Milcarz Katarzyna, Bak-Romaniszyn Leokadia, Kaleta Dorota
Department of Tobacco Control, Preventive Medicine Department, Medical University of Lodz, 90-752 Lodz, Poland.
Department of Nutrition in Digestive Tract Diseases, Medical University of Lodz, 93-338 Lodz, Poland.
Int J Environ Res Public Health. 2017 Apr 21;14(4):447. doi: 10.3390/ijerph14040447.
This study aims to examine the prevalence of exposure to environmental tobacco smoke (ETS) in homes among socially-disadvantaged populations in Poland, along with the prevalence and correlates of voluntary implementation of smoke-free home rules. Data concerning 1617 respondents from a cross-sectional study completed in the Piotrkowski District were used, which was part of the "Reducing Social Inequalities in Health" program. Overall, 19.4% of the respondents declared exposure to ETS at home. In the non-smokers group, 15.5%, including 6.6% males and 18.3% females, were exposed to ETS in their place of residence ( < 0.0001). Complete smoke-free rules were adopted by 22.1% of the study participants. Two factors, smoker status and lack of ETS-associated health risk awareness, were found to be significantly associated with no adoption of total smoking bans at home. Socially-disadvantaged non-smokers, especially females from rural areas in Poland, still constitute a large population exposed to ETS in their homes-a challenge from the perspective of public health. Focused efforts are required to address social norms around exposing others to ETS.
本研究旨在调查波兰社会弱势群体家庭中接触环境烟草烟雾(ETS)的情况,以及无烟家庭规则自愿实施的流行程度和相关因素。研究使用了在皮奥特科夫斯基区完成的一项横断面研究中1617名受访者的数据,该研究是“减少健康方面的社会不平等”项目的一部分。总体而言,19.4%的受访者表示在家中接触过ETS。在非吸烟者群体中,15.5%的人在其居住场所接触过ETS,其中男性为6.6%,女性为18.3%(P<0.0001)。22.1%的研究参与者采用了完全无烟规则。研究发现,吸烟状况和缺乏与ETS相关的健康风险意识这两个因素与未在家中实施全面禁烟显著相关。社会弱势群体中的非吸烟者,尤其是波兰农村地区的女性,仍然是家中接触ETS的庞大人群——从公共卫生角度来看这是一个挑战。需要集中努力来解决围绕让他人接触ETS的社会规范问题。