“He Doesn’t Listen to My Words at All, So I Don’t Tell Him Anything”—A Qualitative Investigation on Exposure to Second Hand Smoke among Pregnant Women, Their Husbands and Family Members from Rural Bangladesh and Urban India

Cath Jackson, Rumana Huque, Veena Satyanarayana, Shammi Nasreen, Manpreet Kaur, Deepa Barua, Prashanta Nath Bhowmik, Mithila Guha, Mukesh Dherani, Atif Rahman, Kamran Siddiqi and Prabha S. Chandra
Additional contact information
Cath Jackson: Department of Health Sciences, University of York, Heslington, York YO10 5DD, UK
Rumana Huque: ARK Foundation, House 130, Road 21, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
Veena Satyanarayana: National Institute of Mental Health and Neurosciences, Bangalore 560029, India
Shammi Nasreen: ARK Foundation, House 130, Road 21, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
Manpreet Kaur: National Institute of Mental Health and Neurosciences, Bangalore 560029, India
Deepa Barua: ARK Foundation, House 130, Road 21, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
Prashanta Nath Bhowmik: ARK Foundation, House 130, Road 21, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
Mithila Guha: ARK Foundation, House 130, Road 21, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
Mukesh Dherani: Institute of Psychology, Health and Society, University of Liverpool, Liverpool L69 3GL, UK
Atif Rahman: Institute of Psychology, Health and Society, University of Liverpool, Liverpool L69 3GL, UK
Kamran Siddiqi: Department of Health Sciences, University of York, Heslington, York YO10 5DD, UK
Prabha S. Chandra: National Institute of Mental Health and Neurosciences, Bangalore 560029, India

IJERPH, 2016, vol. 13, issue 11, 1-16

Abstract: Second hand smoke (SHS) exposure during pregnancy is associated with poor pregnancy and fetal outcomes. To design interventions to reduce exposure, an in depth understanding of social and cultural factors of smoking behavior at home is important, especially in South Asia where SHS exposure is high. This study aimed to explore pregnant women’s, their husbands’ and other family members’ knowledge, attitudes and practices regarding home SHS exposure. Semi-structured interviews were conducted with 33 participants in Comilla, Bangladesh and 31 in Bangalore, India (36 pregnant women, 18 husbands, and 10 family members). Data were analyzed using the Framework approach. Husbands smoked in various living areas inside the home, often in the presence of their pregnant wives. Most had never tried to stop smoking at home. Knowledge of the risks was generally poor. Most women had repeatedly asked their husband to smoke outside with little success and only few family members had reprimanded the husbands. Husbands who had stopped did so because of requests from children and their mother. Potential strategies to decrease SHS exposure at home were educating the husband about risks and supporting the pregnant women in negotiation. Interventions must also enlist family support to enhance the woman’s self-efficacy.

Keywords: smoking; tobacco; second hand smoke; middle income; pregnancy; women; fetus; smoke free homes; low and middle income countries (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
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