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Exposure to Tobacco Smoking in Vehicles, Indoor, and Outdoor Settings in Germany: Prevalence and Associated Factors

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  • Martin Mlinarić

    (Medical Faculty, Institute of Medical Sociology (IMS), Martin Luther University Halle-Wittenberg, 06112 Halle (Saale), Germany
    Institute of Applied Marketing and Communication Studies (IMK), 99084 Erfurt, Germany)

  • Sabrina Kastaun

    (Institute of General Practice, Addiction Research and Clinical Epidemiology Unit, Centre for Health and Society, Medical Faculty of the Heinrich-Heine-University Düsseldorf, 40225 Düsseldorf, Germany)

  • Daniel Kotz

    (Institute of General Practice, Addiction Research and Clinical Epidemiology Unit, Centre for Health and Society, Medical Faculty of the Heinrich-Heine-University Düsseldorf, 40225 Düsseldorf, Germany)

Abstract

Little is known on whether secondhand smoke (SHS) exposure in vehicles, indoor, and outdoor settings is similarly patterned in terms of different socio-epidemiological indicators in Germany. This study aims to estimate the current national-level prevalence and associated socio-epidemiological indicators of SHS exposure in vehicles, indoor, and outdoor settings in the German population, using current data from a representative household survey. We used cross-sectional data (N = 3928 respondents aged 14–99 years) from two waves of the DEBRA survey (German Study on Tobacco Use), conducted between January and March 2020. The reported prevalence of SHS exposure during the last seven days was 19% in vehicles, 25% in indoor settings, and 43% in outdoor settings. We found that younger age and current smoking were consistently associated with higher SHS exposure. Furthermore, people with low education were more likely to be exposed to SHS in vehicles and indoor settings than people with high education. This study found that the prevalence of SHS exposure in vehicles, indoor, and outdoor settings is a relevant feature of everyday life in Germany, especially for younger people and people with lower education, leading to potentially persistent socioeconomic and tobacco-attributable inequalities in morbidity and mortality.

Suggested Citation

  • Martin Mlinarić & Sabrina Kastaun & Daniel Kotz, 2022. "Exposure to Tobacco Smoking in Vehicles, Indoor, and Outdoor Settings in Germany: Prevalence and Associated Factors," IJERPH, MDPI, vol. 19(7), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4051-:d:782170
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    References listed on IDEAS

    as
    1. Melanie Boeckmann & Daniel Kotz & Lion Shahab & Jamie Brown & Sabrina Kastaun, 2018. "German Public Support for Tobacco Control Policy Measures: Results from the German Study on Tobacco Use (DEBRA), a Representative National Survey," IJERPH, MDPI, vol. 15(4), pages 1-15, April.
    2. Kuijpers, Thomas G. & Willemsen, Marc C. & Kunst, Anton E., 2018. "Public support for tobacco control policies: The role of the protection of children against tobacco," Health Policy, Elsevier, vol. 122(8), pages 929-935.
    3. Nguyen, Hai V., 2013. "Do smoke-free car laws work? Evidence from a quasi-experiment," Journal of Health Economics, Elsevier, vol. 32(1), pages 138-148.
    4. Naomi A. Lagerweij & Mirte A. G. Kuipers & Michael Schreuders & Adeline Grard & Martin Mlinarić & Matthias Richter & Teresa Leão & Jaana M. Kinnunen & Anton E. Kunst, 2019. "The visibility of smoking in Europe and its relationship with youth’s positive beliefs about smoking," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(9), pages 1335-1344, December.
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