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

Author

Listed:
  • 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
    Center of Disease Control, Pudong District, Shanghai 200136, 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)

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.

Suggested Citation

  • Pinpin Zheng & Carla J. Berg & Michelle C. Kegler & Wenjie Fu & Jing Wang & Xilan Zhou & Dong Liu & Hua Fu, 2014. "Smoke-Free Homes and Home Exposure to Secondhand Smoke in Shanghai, China," IJERPH, MDPI, vol. 11(11), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:11:p:12015-12028:d:42563
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    References listed on IDEAS

    as
    1. Soliman, S. & Pollack, H.A. & Warner, K.E., 2004. "Decrease in the Prevalence of Environmental Tobacco Smoke Exposure in the Home during the 1990s in Families with Children," American Journal of Public Health, American Public Health Association, vol. 94(2), pages 314-320.
    2. Zhang, X. & Martinez-Donate, A.P. & Cook, J. & Piper, M.E. & Berg, K. & Jones, N.R., 2014. "Battling tobacco use at home: An analysis of smoke-free home rules among US veterans from 2001 to 2011," American Journal of Public Health, American Public Health Association, vol. 104(S4), pages 572-579.
    3. Xiang Li & Junling Gao & Zhixing Zhang & Minqi Wei & Pinpin Zheng & Eric J Nehl & Frank Y Wong & Carla J Berg, 2013. "Lessons from an Evaluation of a Provincial-Level Smoking Control Policy in Shanghai, China," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
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    Cited by:

    1. Katarzyna Milcarz & Leokadia Bak-Romaniszyn & Dorota Kaleta, 2017. "Environmental Tobacco Smoke Exposure and Smoke-Free Rules in Homes among Socially-Disadvantaged Populations in Poland," IJERPH, MDPI, vol. 14(4), pages 1-17, April.

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