Sein A A, Than Htike M M, Sinha D N, Kyaing N N
Department of Health Planning, Ministry of Health, Myanmar.
Indian J Cancer. 2012 Oct-Dec;49(4):410-8. doi: 10.4103/0019-509X.107749.
Second-hand smoke (SHS) is a threat to people's health particularly in South-East Region including Myanmar.
To describe the exposure to SHS among the adult population of Myanmar.
The analysis was done based on the data relating to SHS exposure from 2009 Noncommunicable Risk Factor Survey conducted in Myanmar. A total of 7,429 respondents aged 15-64 from a nationally representative household-based cross-sectional multi-stage probability sample were used. Gender-specific estimates of the proportion of adults exposed to SHS were examined across various socio-demographic characteristics.
The exposure to SHS was 55.6% (52% among males and 57.8% among females) at home, 63.6% (71.9% among males and 54.7% among females) in indoor places and 23.3% (38.8% among males and 13.6% among females) in public places. SHS exposure at home was more common among females. However, males were more likely to be exposed at work and public places than females. SHS exposure at home and public places decreased with age in both sexes. In these settings, SHS exposure was related to education, residence, employment status, marital status, and income level. At workplaces, it was mainly related to educational attainment and occupational status.
Exposure was significantly high in settings having partial ban as compared with settings having a complete ban. The solution is simple and straightforward, smoke-free environments. The findings emphasize the need for continuing efforts to decrease the exposure and to increase the knowledge of its harmful effects.
二手烟对人们的健康构成威胁,在包括缅甸在内的东南亚地区尤为如此。
描述缅甸成年人群体中的二手烟暴露情况。
分析基于2009年在缅甸进行的非传染性风险因素调查中与二手烟暴露相关的数据。共使用了来自全国代表性的基于家庭的横断面多阶段概率样本中的7429名年龄在15 - 64岁的受访者。针对不同社会人口学特征,对成年二手烟暴露者比例进行了按性别分类的估计。
在家中,二手烟暴露率为55.6%(男性为52%,女性为57.8%);在室内场所,暴露率为63.6%(男性为71.9%,女性为54.7%);在公共场所,暴露率为23.3%(男性为38.8%,女性为13.6%)。在家中,女性二手烟暴露更为常见。然而,男性在工作场所和公共场所比女性更易暴露于二手烟。在家中和公共场所,两性的二手烟暴露率均随年龄增长而降低。在这些环境中,二手烟暴露与教育程度、居住状况、就业状况、婚姻状况和收入水平有关。在工作场所,主要与教育程度和职业地位有关。
与完全禁烟的场所相比,部分禁烟场所的二手烟暴露率显著更高。解决办法简单直接,即无烟环境。研究结果强调需要持续努力降低二手烟暴露,并提高对其有害影响的认识。