Second-hand smoke exposure in adolescents in Latin America and the Caribbean: a pooled analysisResearch in context
Summary: Background: Second-hand smoke exposure is prevalent amongst adolescents, despite of being a preventable risk factor associated with unfavourable outcomes. The distribution of this risk factor varies by underlying determinants and public health officers need contemporary evidence to update...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | The Lancet Regional Health. Americas |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667193X23000522 |
| _version_ | 1797866941294051328 |
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| author | Antonio Bernabe-Ortiz Rodrigo M. Carrillo-Larco |
| author_facet | Antonio Bernabe-Ortiz Rodrigo M. Carrillo-Larco |
| author_sort | Antonio Bernabe-Ortiz |
| collection | DOAJ |
| description | Summary: Background: Second-hand smoke exposure is prevalent amongst adolescents, despite of being a preventable risk factor associated with unfavourable outcomes. The distribution of this risk factor varies by underlying determinants and public health officers need contemporary evidence to update policies. Using the most recent data available from adolescents in Latin America and the Caribbean (LAC), we described the prevalence of second-hand smoking. Methods: Pooled analysis of Global School-based Student Health (GSHS) surveys conducted from 2010 to 2018 was conducted. Two indicators were analysed based on information from the 7 days prior to the survey: a) any exposure to second-hand smoking (0 vs ≥1 days of exposure); and b) daily exposure (<7 vs 7 days). Prevalence estimates were carried out accounting for the complex survey design, and reported overall, by country, by sex, and by subregion. Findings: GSHS surveys were administered in 18 countries, yielding a total of 95,805 subjects. Pooled age-standardised prevalence of second-hand smoking was 60.9% (95% CI: 59.9%–62.0%) with no substantial differences between boys and girls. The age-standardised prevalence of any second-hand smoking varied from 40.2% in Anguilla to 68.2% in Jamaica, and the highest prevalence was in the Southern Latin America subregion (65.9%). Pooled age-standardised prevalence of daily second-hand smoking was 15.1% (95% CI: 14.2%–16.1%), and was higher in girls than boys (16.5% vs 13.7%; p < 0.001). The age-standardised prevalence of daily second-hand smoking ranged between 4.8% in Peru to 28.7% in Jamaica, and the highest age-standardised prevalence was in Southern Latin America (19.7%). Interpretation: The prevalence of any second-hand smoking is high among adolescents in LAC, though estimates changed substantially by country. While policies and interventions to reduce/stop smoking are implemented, attention should also be paid to avoid second-hand smoke exposure. Funding: Wellcome Trust International Training Fellowship (214185/Z/18/Z). |
| first_indexed | 2024-04-09T23:32:16Z |
| format | Article |
| id | doaj.art-d013de1828fa4544841b3a9cbda4b0b0 |
| institution | Directory Open Access Journal |
| issn | 2667-193X |
| language | English |
| last_indexed | 2024-04-09T23:32:16Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Americas |
| spelling | doaj.art-d013de1828fa4544841b3a9cbda4b0b02023-03-21T04:17:18ZengElsevierThe Lancet Regional Health. Americas2667-193X2023-04-0120100478Second-hand smoke exposure in adolescents in Latin America and the Caribbean: a pooled analysisResearch in contextAntonio Bernabe-Ortiz0Rodrigo M. Carrillo-Larco1CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru; Universidad Científica del Sur, Lima, Peru; Corresponding author. CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendariz 445, Miraflores, Lima, Peru.CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK; Universidad Continental, Lima, PeruSummary: Background: Second-hand smoke exposure is prevalent amongst adolescents, despite of being a preventable risk factor associated with unfavourable outcomes. The distribution of this risk factor varies by underlying determinants and public health officers need contemporary evidence to update policies. Using the most recent data available from adolescents in Latin America and the Caribbean (LAC), we described the prevalence of second-hand smoking. Methods: Pooled analysis of Global School-based Student Health (GSHS) surveys conducted from 2010 to 2018 was conducted. Two indicators were analysed based on information from the 7 days prior to the survey: a) any exposure to second-hand smoking (0 vs ≥1 days of exposure); and b) daily exposure (<7 vs 7 days). Prevalence estimates were carried out accounting for the complex survey design, and reported overall, by country, by sex, and by subregion. Findings: GSHS surveys were administered in 18 countries, yielding a total of 95,805 subjects. Pooled age-standardised prevalence of second-hand smoking was 60.9% (95% CI: 59.9%–62.0%) with no substantial differences between boys and girls. The age-standardised prevalence of any second-hand smoking varied from 40.2% in Anguilla to 68.2% in Jamaica, and the highest prevalence was in the Southern Latin America subregion (65.9%). Pooled age-standardised prevalence of daily second-hand smoking was 15.1% (95% CI: 14.2%–16.1%), and was higher in girls than boys (16.5% vs 13.7%; p < 0.001). The age-standardised prevalence of daily second-hand smoking ranged between 4.8% in Peru to 28.7% in Jamaica, and the highest age-standardised prevalence was in Southern Latin America (19.7%). Interpretation: The prevalence of any second-hand smoking is high among adolescents in LAC, though estimates changed substantially by country. While policies and interventions to reduce/stop smoking are implemented, attention should also be paid to avoid second-hand smoke exposure. Funding: Wellcome Trust International Training Fellowship (214185/Z/18/Z).http://www.sciencedirect.com/science/article/pii/S2667193X23000522Second-hand smokingTobacco smoke pollutionSmoke-free environmentAdolescents |
| spellingShingle | Antonio Bernabe-Ortiz Rodrigo M. Carrillo-Larco Second-hand smoke exposure in adolescents in Latin America and the Caribbean: a pooled analysisResearch in context The Lancet Regional Health. Americas Second-hand smoking Tobacco smoke pollution Smoke-free environment Adolescents |
| title | Second-hand smoke exposure in adolescents in Latin America and the Caribbean: a pooled analysisResearch in context |
| title_full | Second-hand smoke exposure in adolescents in Latin America and the Caribbean: a pooled analysisResearch in context |
| title_fullStr | Second-hand smoke exposure in adolescents in Latin America and the Caribbean: a pooled analysisResearch in context |
| title_full_unstemmed | Second-hand smoke exposure in adolescents in Latin America and the Caribbean: a pooled analysisResearch in context |
| title_short | Second-hand smoke exposure in adolescents in Latin America and the Caribbean: a pooled analysisResearch in context |
| title_sort | second hand smoke exposure in adolescents in latin america and the caribbean a pooled analysisresearch in context |
| topic | Second-hand smoking Tobacco smoke pollution Smoke-free environment Adolescents |
| url | http://www.sciencedirect.com/science/article/pii/S2667193X23000522 |
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