Díez-Izquierdo Ana, Cassanello Peñarroya Pia, Cartanyà-Hueso Àurea, Matilla-Santander Núria, Martín Sánchez Juan Carlos, Balaguer Santamaría Albert, Martínez-Sánchez José M
Servicio de Pediatría. Hospital Universitario General de Catalunya (HUGC). Sant Cugat del Vallès. Barcelona. España.
Facultat de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España.
Rev Esp Salud Publica. 2019 Jul 16;93:e201907045.
Pediatric population is the most vulnerable to secondhand smoke (SHS), exposure being households the main source of exposure in children. The objective of this study is to describe smoke-free households and the prevalence of SHS in the pediatric population (from 3 to 36 months) in Spain.
Cross-sectional study with 1,368 parents, mothers or guardians with children from 3 to 36 months carried out in Spain from March to November of 2017 through an online questionnaire as part of the EPISON study. Information was collected on the voluntary adoption of tobacco use regulations at home and SHS exposure at home and other environments. We calculated prevalences and Odds Ratio adjusted (ORa) for sex, age, level of education, and smoking status.
87.6% of respondents claimed to have a smoke-free home. 12.4% of respondents had partial regulation or did not have regulation at home, increasing up to 26.0% when the parent was a smoker or to 21.8% when the parent had primary or lower education. 5.4% of parents reported SHS exposure in their children at their homes, rising to 14.5% when it occurs in other environments, increasing with statistically significant differences between smoking parents and parents with lower educational level.
The smoke-free homes are the majority; but SHS exposure to tobacco at home persists in children under 3 years of age, especially in families with a lower educational level. Therefore, awareness-raising campaigns on the effects of passive exposure on minors among families with.
儿童群体最易受二手烟影响，家庭是儿童接触二手烟的主要来源。本研究旨在描述西班牙无烟家庭情况以及3至36个月儿童群体中二手烟暴露的患病率。
作为EPISON研究的一部分，于2017年3月至11月在西班牙对1368名有3至36个月孩子的父母、母亲或监护人进行横断面研究，通过在线问卷收集信息。内容包括在家中自愿采用烟草使用规定的情况以及在家中和其他环境中的二手烟暴露情况。我们计算了按性别、年龄、教育程度和吸烟状况调整的患病率和比值比（ORa）。
87.6%的受访者称家中无烟。12.4%的受访者家中有部分规定或没有规定，当父母是吸烟者时这一比例增至26.0%，当父母接受小学或更低教育时增至21.8%。5.4%的父母报告孩子在家中接触二手烟，在其他环境中接触二手烟的比例升至14.5%，吸烟父母和教育程度较低的父母之间存在统计学显著差异。
无烟家庭占多数；但3岁以下儿童在家中接触二手烟的情况仍然存在，尤其是在教育程度较低的家庭。因此，应在家庭中开展关于被动接触对未成年人影响的提高认识运动。
