IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i7p1499-d158215.html
   My bibliography  Save this article

Discrepancy between Self-Reported and Urine Cotinine-Verified Environmental Tobacco Smoke Exposure among Rural Pregnant Women in China

Author

Listed:
  • Xia Xiao

    (School of Public Health, Kunming Medical University, 1168 Chunrongxilu Road, Yuhua Neighborhood, Chenggong, Kunming, Yunnan 650500, China)

  • Yan Li

    (School of Public Health, Kunming Medical University, 1168 Chunrongxilu Road, Yuhua Neighborhood, Chenggong, Kunming, Yunnan 650500, China)

  • Xiaoxiao Song

    (School of Public Health, Kunming Medical University, 1168 Chunrongxilu Road, Yuhua Neighborhood, Chenggong, Kunming, Yunnan 650500, China)

  • Qinghua Xu

    (School of Public Health, Kunming Medical University, 1168 Chunrongxilu Road, Yuhua Neighborhood, Chenggong, Kunming, Yunnan 650500, China)

  • Siwei Yang

    (School of Public Health, Kunming Medical University, 1168 Chunrongxilu Road, Yuhua Neighborhood, Chenggong, Kunming, Yunnan 650500, China)

  • Jie Wu

    (School of Public Health, Kunming Medical University, 1168 Chunrongxilu Road, Yuhua Neighborhood, Chenggong, Kunming, Yunnan 650500, China)

  • Edmund Seto

    (School of Public Health, University of Washington, Box 357230, Seattle, WA 98195, USA)

Abstract

Prenatal exposure to environmental tobacco smoke (ETS) is the most modifiable risk factor associated with adverse child-health outcomes. However, few longitudinal studies are implemented to compare the rates of discrepancy between self-reported (SR) and urinary cotinine (UC)-verified ETS exposure during the three trimesters of pregnancy, especially in rural areas. The objectives of this study were to assess the discrepancy between SR and UC-verified ETS exposure among rural women employing three measures throughout pregnancy, and to explore predictors related to these differences. This study used a prospective prenatal cohort consisting of 420 pregnant women whose ETS exposure was entirely evaluated by both SR and UC verification across three trimesters of pregnancy. Environmental tobacco exposure was assessed via SR verification, and was validated using the limit of detection for UC. The discrepancy rates were determined for each trimester. Multivariate logistic regression was used to assess the predictors associated with these differences. The discrepancy rates between SR and UC verification were 25.2%, 17.1%, and 20.5% (first, second, and third trimester, respectively). The highest inconsistency occurred in the first trimester. After adjusting for confounding factors, the following variables were found to have statistically significant associations with the discrepancy rate between SR and UC-verified ETS exposure: the number of smokers in the family and household income for all three trimesters, township site for the second and third trimester, and gravidity for the last trimester. The SR rate of ETS exposure among rural pregnant women is underreported, while the UC-verified rate is higher. More smokers in the family and gravidity may increase the risk of ETS exposure for pregnant women. Biochemical validation is warranted throughout pregnancy for the adoption of home-smoking bans and the promotion of community-based smoke-free programs.

