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首页> 外文期刊>BMJ Open >Children, smoking households and exposure to second-hand smoke in the home in rural Australia: analysis of a national cross-sectional survey
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Children, smoking households and exposure to second-hand smoke in the home in rural Australia: analysis of a national cross-sectional survey

机译:澳大利亚农村地区的儿童,吸烟家庭和在家中接触二手烟:全国横断面调查分析

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Objectives This paper aimed to explore the association between rurality and (1) household smoking status and (2) home second-hand smoke exposure, in households with children aged 0–14?years. Design Cross-sectional study. Setting Households across Australia. Participants Households across the country were randomly selected to provide a nationally representative sample. Respondents were persons aged 12?years or older in each household who were next going to celebrate their birthday. Primary outcome measures Household smoking status and smoking inside the home. Methodology The 2010 Australian National Drug Strategy Household survey data were analysed to explore the prevalence of household smoking and home second-hand smoke exposure in rural and urban households with children. Multivariable logistic regression was used to explore the association of rurality with household smoking and with home second-hand smoke exposure, controlling for potential confounders. Results Households with children were more likely to be smoking households (35.4%, 95% CI 34.2% to 36.5%) than households without children (32.1%, 95% CI 31.3% to 32.8%). Both household smoking (43.6% (95% CI 41.5% to 45.7%) vs 31.4% (95% CI 30.0% to 32.8%)) and home second-hand smoke exposure (8.0% (95% CI 6.8% to 9.1%) vs 5.2% (95% CI 4.5% to 5.8%)) were significantly more common for rural children. In multivariate analyses controlling for confounding factors, rurality remained associated with smoking households (OR 1.21, 95% CI 1.07 to 1.37), whereas it did not remain associated with children's home second-hand smoke exposure (OR 1.07, 95% CI 0.85 to 1.35). Larger household size, low socioeconomic status and being a single-parent household were the main drivers of home second-hand smoke exposure. Conclusions The proportion of smoking households with children, and the number of children regularly exposed to second-hand smoke in their homes remain important public health concerns. Smoking cessation support and tobacco control policies might benefit from targeting larger and/or socioeconomically disadvantaged households including single-parent households.
机译:目的本文旨在探讨在0-14岁儿童家庭中农村人口与(1)家庭吸烟状况和(2)家庭二手烟暴露之间的关系。设计横断面研究。在澳大利亚各地设置家庭。参与者随机选择全国各地的家庭,以提供具有全国代表性的样本。受访者是每个家庭中12岁或12岁以上的人,他们接下来将庆祝他们的生日。主要结果衡量家庭吸烟状况和家庭内部吸烟。方法论分析了《 2010年澳大利亚国家毒品策略家庭调查》的数据,以探讨有小孩的农村和城市家庭中家庭吸烟和家庭二手烟暴露的流行情况。多变量logistic回归用于探讨农村人口与家庭吸烟和家庭二手烟接触之间的关系,以控制潜在的混杂因素。结果有孩子的家庭比没有孩子的家庭(32.1%,95%的CI 31.3%到32.8%)更有可能吸烟(35.4%,95%的CI 34.2%到36.5%)。家庭吸烟(43.6%(95%CI 41.5%至45.7%)与31.4%(95%CI 30.0%至32.8%))和家庭二手烟暴露(8.0%(95%CI 6.8%至9.1%) vs 5.2%(95%CI为4.5%至5.8%)在农村儿童中更为常见。在控制混杂因素的多因素分析中,农村人口仍然与吸烟家庭有关(OR 1.21,95%CI 1.07至1.37),而与儿童家庭二手烟暴露无关(OR 1.07,95%CI 0.85至1.35)。 )。家庭规模更大,社会经济地位低下以及成为单亲家庭是家庭二手烟暴露的主要驱动力。结论吸烟家庭中有孩子的比例以及家庭中经常接触二手烟的儿童数量仍然是重要的公共卫生问题。针对较大和/或社会经济处于不利地位的家庭,包括单亲家庭,戒烟支持和烟草控制政策可能会受益。

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