = 160).<br />Data Collection and Analysis: Three (3) yes/no survey questions regarding SHS exposure, noise exposure,and tinnitus occurrence were analyzed. Statistical analyses included logistic regression, chisquarefollow-up tests, and Pearson bivariate correlation analysis.<br />Results: Results revealed that 40 percent of young adults and adolescents surveyed reported that they experiencedtinnitus. Regression analysis revealed significant main effects for noise (p = 0.004), gender (p =0.017), and the interaction of SHS and noise (p = 0.001). There was no main effect of SHS exposurenor age on tinnitus occurrence. Follow-up chi-square analysis conducted to probe the gender effectrevealed that females (45.1 percent) were more likely to experience tinnitus than males (27.7 percent). Chi-squaretesting to examine the significant interaction effect revealed statistical significance (p = 0.001) for individualswith reported noise exposure but not for individuals without noise exposure. In the noise-exposedgroup, individuals who also reported SHS exposure had a lower occurrence of tinnitus (23.6 percent). In contrast,the noise-exposed individuals without SHS exposure had a higher prevalence of tinnitus (57.9 percent).An additional chi-square follow-up analysis to examine the main effect of noise revealed no significance(p = 0.199). However, there was a significant (p < 0.01) negative correlation (r = –0.244) of noise exposurewith age.<br />Conclusion: The current study results suggest there is a higher than expected report of tinnitus incidencein adolescents and young adults. The relationship between tinnitus occurrence and a combinedexposure to noise and secondhand smoke revealed a unique effect in adolescents and young adults.<br />

scholarly journals Children's exposure to secondhand smoke at home before and after smoke-free legislation in Taiwan

2016 ◽  
Vol 26 (6) ◽  
pp. 690-696 ◽  
Author(s):  
Ying-Ting Wang ◽  
Yi-Wen Tsai ◽  
Tzu-I Tsai ◽  
Po-Yin Chang
Keyword(s):  
Secondhand Smoke ◽  
Before And After ◽  
Exposure To Secondhand Smoke ◽  
Children’S Exposure ◽  
At Home

scholarly journals Changes in secondhand smoke exposure levels and risk of type 2 diabetes in middle age: the Korean Genome and Epidemiology Study (KoGES)

2019 ◽  
Vol 7 (1) ◽  
pp. e000859 ◽  
Author(s):  
Jooeun Jeon ◽  
Keum Ji Jung ◽  
Heejin Kimm ◽  
Sun Ha Jee
Keyword(s):  
Type 2 Diabetes ◽  
Secondhand Smoke ◽  
Middle Age ◽  
Exposure Level ◽  
Epidemiology Study ◽  
Shs Exposure ◽  
Exposure Levels ◽  
Incident Cases

ObjectivesSecondhand smoke (SHS) was known as one of the risk factors for type 2 diabetes. So far, some studies revealed the association of SHS exposure and type 2 diabetes, however, no studies to show the relationship of cumulative SHS exposure with type 2 diabetes exist. Therefore, the objectives of this study were to identify subgroups of participants who share similar trajectories in SHS exposure levels in middle age by using latent class growth modeling, and determine the independent association of these SHS exposure level trajectories with risk of incident type 2 diabetes.MethodsIn Korean Genome and Epidemiology Study (2001–2014), 2079 participants aged 40 years and above who received biennially health check-up to follow-up and with available information of SHS exposure were selected. Four distinct trajectory groups (low-stable, moderate to low, moderate, and high to low) were identified for SHS exposure levels using trajectory modeling methods. Multivariable Cox proportional hazards model was used to examine the association of trajectories with risk of type 2 diabetes.ResultsDuring 24 083.3 person-years of follow-up (mean follow-up duration, 11.6 years), 200 incident cases of type 2 diabetes and 640 incident cases of impaired fasting glucose (IFG) were identified. In multivariable Cox model, ‘High to low’ trajectory was significantly associated with risk of type 2 diabetes (OR 1.9; 95% CI 1.3 to 2.8) compared with ‘Low-stable’. For IFG, all trajectories had significantly 30%–30% higher risk of type 2 diabetes compared with the ‘Low-stable’ trajectory.ConclusionsChanges in SHS exposure levels have been shown to associate with subsequent type 2 diabetes risk. Reversing high exposure level of SHS in middle-aged adulthood may still lead to worse progressions of type 2 diabetes than remaining stable exposure level.

scholarly journals A Mobile Health Intervention for Adolescents Exposed to Secondhand Smoke: Pilot Feasibility and Efficacy Study

10.2196/18583 ◽  
2020 ◽  
Vol 4 (8) ◽  
pp. e18583
Author(s):  
Natalie Nardone ◽  
Jeremy Giberson ◽  
Judith J Prochaska ◽  
Shonul Jain ◽  
Neal L Benowitz
Keyword(s):  
Pilot Study ◽  
Mobile Health ◽  
Secondhand Smoke ◽  
Text Messaging ◽  
Text Message ◽  
Preliminary Evidence ◽  
Text Messages ◽  
Urinary Cotinine ◽  
Mhealth Intervention ◽  
Shs Exposure

