Development of a scale assessing Beliefs About ThirdHand Smoke (BATHS)

Haardörfer, Regine; Berg, Carla J.; Escoffery, Cam; Bundy, Łucja; Hovell, Melbourne F.; Kegler, Michelle C.

doi:10.1186/s12971-017-0112-4

Cited by 24 publications

(54 citation statements)

References 31 publications

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“…We investigated the participants’ beliefs about THS using the ‘beliefs about thirdhand smoke (BATHS)’ scale 30 (Supplementary file Table S1). We translated the BATHS scale into Chinese and carried out the survey in the Chinese population.…”

Section: Methodsmentioning

confidence: 99%

“…Factor 1 includes items describing THS in the building environment, capturing persistence of smoke particles, accumulation of THS, and ineffectiveness of THS reduction by means other than not smoking in the house. Factor 2 includes health impact of THS and transmission of THS through means other than the air 30 . Participants were asked whether they strongly disagreed, disagreed, not sure, agreed, or strongly agreed, with the statements coded on a scale 1–5.…”

Section: Methodsmentioning

confidence: 99%

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Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai

Xie¹,

Chen²,

Fu³

et al. 2021

Tob. Induc. Dis.

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INTRODUCTION There are few reports on the beliefs about thirdhand smoke in Chinese families with primary school children. This study aims to understand the beliefs about thirdhand smoke among parents or grandparents of primary school children in Shanghai and to provide an evidence base to incorporate thirdhand smoke preventative action into tobacco control interventions. METHODS We performed a cross-sectional survey among parents and grandparents of children aged 6–13 years in the Changjiang Road Primary School and recruited 843 participants to make assessments on the ‘beliefs about thirdhand smoke’ (BATHS) scale. Sociodemographic details including age, gender, marital status, education level, personal income and type of home ownership (new house, secondhand house with or without redecoration) and health status of children (whether they suffered from respiratory diseases or not) were investigated. Scale assessment, univariate and multivariate analyses to explore the factors influencing the BATHS scale and subscale scores, were performed using SPSS version 22.0. RESULTS Participants who were aged >65 years were more likely to get lower scores on the BATHS scale (OR=0.476; 95% CI: 0.311–0.728, p=0.001). Undergraduates (OR=1.190; 95% CI: 1.020–1.388, p=0.027) and graduates (OR=1.4490; 95% CI: 1.102–1.906, p=0.008) obtained higher scores. Moreover, the scores of residents living in a secondhand house with redecoration (OR=0.882; 95% CI: 0.782–0.995, p=0.041) and without redecoration (OR=0.801; 95% CI: 0.698–0.919, p=0.002) were lower compared with those of new-house owners. The scores for participants whose children suffered from respiratory diseases in the past six months (OR=1.104; 95% CI: 1.003–1.216, p=0.043) were higher than those whose children had no respiratory diseases. CONCLUSIONS This study shows that younger people, females, those with higher incomes, and higher education levels, were more likely to believe the thirdhand smoke impacts on health and its persistence in the environment. Our findings can guide targeted actions for smoke-free home interventions.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai

Xie¹,

Chen²,

Fu³

et al. 2021

Tob. Induc. Dis.

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

“…The Beliefs About ThirdHand Smoke (BATHS) scale, a standardized 9-item scale, was used to assess parents’ overall beliefs about THS (referred to as: ‘THS overall beliefs score’) 35 . Moreover, of the nine items, five items were related to beliefs about THS impact on health (referred to as: ‘THS health beliefs score’) and four items were related to beliefs about THS persistence in the environment (referred to as: ‘THS persistence beliefs score’) 35 . The THS health belief items included the following statements 35 : ‘breathing air in a room today where people smoked yesterday can harm the health of infants and children’, ‘breathing air in a room today where people smoked yesterday can harm the health of adults’, ‘particles in rooms where people smoked yesterday can cause cancer’, ‘after smoking cigarette, smoke particles on skin, hair, and clothing can passed on to others through touch’, and ‘after touching surfaces where cigarette smoke has settled, particles can enter the body through skin’.…”

Section: Methodsmentioning

confidence: 99%

Beliefs of parents in Kuwait about thirdhand smoke and its relation to home smoking rules: A cross-sectional study

Shehab¹,

Ziyab²

2021

Tob. Induc. Dis.

