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Secondhand smoke exposure among women and children: Evidence from 31 countries

Author

Listed:
  • Wipfli, H.
  • Avila-Tang, E.
  • Navas-Acien, A.
  • Kim, S.
  • Onicescu, G.
  • Yuan, J.
  • Breysse, P.
  • Samet, J.M.

Abstract

Objectives. We sought to describe the range of exposure to secondhand smoke (SHS) among women and children living with smokers around the world and generate locally relevant data to motivate the development of tobacco control policies and interventions in developing countries. Methods. In 2006, we conducted a cross-sectional exposure survey to measure air nicotine concentrations in households and hair nicotine concentrations among nonsmoking women and children in convenience samples of 40 households in 31 countries. Results. Median air nicotine concentration was 17 times higher in households with smokers (0.18 μg/m3) compared with households without smokers (0.01 μg/m3). Air nicotine and hair nicotine concentrations in women and children increased with the number of smokers in the household. The dose-response relationship was steeper among children. Air nicotine concentrations increased an estimated 12.9 times (95% confidence interval=9.4, 17.6) in households allowing smoking inside compared with those prohibiting smoking inside. Conclusions. Our results indicate that women and children living with smokers are at increased risk of premature death and disease from exposure to SHS. Interventions to protect women and children from household SHS need to be strengthened.

Suggested Citation

  • Wipfli, H. & Avila-Tang, E. & Navas-Acien, A. & Kim, S. & Onicescu, G. & Yuan, J. & Breysse, P. & Samet, J.M., 2008. "Secondhand smoke exposure among women and children: Evidence from 31 countries," American Journal of Public Health, American Public Health Association, vol. 98(4), pages 672-679.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.126631_9
    DOI: 10.2105/AJPH.2007.126631
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    Cited by:

    1. Laura J. Rosen & Vicki Myers & Jonathan P. Winickoff & Jeff Kott, 2015. "Effectiveness of Interventions to Reduce Tobacco Smoke Pollution in Homes: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 12(12), pages 1-17, December.
    2. Glorietta Hurd-Kundeti & Anne Berit Petersen & Khamphithoun Somsamouth & Pramil N. Singh, 2019. "Air Pollution in a Nationally Representative Sample: Findings from the National Adult Tobacco Survey of Lao PDR," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    3. Muxing Xie & Chunrong Jia & Yawei Zhang & Beibei Wang & Ning Qin & Suzhen Cao & Liyun Zhao & Dongmei Yu & Xiaoli Duan, 2020. "Household Exposure to Secondhand Smoke among Chinese Children: Status, Determinants, and Co-Exposures," IJERPH, MDPI, vol. 17(15), pages 1-12, July.
    4. Yan Hua Zhou & Yim Wah Mak & Grace W. K. Ho, 2019. "Effectiveness of Interventions to Reduce Exposure to Parental Secondhand Smoke at Home among Children in China: A Systematic Review," IJERPH, MDPI, vol. 16(1), pages 1-17, January.
    5. Denis Vinnikov & Nurlan Brimkulov & Shahida Shahrir & Patrick Breysse & Ana Navas-Acien, 2010. "Excessive Exposure to Secondhand Tobacco Smoke among Hospitality Workers in Kyrgyzstan," IJERPH, MDPI, vol. 7(3), pages 1-9, March.
    6. Chau Quy Ngo & Giap Van Vu & Phuong Thu Phan & Hanh Thi Chu & Lan Phuong Thi Doan & Anh Tu Duong & Quan-Hoang Vuong & Manh-Tung Ho & Minh-Hoang Nguyen & Hong-Kong T. Nguyen & Hai Thanh Phan & Giang Ha, 2020. "Passive Smoking Exposure and Perceived Health Status in Children Seeking Pediatric Care Services at a Vietnamese Tertiary Hospital," IJERPH, MDPI, vol. 17(4), pages 1-12, February.
    7. Lubica Argalasova & Ingrid Zitnanova & Diana Vondrova & Monika Dvorakova & Lucia Laubertova & Jana Jurkovicova & Juraj Stofko & Michael Weitzman & Iveta Waczulikova & Martin Simko, 2019. "Self-Reported Exposure to ETS (Environmental Tobacco Smoke), Urinary Cotinine, and Oxidative Stress Parameters in Pregnant Women—The Pilot Study," IJERPH, MDPI, vol. 16(9), pages 1-14, May.
    8. Aleksandra Suchanecka & Jolanta Chmielowiec & Krzysztof Chmielowiec & Grzegorz Trybek & Aleksandra Jaroń & Wojciech Czarny & Paweł Król & Jolanta Masiak & Anna Grzywacz, 2022. "Serotonin Receptor HTR3A Gene Polymorphisms rs1985242 and rs1062613, E-Cigarette Use and Personality," IJERPH, MDPI, vol. 19(8), pages 1-14, April.
    9. Oyewale Mayowa Morakinyo & Matlou Ingrid Mokgobu, 2022. "Indoor Household Exposures and Associated Morbidity and Mortality Outcomes in Children and Adults in South Africa," IJERPH, MDPI, vol. 19(15), pages 1-20, August.
    10. Ludmila Sevcikova & Jana Babjakova & Jana Jurkovicova & Martin Samohyl & Zuzana Stefanikova & Erika Machacova & Diana Vondrova & Etela Janekova & Katarina Hirosova & Alexandra Filova & Michael Weitzma, 2018. "Exposure to Environmental Tobacco Smoke in Relation to Behavioral, Emotional, Social and Health Indicators of Slovak School Children," IJERPH, MDPI, vol. 15(7), pages 1-13, June.
    11. Huda Gharaibeh & Linda Haddad & Sukaina Alzyoud & Omar El-Shahawy & Nesrin Abu Baker & Mary Umlauf, 2011. "Knowledge, Attitudes, and Behavior in Avoiding Secondhand Smoke Exposure Among Non-Smoking Employed Women with Higher Education in Jordan," IJERPH, MDPI, vol. 8(11), pages 1-13, November.
    12. World Health Organization Regional Office for South-East Asia, 2017. "Tobacco control for sustainable development," University of California at San Francisco, Center for Tobacco Control Research and Education qt4nn7k3jr, Center for Tobacco Control Research and Education, UC San Francisco.

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