Aslan Dilek, Daymaz Didem, Gürsoy Nalan, Kartal Gülsüm, Yavuz Mümtaz
Department of Public Health, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Ankara Directorate of Public Health, Family Health Centre, Ankara, Turkey.
Turk Thorac J. 2015 Jan;16(1):16-21. doi: 10.5152/ttd.2014.4180. Epub 2014 Nov 5.
The present study aimed to investigate smoking status of households having children under 5 years of age and any changes in their smoking habits after the enforcement of the anti-tobacco Law Nb. 4207 and after the birth of the child based on the records of two Family Health Centres in Ankara.
Within the scope of this cross-sectional study, 192 houses, in which 228 children under five years of age were living, were evaluated. Data were collected via face-to-face interview. Data collection form included information regarding socio-demographic characteristics, health status, smoking habits, status of exposure to second-hand smoke. Data transfer to the computer and data analyses were performed using the SPSS 15.0 statistical package program.
According to the statements of the study participants, the rate of smoking in the balcony, kitchen, toilet-bathroom, and rooms of the house decreased after the enforcement of the anti-tobacco Law Nb. 4207. Similar decrease was valid also for working environment. The decrease in the rate of smoking was the least in "Balconies" at both home and working environments. Birth of a child was also a factor that decreased the rate of smoking. A decrease was observed in almost all parts (bedroom, kitchen, balcony, and toilet-bathroom) of the houses after birth of a child.
Exposure to second-hand smoke at homes, where children under the age of five years were living, could not be completely (100%) prevented. Health care workers' persistent study on this issue may contribute to the awareness of parents in preventing exposure to second-hand smoke.
本研究旨在根据安卡拉两家家庭健康中心的记录，调查有5岁以下儿童家庭的吸烟状况，以及在第4207号禁烟法实施后和孩子出生后其吸烟习惯的任何变化。
在这项横断面研究范围内，对192户有228名5岁以下儿童居住的家庭进行了评估。通过面对面访谈收集数据。数据收集表包括社会人口学特征、健康状况、吸烟习惯、二手烟暴露状况等信息。使用SPSS 15.0统计软件包程序将数据传输到计算机并进行数据分析。
根据研究参与者的陈述，在第4207号禁烟法实施后，家中阳台、厨房、卫生间和房间的吸烟率下降。工作环境中也有类似下降情况。在家中和工作环境中，“阳台”的吸烟率下降幅度最小。孩子出生也是降低吸烟率的一个因素。孩子出生后，房屋的几乎所有区域（卧室、厨房、阳台和卫生间）的吸烟率都有所下降。
5岁以下儿童居住的家庭中，二手烟暴露无法完全（100%）预防。医护人员对此问题的持续研究可能有助于提高家长对预防二手烟暴露的认识。
