Secondhand Smoke Exposure in Lao People’s Democratic Republic: Results From the 2015 National Adult Tobacco Survey

Objectives: Second-hand smoke (SHS) exposure causes >600,000 deaths annually worldwide, however, information regarding SHS exposure in Lao People’s Democratic Republic (Lao PRD) is limited; we report SHS exposure prevalence at home, inside workplaces, and indoor public spaces in Lao PDR.Metho...

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Main Authors: Shweta Vishwas Kulkarni, Phonepadith Xangsayarath, Daovieng Douangvichith, Latsamy Siengsounthone, Khatthanaphone Phandouangsy, Ly Thi-Hai Tran, Phuc Hong Le, Thanh Cong Bui
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-12-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2021.1604436/full
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author Shweta Vishwas Kulkarni
Phonepadith Xangsayarath
Daovieng Douangvichith
Latsamy Siengsounthone
Khatthanaphone Phandouangsy
Ly Thi-Hai Tran
Phuc Hong Le
Thanh Cong Bui
Thanh Cong Bui
author_facet Shweta Vishwas Kulkarni
Phonepadith Xangsayarath
Daovieng Douangvichith
Latsamy Siengsounthone
Khatthanaphone Phandouangsy
Ly Thi-Hai Tran
Phuc Hong Le
Thanh Cong Bui
Thanh Cong Bui
author_sort Shweta Vishwas Kulkarni
collection DOAJ
description Objectives: Second-hand smoke (SHS) exposure causes >600,000 deaths annually worldwide, however, information regarding SHS exposure in Lao People’s Democratic Republic (Lao PRD) is limited; we report SHS exposure prevalence at home, inside workplaces, and indoor public spaces in Lao PDR.Methods: Data were from the 2015 Lao National Adult Tobacco Survey, a nationally representative sample of 7,562 participants aged ≥15 years recruited through a stratified 2-stage cluster sampling approach.Results: 88.3% (83.9% of non-smokers) reported SHS exposure at home and 63.0% (54.0% of non-smokers) at workplaces. Among non-smokers, women had greater exposure at home than men (86.6 vs. 77.0%). Lower education levels were associated with exposure at home or the workplace. 99.2% reported SHS exposure at any public place; specifically for restaurants/food stores 57.7%, government offices 56.2%, public transport 31.6%, and health care facilities 11.7%.Conclusion: SHS exposure at home and workplace in Lao PDR is among the highest in South-East Asia. Comprehensive smoke-free policies at government-owned workplaces and facilities, stricter enforcement of these smoke-free policies, and strategies to encourage smoke-free environments at homes and in public places are urgently needed.
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spelling doaj.art-c4b056038c18418787bb71fc20a5edd72022-12-22T04:04:54ZengFrontiers Media S.A.International Journal of Public Health1661-85642021-12-016610.3389/ijph.2021.16044361604436Secondhand Smoke Exposure in Lao People’s Democratic Republic: Results From the 2015 National Adult Tobacco SurveyShweta Vishwas Kulkarni0Phonepadith Xangsayarath1Daovieng Douangvichith2Latsamy Siengsounthone3Khatthanaphone Phandouangsy4Ly Thi-Hai Tran5Phuc Hong Le6Thanh Cong Bui7Thanh Cong Bui8Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesNational Center for Laboratory and Epidemiology, Ministry of Health of Lao PDR, Vientiane, LaosMinistry of Health of Lao PDR, Vientiane, LaosLao Tropical and Public Health Institute, Ministry of Health of Lao PDR, Vientiane, LaosSecretary of the National Tobacco Control Taskforce, Department of Hygiene and Health Promotion, Ministry of Health of Lao PDR, Vientiane, LaosIntegris Health, Oklahoma City, OK, United StatesCenter for Value-Based Care Research, Cleveland Clinic Community Care, Cleveland Clinic, Cleveland, OH, United StatesDepartment of Family and Preventive Medicine, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesObjectives: Second-hand smoke (SHS) exposure causes >600,000 deaths annually worldwide, however, information regarding SHS exposure in Lao People’s Democratic Republic (Lao PRD) is limited; we report SHS exposure prevalence at home, inside workplaces, and indoor public spaces in Lao PDR.Methods: Data were from the 2015 Lao National Adult Tobacco Survey, a nationally representative sample of 7,562 participants aged ≥15 years recruited through a stratified 2-stage cluster sampling approach.Results: 88.3% (83.9% of non-smokers) reported SHS exposure at home and 63.0% (54.0% of non-smokers) at workplaces. Among non-smokers, women had greater exposure at home than men (86.6 vs. 77.0%). Lower education levels were associated with exposure at home or the workplace. 99.2% reported SHS exposure at any public place; specifically for restaurants/food stores 57.7%, government offices 56.2%, public transport 31.6%, and health care facilities 11.7%.Conclusion: SHS exposure at home and workplace in Lao PDR is among the highest in South-East Asia. Comprehensive smoke-free policies at government-owned workplaces and facilities, stricter enforcement of these smoke-free policies, and strategies to encourage smoke-free environments at homes and in public places are urgently needed.https://www.ssph-journal.org/articles/10.3389/ijph.2021.1604436/fulltobacco controlglobal healthLao PDRsmoke-free environmentstobacco usesecondhand smoke
spellingShingle Shweta Vishwas Kulkarni
Phonepadith Xangsayarath
Daovieng Douangvichith
Latsamy Siengsounthone
Khatthanaphone Phandouangsy
Ly Thi-Hai Tran
Phuc Hong Le
Thanh Cong Bui
Thanh Cong Bui
Secondhand Smoke Exposure in Lao People’s Democratic Republic: Results From the 2015 National Adult Tobacco Survey
International Journal of Public Health
tobacco control
global health
Lao PDR
smoke-free environments
tobacco use
secondhand smoke
title Secondhand Smoke Exposure in Lao People’s Democratic Republic: Results From the 2015 National Adult Tobacco Survey
title_full Secondhand Smoke Exposure in Lao People’s Democratic Republic: Results From the 2015 National Adult Tobacco Survey
title_fullStr Secondhand Smoke Exposure in Lao People’s Democratic Republic: Results From the 2015 National Adult Tobacco Survey
title_full_unstemmed Secondhand Smoke Exposure in Lao People’s Democratic Republic: Results From the 2015 National Adult Tobacco Survey
title_short Secondhand Smoke Exposure in Lao People’s Democratic Republic: Results From the 2015 National Adult Tobacco Survey
title_sort secondhand smoke exposure in lao people s democratic republic results from the 2015 national adult tobacco survey
topic tobacco control
global health
Lao PDR
smoke-free environments
tobacco use
secondhand smoke
url https://www.ssph-journal.org/articles/10.3389/ijph.2021.1604436/full
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