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to yield secondary pollutants'. On the other hand, secondhand smoke (SHS), an established and serious health hazard 2,3 , consists of a 'mixture of the sidestream smoke (i.e. smoke emitted from the burning cigarette, pipe, or cigar) and the mainstream smoke exhaled from the lungs of smokers' 1 . Hence, children and non-smoker adults experience SHS exposure by involuntary inhalation of sidestream ABSTRACT INTRODUCTION Thirdhand smoke (THS) is the toxic residue of tobacco smoke that persists long after tobacco smoking on the clothing and hair of smokers and in the surrounding environment. This study aimed to assess parents' beliefs about THS in terms of harm and persistence in the environment and evaluate associations between parents' THS beliefs and home smoking rules. METHODS A sample of parents living in Kuwait were enrolled in a cross-sectional study. Parents reported home smoking rules (strict, partial, and no, home smoking ban) and completed the 9-item Beliefs About ThirdHand Smoke (BATHS) scale that assessed parents' overall, health, and persistence beliefs about THS. Associations between the quartiles of THS overall, health, and persistence beliefs scores and home smoking rules were evaluated using a modified Poisson regression, and adjusted prevalence ratios (APR) and 95% confidence intervals (CI) were estimated. RESULTS In total, 536 parents (404 females) were enrolled in the study, with 42.0% (n=225) and 43.6% (n=234) reporting a strict or partial home smoking ban, respectively. The prevalence of a strict home smoking ban was higher among never smokers than among ever smokers (49.1% vs 25.2%, p<0.001). The majority of participants indicated that THS exposure harms the health of children (67.2%) and adults (60.6%) and THS residue could remain for days in the environment (58.9%). The prevalence of a strict home smoking ban increased as THS overall (APR Q4 vs Q1 = 1.48; 95% CI: 1.12-1.96), health (APR Q4 vs Q1 = 1.22; 1.02-1.45), and persistence (APR Q4 vs Q1 = 1.55; 1.17-2.05) beliefs scores increased. CONCLUSIONS Parents' harm and persistence beliefs about THS were associated with enforcing a strict home smoking ban, which provides a safer environment for children and non-smokers. Therefore, tobacco prevention programs need to incorporate educational messages about the harm of THS in an attempt to promote smoke-free homes.

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“…Beliefs related to third-hand smoking were measured using a scale, the Beliefs About Third Hand Smoke (BATHS) (5-point Likert scale: 1, strongly disagree; 5, strongly agree) [ 21 ]. The BATHS contains two subscales: 1) awareness of persistence of third hand smoking (4-items: e.g., “Smoke particles can remain in a room for days.”; Cronbach alpha, 0.624) and 2) awareness of health risks of third hand smoking (5-items: e.g., “Particles in rooms where people smoked yesterday can cause cancer.”; Cronbach alpha, 0.742).…”

Section: Methodsmentioning

confidence: 99%

Peer Smoking and Smoking-related Beliefs Among College Students in Bangladesh

Kamimura

Ahmmad

Pye

et al. 2018

J Prev Med Public Health

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ObjectivesSmoking is a significant public health issue in Bangladesh. The purpose of this study was to examine peer smoking and smoking-related beliefs among college students in Bangladesh.MethodsCollege students at two universities in Dhaka, Bangladesh participated in a self-administered survey in May and June 2017.ResultsFirst, being a current or former smoker is associated with lower levels of beliefs among respondents that they would not smoke even with smoker friends or nervousness, and lower levels of intentions that they would not smoke, while current smokers and former smokers have different smoking-related beliefs. Second, having smoker friends is associated with lower levels of intentions that they would not smoke. Third, higher levels of normative beliefs that it is important not to smoke are associated with higher levels of beliefs that they would not smoke even with smoker friends or nervousness, higher levels of intentions that they would not smoke, and higher levels of avoidance of smoking.ConclusionsSmoking-related beliefs and perceived norms in individuals’ social networks are important components in promoting tobacco cessation in Bangladesh. But it is challenging to prevent or intervene in smoking because of the high rates of smoking in this country and the high prevalence of smokers in individuals’ social networks. Future studies should examine the most effective interventions to combat smoking in high-smoking social networks, such as using mobile apps or social media, and evaluate the effectiveness of such interventions.

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Development of a scale assessing Beliefs About ThirdHand Smoke (BATHS)

Cited by 24 publications

References 31 publications

Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai

Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai

Beliefs of parents in Kuwait about thirdhand smoke and its relation to home smoking rules: A cross-sectional study

Peer Smoking and Smoking-related Beliefs Among College Students in Bangladesh

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