DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20150480
Published: 2017-02-05

Exposure to environmental tobacco smoke among non-smoker adult females in urban households of Aligarh, India

Malik Shanawaz Ahmed, Arslan Neyaz

Abstract


Background: Environmental tobacco smoke is a serious global public health problem. A better understanding of the correlates of Environmental tobacco smoke exposure could guide the development of evidence based Environmental tobacco smoke exposure reduction interventions. The study is conducted with the objective to describe the pattern of and factors associated with Environmental tobacco smoke exposure among non-smoking adult females in urban areas of Aligarh, Uttar Pradesh, India.

Methods: A total of 439 households were selected by systematic random sampling. One non-smoker adult female was selected randomly from each household. Her exposure to Environmental tobacco smoke was recorded along with socio-demographic characteristic as age, education, occupation, type of family, socio-economic status using a semi-structured questionnaire based on Global Adult Tobacco Survey methodology. Her knowledge regarding harmful effects of Environmental tobacco smoke was also enquired. Data analysis was done using Chi Square test.

Results: Environmental tobacco smoke exposure rate at home among the participants was 33.5%. Females with lower levels of education and lower socio-economic status had higher exposure to Environmental tobacco smoke than their counterparts with the difference being statistically significant.  Only 59.2% of the participants considered exposure to Environmental tobacco smoke to be harmful to health with the knowledge being significantly poor in those who were not exposed to Environmental tobacco smoke and had lower levels of education and socio-economic status.

Conclusion: The findings suggest the need for comprehensive tobacco control measures that would improve public understanding about health hazards of Environmental tobacco smoke exposure at home and encourage educational initiatives to promote smoke-free homes.


Keywords


Environmental tobacco smoke, Female, Non-smoker

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References


National Toxicology Program. 11th Report on Carcinogens. U.S. Department of Health and Human Services, Public Health Service, National Toxicology Program, 2005.

World Health Organization (WHO). WHO Report on the Global Tobacco Epidemic, 2008. The MPOWER Package. Geneva, Switzerland: World Health Organization, 2008. Available at: http://www.who.int/tobacco/mpower/mpower_report_ full_2008.pdf. Accessed on May 26, 2010.

Wang CP, Ma SJ, Xu XF, Wang JF, Yang GH. The prevalence of household second-hand smoke exposure and its correlated factors in six counties of China. Tob Control. 2009;18:121–6.

Ministry of Law and Justice, Government of India. The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003. New Delhi: Ministry of Health and Family Welfare, Government of India.

World Health Organization (WHO). WHO Framework Convention on Tobacco Control. Geneva, Switzerland: World Health Organization, 2009. Available at: http://www.who.int/fctc/text_ download/en/index.html. Accessed on March 27, 2011.

United States Department of Health and Human Services (USDHHS). The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, 2006.

World Health Organization. WHO Report on the Global Tobacco Epidemic, 2009: Implementing Smoke Free Environments. Geneva, Switzerland: World Health Organization, 2009.

Ministry of Health and Family Welfare, Government of India. Global Adult Tobacco Survey GATS India 2009–2010; 2010. Available at: www.searo.who.int/linkfiles/regional_tobacco_surveil¬lance_system_gats_india.pdf. Accessed on June 12, 2012.

Subramanian SV, Nandy S, Kelly M, Gordon D, Davey Smith G. Patterns and distribution of tobacco consumption in India: cross sectional multilevel evidence from the 1998–9 national family health survey. BMJ. 2004;328:801–6.

Gupta B. Burden of smoked and smokeless tobacco consumption in India—results from the global adult tobacco survey India (GATS-India)—2009–2010. Asian Pac J Cancer Prev. 2013;14:3323–9.

11. He Q, Wang J, Zhu Y, Peng WJ. Prevalence of passive smoking among inland residents in China: a systematic analysis of 2000–2009 studies. [Article in Chinese] Zhonghua Liu Xing Bing Xue Za Zhi. 2011;32:159–63.

Twose J, Schiaffino A, Garcia M, Borras JM, Fernández E. Correlates of exposure to second-hand smoke in an urban Mediterranean population. BMC Public Health. 2007;7:194.

Kalkhoran S, Neilands TB, Ling PM. Secondhand smoke exposure and smoking behavior among young adult bar patrons. Am J Public Health. 2013;103:2048–55.

Max W, Sung HY, Shi Y. Exposure to secondhand smoke at home and at work in California. Public Health Rep. 2012;127:81–8.

Abdullah AS, Hitchman SC, Driezen P, Nargis N, Quah ACK, Fong GT. Socioeconomic differences in exposure to tobacco smoke pollution (TSP) in Bangladeshi households with children: findings from the International Tobacco Control (ITC) Bangladesh Survey. Int J Environ Res Public Health. 2011;8:842–60.

Brownson RC, Jackson-Thompson J, Wilkerson JC, Davis JR, Owens NW, Fisher EB, Jr. Demographic and socioeconomic differences in beliefs about the health effects of smoking. Amer J Public Health. 1992;82:99–103.

Nisar N, Qadri MH, Fatima K, Perveen S. A community based study about knowledge and practices regarding tobacco Consumption and passive smoking in Gadap Town, Karachi. J Pak Med Assoc. 2007;57:186–8.

Winickoff J, Gottlieb M, Michelle M. Regulation of smoking in public housing. N Engl J Med. 2010;362:2319–25.