Nadhiroh Siti R, Djokosujono Kusharisupeni, Utari Diah M
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
Department of Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Tob Induc Dis. 2020 May 5;18:38. doi: 10.18332/tid/120077. eCollection 2020.
Prevalence of paternal smoking is high in Asia and babies are vulnerable to secondhand tobacco smoke (SHS) exposure at home. This study assesses socioeconomic characteristics and paternal smoking in households and infants' exposure to SHS.
A cross-sectional analysis of data collected as part of a prospective cohort study was conducted in Jakarta, Indonesia during 2017-2019. Participants were 156 mother-baby pairs whose babies reached the age of 6 months. Socioeconomic characteristics and smoking behaviour in the household were assessed by questionnaires. Factors related to paternal smoking and infants' exposure to SHS were assessed using a multivariate logistic regression model.
Almost two-thirds of infants lived with fathers who were smokers. Lower levels of paternal education (OR=2.59; 95% CI: 1.19-5.63; p=0.045) and infants with one sibling (OR=2.41; 95% CI: 1.02-5.67; p=0.044) increased the risk of paternal smoking in the household. Moreover, infants with one sibling (OR=3.09; 95% CI: 1.15-8.32; p=0.026), lower level of father education (OR=18.73; 95% CI: 1.54-227.93; p=0.022), and a high number of other household members who smoke (OR=4.54; 95% CI : 1.42-14.48; p=0.011) were the risk factors of SHS exposure among infants at home.
These findings demonstrate the significant influence of educational level, number of children and/or number of other smokers in the household on paternal smoking and SHS exposure among infants at home. Comprehensive tobacco control programmes to increase adoption of smoke-free homes are likely to be an effective way to reduce SHS exposure and promote decreased cigarette smoking in families with children.
在亚洲，父亲吸烟的比例很高，婴儿在家中易受二手烟暴露影响。本研究评估了家庭的社会经济特征、父亲吸烟情况以及婴儿的二手烟暴露情况。
对2017年至2019年期间在印度尼西亚雅加达进行的一项前瞻性队列研究收集的数据进行横断面分析。参与者为156对母婴，其婴儿已达6个月龄。通过问卷调查评估家庭的社会经济特征和吸烟行为。使用多因素逻辑回归模型评估与父亲吸烟和婴儿二手烟暴露相关的因素。
近三分之二的婴儿与吸烟的父亲生活在一起。父亲教育水平较低（OR=2.59；95%CI：1.19-5.63；p=0.045）以及有一个兄弟姐妹的婴儿（OR=2.41；95%CI：1.02-5.67；p=0.044）会增加家庭中父亲吸烟的风险。此外，有一个兄弟姐妹的婴儿（OR=3.09；95%CI：1.15-8.32；p=0.026）、父亲教育水平较低（OR=18.73；95%CI：1.54-227.93；p=0.022）以及家庭中其他吸烟人数较多（OR=4.54；95%CI：1.42-14.48；p=0.011）是家中婴儿二手烟暴露的危险因素。
这些研究结果表明，教育水平、孩子数量和/或家庭中其他吸烟者数量对家庭中父亲吸烟和婴儿二手烟暴露有显著影响。实施全面的烟草控制计划以增加无烟家庭的比例，可能是减少二手烟暴露并促使有孩子家庭中吸烟减少的有效途径。
