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Non-Smoker’s Exposure to Second-Hand Smoke in South Africa during 2017

Author

Listed:
  • Senamile P. Ngobese

    (Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Pretoria 0001, South Africa)

  • Catherine O. Egbe

    (Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Pretoria 0001, South Africa
    Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa)

  • Mukhethwa Londani

    (Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Pretoria 0001, South Africa)

  • Olalekan A. Ayo-Yusuf

    (Africa Centre for Tobacco Industry Monitoring and Policy Research, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa)

Abstract

Current South African tobacco control law allows for 25% designated smoking areas in some indoor public places. This study investigates non-smokers’ exposure to second-hand smoke (SHS) in workplaces, homes, cafés/restaurants, and shebeens (local bars) using data from the 2017 South African Social Attitude Survey. Factors associated with any level of exposure were explored using multiple-variable-adjusted logistic regression analysis. The sample of 3063 participants (16+ years old), comprised 51.7% females and 78.5% Black Africans. The current smoking prevalence from this study was 21.5%. About 47% of non-smokers reported exposure to SHS in at least one location. Females were significantly less likely to be exposed to SHS in all locations except at home compared to males. Adjusted logistic regression analysis showed that females, adults aged 45–54 years, 55–64 years, and 65+ years were significantly less likely to be exposed to SHS (adjusted odds ratio (AOR) = 0.63, 0.60, 0.55, and 0.24, respectively) than males and those aged 16–24 years. Those who identified as Coloureds were significantly more likely to be exposed to SHS (AOR = 1.69) than Black Africans. This study found that nearly half of non-smokers reported exposure to SHS. A 100% smoke-free policy consistent with the World Health Organisation (WHO) Framework Convention on Tobacco Control would protect more people from exposure to SHS in South Africa.

Suggested Citation

  • Senamile P. Ngobese & Catherine O. Egbe & Mukhethwa Londani & Olalekan A. Ayo-Yusuf, 2020. "Non-Smoker’s Exposure to Second-Hand Smoke in South Africa during 2017," IJERPH, MDPI, vol. 17(21), pages 1-11, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8112-:d:439462
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    References listed on IDEAS

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    1. Gu, D. & Wu, X. & Reynolds, K. & Duan, X. & Xin, X. & Reynolds, R.F. & Whelton, P.K. & He, J., 2004. "Cigarette smoking and exposure to environmental tobacco smoke in China: The international collaborative study of cardiovascular disease in asia," American Journal of Public Health, American Public Health Association, vol. 94(11), pages 1972-1976.
    2. Hahn, E.J. & Rayens, M.K. & Adkins, S. & Simpson, N. & Frazier, S. & Mannino, D.M., 2014. "Fewer hospitalizations for chronic obstructive pulmonary disease in communities with smoke-free public policies," American Journal of Public Health, American Public Health Association, vol. 104(6), pages 1059-1065.
    3. You, R.X. & Thrift, A.G. & McNeil, J.J. & Davis, S.M. & Donnan, G.A., 1999. "Ischemic stroke risk and passive exposure to spouses' cigarette smoking," American Journal of Public Health, American Public Health Association, vol. 89(4), pages 572-575.
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