Suggested Citation

  • Xia Xiao & Yan Li & Xiaoxiao Song & Qinghua Xu & Siwei Yang & Jie Wu & Edmund Seto, 2018. "Discrepancy between Self-Reported and Urine Cotinine-Verified Environmental Tobacco Smoke Exposure among Rural Pregnant Women in China," IJERPH, MDPI, vol. 15(7), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1499-:d:158215
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/7/1499/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/7/1499/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jun Hyun Hwang & Jong Yeon Kim & Do Hoon Lee & Hye Gyoun Jung & Soon-Woo Park, 2018. "Underestimation of Self-Reported Smoking Prevalence in Korean Adolescents: Evidence from Gold Standard by Combined Method," IJERPH, MDPI, vol. 15(4), pages 1-10, April.
    2. World Health Organization, 2007. "Protection From Exposure to Second-Hand Tobacco Smoke: Policy recommendations," University of California at San Francisco, Center for Tobacco Control Research and Education qt0nb6z24q, Center for Tobacco Control Research and Education, UC San Francisco.
    3. World Health Organization, 2007. "Protection from exposure to second-hand tobacco smoke. Policy recommendations," University of California at San Francisco, Center for Tobacco Control Research and Education qt3t77f8th, Center for Tobacco Control Research and Education, UC San Francisco.
    4. Hong Cui & Ting-Ting Gong & Cai-Xia Liu & Qi-Jun Wu, 2016. "Associations between Passive Maternal Smoking during Pregnancy and Preterm Birth: Evidence from a Meta-Analysis of Observational Studies," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-18, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hanns Moshammer & Hans-Peter Hutter, 2019. "Breast-Feeding Protects Children from Adverse Effects of Environmental Tobacco Smoke," IJERPH, MDPI, vol. 16(3), pages 1-6, January.
    2. 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.
    3. Meiman Maggie Chen & Su-Er Guo & Chi-Pin Yuan & Chizimuzo Okoli & Yen-Chi Liao, 2021. "Association between Self-Reported Survey Measures and Biomarkers of Second-Hand Tobacco Smoke Exposure in Non-Smoking Pregnant Women," IJERPH, MDPI, vol. 18(17), pages 1-10, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ciccarelli, Carlo & De Fraja, Gianni & Vuri, Daniela, 2021. "Effects of passive smoking on prenatal and infant development: Lessons from the past," Economics & Human Biology, Elsevier, vol. 42(C).
    2. Terefe Gelibo Argefa & Selam Abraham Kassa & Noreen Dadirai Mdege, 2022. "Second-Hand Tobacco Smoke Exposure and Smoke-Free Environments in Ethiopia: A Scoping Review and Narrative Synthesis," IJERPH, MDPI, vol. 19(14), pages 1-14, July.
    3. Martin, Kimberley & Dono, Joanne & Sharplin, Greg & Bowden, Jacqueline & Miller, Caroline, 2017. "Staff and patient perspectives of a smoke-free health services policy in South Australia: A state-wide implementation," Health Policy, Elsevier, vol. 121(8), pages 895-902.
    4. Carmela Protano & Roberta Andreoli & Paola Manini & Matteo Vitali, 2012. "How home-smoking habits affect children: a cross-sectional study using urinary cotinine measurement in Italy," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(6), pages 885-892, December.
    5. Olivia Wynne & Ashleigh Guillaumier & Laura Twyman & Sam McCrabb & Alexandra M. J. Denham & Christine Paul & Amanda L. Baker & Billie Bonevski, 2018. "Signs, Fines and Compliance Officers: A Systematic Review of Strategies for Enforcing Smoke-Free Policy," IJERPH, MDPI, vol. 15(7), pages 1-14, July.
    6. Prabhdeep Kaur, 2010. "Monitoring tobacco use and implementation of prevention policies is vital for strengthening tobacco control: an Indian perspective," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(3), pages 229-230, June.
    7. Madhur Verma & Soundappan Kathirvel & Milan Das & Ramnika Aggarwal & Sonu Goel, 2020. "Trends and patterns of second-hand smoke exposure amongst the non-smokers in India-A secondary data analysis from the Global Adult Tobacco Survey (GATS) I & II," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-18, June.
