Smoke-Free Homes and Home Exposure to Secondhand Smoke in Shanghai, China

Pinpin Zheng, Carla J. Berg, Michelle C. Kegler, Wenjie Fu, Jing Wang, Xilan Zhou, Dong Liu and Hua Fu
Additional contact information
Pinpin Zheng: Key Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China
Carla J. Berg: Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Michelle C. Kegler: Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Wenjie Fu: Key Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China
Jing Wang: Center of Disease Control, Pudong District, Shanghai 200136, China
Xilan Zhou: Center of Disease Control, Pudong District, Shanghai 200136, China
Dong Liu: Center of Disease Control, Fengxian District, Shanghai 201400, China
Hua Fu: Key Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China

IJERPH, 2014, vol. 11, issue 11, 1-14

Abstract: Few studies have examined home exposure to secondhand smoke (SHS) in China. This study aimed to document: (1) the prevalence and correlates of exposure to SHS in homes (in adult non-smokers) in Shanghai, and (2) enforcement of rules, harm reduction behaviors, and self-efficacy for maintaining smoke-free homes in Shanghai. A total of 500 participants were recruited using a multistage proportional random sampling design in an urban and suburban district to complete a survey. Among the total 355 nonsmokers, 127 (35.8%) participants reported being exposed to SHS in the past 7 days. Participants living with smokers in the home, with no smoking restriction at home, and having children younger than 18 were more likely to be exposed to SHS at home. Higher self-efficacy in maintaining a smoke-free home was negatively associated with home SHS exposure. Having visitors who smoke was the greatest policy enforcement challenge. Ineffective measures such as opening windows were more commonly used in homes with partial bans. Educational initiatives to protect against SHS exposure in the home should promote smoke-free homes, address challenges to implementing such policies, and address misconceptions regarding the effectiveness of supposed harm reduction behaviors.

Keywords: secondhand smoke; home; Shanghai; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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