Background Secondhand smoke (SHS) exposure in children and adolescents has adverse health effects. For adolescents of lower socioeconomic status (SES), exposure is widespread, evidenced in the measurement of urinary cotinine, a major metabolite of nicotine. Direct intervention with exposed children has been proposed as a novel method, yet there is minimal evidence of its efficacy. Combining this approach with a mobile health (mHealth) intervention may be more time and cost-effective and feasible for adolescent populations. Objective In this pilot study, we assessed the feasibility and preliminary evidence of efficacy of a 30-day text message–based mHealth intervention targeted at reducing SHS exposure in adolescent populations of low SES. Methods For the study, 14 nonsmoking and nonvaping participants between the ages of 12-21 years exposed to SHS were enrolled. The intervention consisted of a daily text message sent to the participants over the course of a month. Text message types included facts and information about SHS, behavioral methods for SHS avoidance, or true-or-false questions. Participants were asked to respond to each message within 24 hours as confirmation of receipt. Feasibility outcomes included completion of the 30-day intervention, receiving and responding to text messages, and feedback on the messages. Efficacy outcomes included a reduction in urinary cotinine, accuracy of true-or-false responses, and participants’ perceptions of effectiveness. Results Of the 14 participants that were enrolled, 13 completed the intervention. Though not required, all participants had their own cell phones with unlimited text messaging plans. Of the total number of text messages sent to the 13 completers, 91% (372/407) of them received on-time responses. Participant feedback was generally positive, with most requesting more informational and true-or-false questions. In terms of efficacy, 54% (6/11) of participants reduced their cotinine levels (however, change for the group overall was not statistically significant (P=.33) and 45% (5/11) of participants increased their cotinine levels. Of the total number of true-or-false questions sent across all completers, 77% (56/73) were answered correctly. Participants’ ratings of message effectiveness averaged 85 on a scale of 100. Conclusions In this pilot study, the intervention was feasible as the majority of participants had access to a cell phone, completed the study, and engaged by responding to the messages. The efficacy of the study requires further replication, as only half of the participants reduced their cotinine levels. However, participants answered the majority of true-or-false questions accurately and reported that the messages were helpful.

scholarly journals Exposure to Secondhand Smoke: Inconsistency between Self-Response and Urine Cotinine Biomarker Based on Korean National Data during 2009–2018

2021 ◽  
Vol 18 (17) ◽  
pp. 9284
Author(s):  
Boram Sim ◽  
Myung-Bae Park
Keyword(s):  
Secondhand Smoke ◽  
Vulnerable Groups ◽  
Exposure Rate ◽  
Short Term ◽  
The Past ◽  
Health And Nutrition ◽  
Urine Cotinine ◽  
Short Term Exposure ◽  
Shs Exposure ◽  
Exposure To Secondhand Smoke

This study aimed to estimate the secondhand smoke (SHS) exposure using urinary cotinine (UCo) to prove that the SHS exposure could not be properly assessed by self-reporting (SR). In total, 28,574 nonsmokers aged >19 years were selected from the Korean National Health and Nutrition Examination Survey data (2009–2018). First, changes in the annual concentration of UCo were analyzed, and the annual SHS exposure rates were measured based on SR and UCo from 2009 to 2018. Then, the average UCo concentration and UCo-measured SHS exposure rate were confirmed according to the subjects’ characteristics. Finally, factors associated with the UCo-measured SHS exposure rate were identified based on multiple regression analysis. The findings showed that the annual UCo concentrations and self-reported SHS exposure rates dropped significantly over the past decade. In contrast, the UCo-measured SHS exposure rate indicated that >80% of nonsmokers are still exposed to SHS. Moreover, we found vulnerable groups using UCo-measured SHS exposure rate. In particular, the self-reported SHS exposure at home and in workplaces and house type was highly associated with SHS exposure. Thus, these findings indicate that the actual SHS exposure could not be properly assessed by SR and should be verified using a biomarker, such as UCo. Considering that even a short-term exposure can be harmful to health, the goal of the policy should be to keep cotinine concentration as low as possible.

scholarly journals Smoking behavior of the population of Chuvashia on the results of dynamic observation

2020 ◽  
Vol 64 (5) ◽  
pp. 271-277
Author(s):  
Elena A. Naumova ◽  
Tatyana I. Bonkalo ◽  
Andrey V. Golenkov ◽  
Svetlana V. Shmeleva ◽  
Natalya N. Kamynina ◽  
...  
Keyword(s):  
Health Worker ◽  
Secondhand Smoke ◽  
Smoking Behavior ◽  
Tobacco Consumption ◽  
Lactating Women ◽  
The Past ◽  
Quit Smoking ◽  
Quitting Smoking ◽  
Chuvash Republic ◽  
Cigarette Packs

The purpose of the research is to study smoking behavior in Chuvashia (one of the regions of Russia) in dynamics from 2014 to 2019. Material and methods. 2513 residents of the Chuvash Republic (1165 men and 1348 women) aged 15 to 92 years (average age - 43.0 ± 16.9 years) were interviewed anonymously. The questionnaire was used for the Global Adult Tobacco Survey (GATS), which is the standard for monitoring global tobacco use. Results. In 2019, 19.9% of the respondents (36.7% among men and 5.4% among women) regularly used tobacco products. On average, they smoked more than 14 cigarettes a day, the average age at starting daily smoking was 17.8 years. 53.8% of smokers have sought medical help in the last year and 76.2% of them received advice from a health worker to quit smoking. In 2019, compared to 2014, the number of intermittent smokers and former daily smokers significantly decreased. The average age of starting smoking increased from 16.5 to 17,8 years (for women it decreased from 18 to 17.7 years). Men began to try to quit smoking more often, while women did it less often. Both received the advice of a health worker to quit smoking more often. The respondents were less likely to pay attention to information on cigarette packs about the dangers of smoking, especially women, and, as a result, fewer smokers of both sexes thought about quitting smoking. The positive tendencies include a significant decrease in secondhand smoke at home (14,8%) and work (10%), including secondhand smoke among pregnant and lactating women. Conclusion. Over the past five years, the number of smokers in the Chuvash Republic has remained stable, which is associated with the state policy to combat tobacco consumption in Russia. However, a decrease in the proportion of the respondents who pay attention to information about the dangers of tobacco and who are less likely to think about abandoning tobacco smoking requires the search for new forms of prevention of smoking behavior among the residents of Chuvashia.

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