    8. Kaiyong Huang & Hailian Chen & Jing Liao & Guangmin Nong & Li Yang & Jonathan P. Winickoff & Zhiyong Zhang & Abu S. Abdullah, 2016. "Factors Associated with Complete Home Smoking Ban among Chinese Parents of Young Children," IJERPH, MDPI, vol. 13(2), pages 1-10, January.
    9. 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.
    10. Nagelhout, Gera E. & Mons, Ute & Allwright, Shane & Guignard, Romain & Beck, François & Fong, Geoffrey T. & de Vries, Hein & Willemsen, Marc C., 2011. "Prevalence and predictors of smoking in "smoke-free" bars. Findings from the International Tobacco Control (ITC) Europe Surveys," Social Science & Medicine, Elsevier, vol. 72(10), pages 1643-1651, May.
    11. Jun Hyun Hwang & Soon-Woo Park, 2016. "Sex and Age Differences in Exposure to Secondhand Smoke at Home among Korean Adolescents: A Nationally Representative Survey," IJERPH, MDPI, vol. 13(2), pages 1-9, February.
    12. Mastura Johar & Manimaran Krishnan Kaundan & Samsudin A. Rahim & Nur Faezah Hamzah & Hana Marlin Mahfodz & Baharudin Omar & Chang Peng Kee, 2018. "Public Inputs and Behaviour on Smoke-Free Initiatives in Malaysia," International Journal of Asian Social Science, Asian Economic and Social Society, vol. 8(7), pages 346-353, July.
    13. Christine Ngaruiya & Mbatha Wambua & Thomas Kedera Mutua & Daniel Owambo & Morgan Muchemi & Kipkoech Rop & Kaitlin R Maciejewski & Rebecca Leff & Mugane Mutua & Benjamin Wachira, 2021. "The last frontier for global non-communicable disease action: The emergency department—A cross-sectional study from East Africa," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-20, April.
    14. Emilia Krakowiak & Katarzyna Sygit & Marian Sygit & Elżbieta Cipora & Jan Krakowiak, 2020. "Exposure to Environmental Tobacco Smoke (ETS) among Employees of Hospitality Venues in the Light of Changes in Anti-Tobacco Legislation in Poland," IJERPH, MDPI, vol. 17(10), pages 1-19, May.
    15. Ernesto M. Sebrié & Verónica Schoj & Mark J. Travers & Barbara McGaw & Stanton A. Glantz, 2012. "Smokefree Policies in Latin America and the Caribbean: Making Progress," IJERPH, MDPI, vol. 9(5), pages 1-17, May.
    16. Eunkye Kang & Soo Young Kim & Seong Sil Chang & Sinye Lim & Hwan-Cheol Kim & Chul-Gab Lee & Yu-Mi Kim & Su Young Kim & Kee-Jae Lee & Suejin Kim & Mina Ha, 2017. "Environmental Tobacco Smoke Exposure at Home and High-Sensitivity C-Reactive Protein Levels in Three-to-Five-Year-Old Children," IJERPH, MDPI, vol. 14(10), pages 1-11, September.
    17. Ueda, Hiroshi & Armada, Francisco & Kashiwabara, Mina & Yoshimi, Itsuro, 2011. "Street smoking bans in Japan: A hope for smoke-free cities?," Health Policy, Elsevier, vol. 102(1), pages 49-55, September.
    18. Thi Phuong Thao Tran & Jinju Park & Eunjung Park & Sang Hwa Shin & Yu-Jin Paek & Yun Hee Kim & Min Kyung Lim, 2020. "Effect of Additional Motivational Interviewing on Smoking Abstinence for 1-Year among Korean Adolescents: Results from A Comparative Retrospective Study in Quitline," IJERPH, MDPI, vol. 17(21), pages 1-17, October.
    19. Catherine Hayes & Morgan Kearney & Helen O’Carroll & Lina Zgaga & Michael Geary & Cecily Kelleher, 2016. "Patterns of Smoking Behaviour in Low-Income Pregnant Women: A Cohort Study of Differential Effects on Infant Birth Weight," IJERPH, MDPI, vol. 13(11), pages 1-15, October.
    20. Gillian S. Gould & Alys Havard & Ling Li Lim & The PSANZ Smoking in Pregnancy Expert Group & Ratika Kumar, 2020. "Exposure to Tobacco, Environmental Tobacco Smoke and Nicotine in Pregnancy: A Pragmatic Overview of Reviews of Maternal and Child Outcomes, Effectiveness of Interventions and Barriers and Facilitators," IJERPH, MDPI, vol. 17(6), pages 1-34, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1499-:d:158215. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.