Perception of harm is strongly associated with complete ban on in-home cannabis smoking: a cross-sectional study

Abstract Background Perception of health risk can influence household rules, but little is known about how the perception of harm from cannabis secondhand smoke (cSHS) is related to having a complete ban on in-home cannabis smoking. We examined this association among a nationally representative samp...

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Main Authors: Osika Tripathi, Humberto Parada, Yuyan Shi, Georg E. Matt, Penelope J. E. Quintana, Sandy Liles, John Bellettiere
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-024-18072-1
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author Osika Tripathi
Humberto Parada
Yuyan Shi
Georg E. Matt
Penelope J. E. Quintana
Sandy Liles
John Bellettiere
author_facet Osika Tripathi
Humberto Parada
Yuyan Shi
Georg E. Matt
Penelope J. E. Quintana
Sandy Liles
John Bellettiere
author_sort Osika Tripathi
collection DOAJ
description Abstract Background Perception of health risk can influence household rules, but little is known about how the perception of harm from cannabis secondhand smoke (cSHS) is related to having a complete ban on in-home cannabis smoking. We examined this association among a nationally representative sample of United States adults. Methods Respondents were 21,381 adults from the cross-sectional Marijuana Use and Environmental Survey recruited from December 2019-February 2020. Perceived harm of cSHS exposure (extremely harmful, somewhat harmful, mostly safe, or totally safe) and complete ban of cannabis smoking anywhere in the home (yes or no) were self-reported. Logistic regression for survey-weighted data estimated covariate-adjusted odds ratios (OR) and 95% confidence intervals (CI) for the association between perceived harm of cSHS and complete ban on in-home cannabis smoking. Stratified subgroup analyses (by cannabis smoking status, cannabis use legalization in state of residence, and children under age 6 living in the home) were conducted to quantify effect measure modification of the association between perception of harm and complete ban. Results A complete ban on in-home cannabis smoking was reported by 71.8% of respondents. Eight percent reported cSHS as “totally safe”; 20.5% “mostly safe”; 38.3% “somewhat harmful”; and 33.0% “extremely harmful”. Those who reported cSHS as “extremely harmful” had 6 times the odds of a complete ban on in-home cannabis smoking (OR = 6.0, 95%CI = 4.9–7.2) as those reporting smoking as “totally safe”. The odds of a complete ban were higher among those reporting cSHS as “somewhat harmful” (OR = 2.6, 95%CI = 2.2–3.1) or “mostly safe” (OR = 1.4, 95%CI = 1.2–1.7) vs those reporting cSHS as “totally safe”. In each subgroup of cannabis smoking status, state cannabis use legalization, and children under the age of 6 living in the home, perceived harm was associated with a complete ban on in-home cannabis smoking. Conclusions Our study demonstrates perceiving cSHS as harmful is strongly associated with having a complete in-home cannabis smoking ban. With almost a third of US adults perceiving cSHS as at least “mostly safe”, there is strong need to educate the general population about potential risks associated with cSHS exposure to raise awareness and encourage adoption of household rules prohibiting indoor cannabis smoking.
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spelling doaj.art-ea19a9ad1f9649e9814e3e91d1cfebe42024-03-05T20:38:51ZengBMCBMC Public Health1471-24582024-03-0124111010.1186/s12889-024-18072-1Perception of harm is strongly associated with complete ban on in-home cannabis smoking: a cross-sectional studyOsika Tripathi0Humberto Parada1Yuyan Shi2Georg E. Matt3Penelope J. E. Quintana4Sandy Liles5John Bellettiere6San Diego State University, School of Public HealthSan Diego State University, School of Public HealthUniversity of California, Herbert Wertheim School of Public HealthSan Diego State University, Department of PsychologySan Diego State University, School of Public HealthSan Diego State University, School of Public HealthUniversity of California, Herbert Wertheim School of Public HealthAbstract Background Perception of health risk can influence household rules, but little is known about how the perception of harm from cannabis secondhand smoke (cSHS) is related to having a complete ban on in-home cannabis smoking. We examined this association among a nationally representative sample of United States adults. Methods Respondents were 21,381 adults from the cross-sectional Marijuana Use and Environmental Survey recruited from December 2019-February 2020. Perceived harm of cSHS exposure (extremely harmful, somewhat harmful, mostly safe, or totally safe) and complete ban of cannabis smoking anywhere in the home (yes or no) were self-reported. Logistic regression for survey-weighted data estimated covariate-adjusted odds ratios (OR) and 95% confidence intervals (CI) for the association between perceived harm of cSHS and complete ban on in-home cannabis smoking. Stratified subgroup analyses (by cannabis smoking status, cannabis use legalization in state of residence, and children under age 6 living in the home) were conducted to quantify effect measure modification of the association between perception of harm and complete ban. Results A complete ban on in-home cannabis smoking was reported by 71.8% of respondents. Eight percent reported cSHS as “totally safe”; 20.5% “mostly safe”; 38.3% “somewhat harmful”; and 33.0% “extremely harmful”. Those who reported cSHS as “extremely harmful” had 6 times the odds of a complete ban on in-home cannabis smoking (OR = 6.0, 95%CI = 4.9–7.2) as those reporting smoking as “totally safe”. The odds of a complete ban were higher among those reporting cSHS as “somewhat harmful” (OR = 2.6, 95%CI = 2.2–3.1) or “mostly safe” (OR = 1.4, 95%CI = 1.2–1.7) vs those reporting cSHS as “totally safe”. In each subgroup of cannabis smoking status, state cannabis use legalization, and children under the age of 6 living in the home, perceived harm was associated with a complete ban on in-home cannabis smoking. Conclusions Our study demonstrates perceiving cSHS as harmful is strongly associated with having a complete in-home cannabis smoking ban. With almost a third of US adults perceiving cSHS as at least “mostly safe”, there is strong need to educate the general population about potential risks associated with cSHS exposure to raise awareness and encourage adoption of household rules prohibiting indoor cannabis smoking.https://doi.org/10.1186/s12889-024-18072-1Cannabis secondhand smokePerceived harmSmoke-free homes
spellingShingle Osika Tripathi
Humberto Parada
Yuyan Shi
Georg E. Matt
Penelope J. E. Quintana
Sandy Liles
John Bellettiere
Perception of harm is strongly associated with complete ban on in-home cannabis smoking: a cross-sectional study
BMC Public Health
Cannabis secondhand smoke
Perceived harm
Smoke-free homes
title Perception of harm is strongly associated with complete ban on in-home cannabis smoking: a cross-sectional study
title_full Perception of harm is strongly associated with complete ban on in-home cannabis smoking: a cross-sectional study
title_fullStr Perception of harm is strongly associated with complete ban on in-home cannabis smoking: a cross-sectional study
title_full_unstemmed Perception of harm is strongly associated with complete ban on in-home cannabis smoking: a cross-sectional study
title_short Perception of harm is strongly associated with complete ban on in-home cannabis smoking: a cross-sectional study
title_sort perception of harm is strongly associated with complete ban on in home cannabis smoking a cross sectional study
topic Cannabis secondhand smoke
Perceived harm
Smoke-free homes
url https://doi.org/10.1186/s12889-024-18072-1
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