Factors associated with secondhand tobacco smoke in the home: an exploratory cross-sectional study among women in Aleta Wondo, Ethiopia
Abstract Background In Ethiopia, female smoking rates are currently low (1 %). However, because of male smoking rates (overall 7.7 % and up to 27 % depending on region), women and children’s risk of second hand smoke (SHS) exposure is a pressing concern. In order to develop effective public health i...
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| Format: | Article |
| Language: | English |
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BMC
2016-08-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-016-3588-6 |
| _version_ | 1818948516160995328 |
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| author | Anne Berit Petersen Lisa M. Thompson Gezahegn Bekele Dadi Alemu Tolcha Janine K. Cataldo |
| author_facet | Anne Berit Petersen Lisa M. Thompson Gezahegn Bekele Dadi Alemu Tolcha Janine K. Cataldo |
| author_sort | Anne Berit Petersen |
| collection | DOAJ |
| description | Abstract Background In Ethiopia, female smoking rates are currently low (1 %). However, because of male smoking rates (overall 7.7 % and up to 27 % depending on region), women and children’s risk of second hand smoke (SHS) exposure is a pressing concern. In order to develop effective public health interventions that prevent the uptake and exposure to smoking, thereby averting the projected increase in tobacco-induced disease, an understanding of Ethiopian women’s practices regarding tobacco is needed. The purpose of this study was to explore Ethiopian women’s tobacco use and prevalence of SHS exposure, and to identify covariates associated with SHS exposure. Methods We conducted an exploratory cross-sectional study in Southern Ethiopia between August and October 2014, and systematically sampled households in Aleta Wondo town and surrounding districts. Trained interviewers verbally administered surveys to women 18–55 years of age. Descriptive statistics and multiple logistic regression analyses were performed. Results None of the 353 participants reported current tobacco use and less than 1 % reported ever use, however, 11 % reported ever use of the stimulant leaf khat. Twenty-seven women (7.6 %) reported living with a tobacco user, however, twice that number (14.4 %) overall, and 22 % of urban participants reported that smoking occurred daily in their home. When controlling for other factors, living with a tobacco user (OR = 9.91, 95 % CI [3.32, 29.59]), allowing smoking in the home (OR = 5.67, 95 % CI [2.51, 12.79]), place of residence (OR = 2.74, 95 % CI [1.11, 6.74)]), and exposure to point-of-sale advertising within the last 30 days (OR = 2.87, 95 % CI [1.26, 6.54]) contributed significantly to a model predicting the likelihood of reporting daily occurrence of smoking/SHS in the home. Conclusions While few women reported having ever used tobacco, one in seven women in this study reported that smoking/SHS occurred daily in their homes. Therefore SHS exposure is a potential health concern for women and children in this rural community. Findings from this study provide baseline data for monitoring tobacco control policies in Ethiopia, particularly in relation to the promotion of smoke-free homes, and could be used to inform prevention program development. |
| first_indexed | 2024-12-20T08:48:02Z |
| format | Article |
| id | doaj.art-8146702921b34f3390ac67ef429364df |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-20T08:48:02Z |
| publishDate | 2016-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-8146702921b34f3390ac67ef429364df2022-12-21T19:46:13ZengBMCBMC Public Health1471-24582016-08-0116111210.1186/s12889-016-3588-6Factors associated with secondhand tobacco smoke in the home: an exploratory cross-sectional study among women in Aleta Wondo, EthiopiaAnne Berit Petersen0Lisa M. Thompson1Gezahegn Bekele Dadi2Alemu Tolcha3Janine K. Cataldo4Center for Tobacco Control Research and Education, University of California, San FranciscoDepartment of Family Health Care Nursing & Global Health Sciences Program, University of California, San FranciscoSchool of Nursing and Midwifery, College of Medicine and Health Sciences, Hawassa UniversitySchool of Public & Environmental Health, College of Medicine and Health Sciences, Hawassa UniversityDepartment of Physiological Nursing & Center for Tobacco Control Research and EducationAbstract Background In Ethiopia, female smoking rates are currently low (1 %). However, because of male smoking rates (overall 7.7 % and up to 27 % depending on region), women and children’s risk of second hand smoke (SHS) exposure is a pressing concern. In order to develop effective public health interventions that prevent the uptake and exposure to smoking, thereby averting the projected increase in tobacco-induced disease, an understanding of Ethiopian women’s practices regarding tobacco is needed. The purpose of this study was to explore Ethiopian women’s tobacco use and prevalence of SHS exposure, and to identify covariates associated with SHS exposure. Methods We conducted an exploratory cross-sectional study in Southern Ethiopia between August and October 2014, and systematically sampled households in Aleta Wondo town and surrounding districts. Trained interviewers verbally administered surveys to women 18–55 years of age. Descriptive statistics and multiple logistic regression analyses were performed. Results None of the 353 participants reported current tobacco use and less than 1 % reported ever use, however, 11 % reported ever use of the stimulant leaf khat. Twenty-seven women (7.6 %) reported living with a tobacco user, however, twice that number (14.4 %) overall, and 22 % of urban participants reported that smoking occurred daily in their home. When controlling for other factors, living with a tobacco user (OR = 9.91, 95 % CI [3.32, 29.59]), allowing smoking in the home (OR = 5.67, 95 % CI [2.51, 12.79]), place of residence (OR = 2.74, 95 % CI [1.11, 6.74)]), and exposure to point-of-sale advertising within the last 30 days (OR = 2.87, 95 % CI [1.26, 6.54]) contributed significantly to a model predicting the likelihood of reporting daily occurrence of smoking/SHS in the home. Conclusions While few women reported having ever used tobacco, one in seven women in this study reported that smoking/SHS occurred daily in their homes. Therefore SHS exposure is a potential health concern for women and children in this rural community. Findings from this study provide baseline data for monitoring tobacco control policies in Ethiopia, particularly in relation to the promotion of smoke-free homes, and could be used to inform prevention program development.http://link.springer.com/article/10.1186/s12889-016-3588-6TobaccoSecondhand smokeSmoke-free homesWomenEthiopiaUrbanicity |
| spellingShingle | Anne Berit Petersen Lisa M. Thompson Gezahegn Bekele Dadi Alemu Tolcha Janine K. Cataldo Factors associated with secondhand tobacco smoke in the home: an exploratory cross-sectional study among women in Aleta Wondo, Ethiopia BMC Public Health Tobacco Secondhand smoke Smoke-free homes Women Ethiopia Urbanicity |
| title | Factors associated with secondhand tobacco smoke in the home: an exploratory cross-sectional study among women in Aleta Wondo, Ethiopia |
| title_full | Factors associated with secondhand tobacco smoke in the home: an exploratory cross-sectional study among women in Aleta Wondo, Ethiopia |
| title_fullStr | Factors associated with secondhand tobacco smoke in the home: an exploratory cross-sectional study among women in Aleta Wondo, Ethiopia |
| title_full_unstemmed | Factors associated with secondhand tobacco smoke in the home: an exploratory cross-sectional study among women in Aleta Wondo, Ethiopia |
| title_short | Factors associated with secondhand tobacco smoke in the home: an exploratory cross-sectional study among women in Aleta Wondo, Ethiopia |
| title_sort | factors associated with secondhand tobacco smoke in the home an exploratory cross sectional study among women in aleta wondo ethiopia |
| topic | Tobacco Secondhand smoke Smoke-free homes Women Ethiopia Urbanicity |
| url | http://link.springer.com/article/10.1186/s12889-016-3588-6 |
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