How secondhand smoke exposure affects tobacco use
and smoking susceptibility of adolescents: Sex and school
differences

Yang, Xiaochen; Yan, Zhongheng; Xu, Gang; Tan, Yinliang; Zhu, Jingfen

doi:10.18332/tid/140094

Cited by 12 publications

(22 citation statements)

References 40 publications

(45 reference statements)

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“…Social factors such as exposure to SHS in public places (school, restaurant, and public transport) and exposure to tobacco advertising were positively associated with adolescent daily smoking. Exposure to SHS in public places was higher among daily smokers, consistent with other studies [23], [24]. SHS exposure in a public place might be a risk factor among adolescent smoking [17].…”

Section: Discussionsupporting

confidence: 91%

Factors Related to Adolescent Smoking: A Nationally Representative Cross-Sectional Study in Thailand

Suwanwong¹,

Kalapat

Pitayarangsarit

et al. 2021

Open Access Maced J Med Sci

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Objective: This study aimed to explore the individual, familial, and social factors associated with different smoking status in Thai adolescents from the 2017 Cigarette Smoking and Alcohol Drinking Behavior Survey (CSAD) Methods: The nationally representative sample of 6046 adolescents aged 15-19 years who took part in the 2017 CSAD in Thailand. Multinomial logistic regression analysis was conducted to explore the associations between the individual, familial, and social factors and different smoking status. Results: The daily smoking and occasional smoking was 6.4% and 3.3%, respectively. Gender, alcohol use, substance use, attitudes toward smoking, exposure to secondhand smoke at home, anti-smoking social media campaign, and graphic warning labels were related to both daily and occasional smoking. Daily smoking was associated with exposure to secondhand smoke at school, restaurant, and public transport, and exposure to tobacco advertising. Conclusion: These findings suggest that smoking prevention intervention should particularly focus on these factors and also need to develop the anti-smoking policies for smoking prevention among adolescents.

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Section: Discussionsupporting

confidence: 91%

Factors Related to Adolescent Smoking: A Nationally Representative Cross-Sectional Study in Thailand

Suwanwong¹,

Kalapat

Pitayarangsarit

et al. 2021

Open Access Maced J Med Sci

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“…56 A cross-section study with students aged 13-18 years in China, the top country for tobacco production and consumption, 57 confirmed that SHS exposure at home had a 4.67 times higher risk of current tobacco use among junior high school students. 27 Based on high epidemics of tobacco use and related morbidity and mortality in the South-East Asia and Western Pacific regions, rigorous, region-specific tobacco policies and regulations should be implemented and enforced to reduce the accessibility of tobacco products and reduce the prevalence of SHS exposure. In the Western Pacific region, various tobacco control approaches have been used such as smoke-free legislation in public places, financial support for cessation, providing health warnings, banning tobacco advertising, imposing tax on tobacco, and prohibiting sales of single cigarettes.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…26 Recent studies also showed that youth exposed to SHS had a higher risk of being susceptible and initiating. 4,27…”

Section: Introductionmentioning

confidence: 99%

“…26 Recent studies also showed that youth exposed to SHS had a higher risk of being susceptible and initiating. 4,27 Children and adolescents spend significant time in the home and school. 28 Especially, home is the primary source of SHS exposure.…”

Section: Introductionmentioning

confidence: 99%

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Association Between Place of Secondhand Smoke Exposure and Depression Among Nonsmoking Children and Adolescents: A Systematic Review

Christian

Kim

2022

Asia Pac J Public Health

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Secondhand smoke (SHS) exposure patterns of children and adolescents are different from those of adults because children and adolescents spend a majority of their time in the home and school. It was aimed to conduct a systematic review of the published literature regarding the association between depression and the place of SHS exposure among children and adolescents. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines, PubMed, ScienceDirect, and Cochrane Library databases were used for the literature review. The studies were screened and selected by two independent reviewers based on the inclusion criteria. All eight studies included in the systematic review measured SHS exposure in participants’ own homes. Two studies measured SHS exposure at school and one study in cars. The majority of the studies showed a positive association between depression and SHS exposure in both private and public places among nonsmoking children and adolescents. Also, they concluded a dose-response relationship between SHS exposure and depression. Health practitioners would be encouraged to work with stakeholders to create smoke-free policies in both private and public places to avoid the adverse effects of SHS exposure.

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Secondhand Smoke Exposure and Smoking Prevalence Among Adolescents

Kuwabara,

Kinjo,

Kim

et al. 2023

JAMA Netw Open

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ImportanceSecondhand smoke is a substantial risk factor for youth health globally, including in Japan, where tobacco control policies should be reassessed.ObjectiveTo assess trends in the prevalence of secondhand smoke exposure among Japanese adolescents from 2008 to 2017 and to examine the association between its frequency and smoking during the study period.Design, Setting, and ParticipantsThis study comprised a nationally representative, self-administered, school-based, cross-sectional survey focusing on tobacco and alcohol use and related factors among students in grades 7 to 12 (ages 12-18 years) in Japan. This random sampling survey used single-stage cluster sampling. Using the national school directory, junior and senior high schools throughout Japan were randomly extracted from each regional block. All students enrolled in the sampled schools were included as participants, and school-based surveys were completed in 2008, 2012, and 2017. Data analysis was performed from January 1 to March 15, 2023.Main Outcomes and MeasuresPrevalence of secondhand smoke exposure among adolescents in Japan from 2008 to 2017 and changes in the association between secondhand smoke exposure frequency and prevalence of smoking were examined using multiple logistic regression analysis.ResultsData were analyzed for 95 680 adolescents in 2008 (50.7% boys), 100 050 in 2012 (51.6% boys), and 64 152 in 2017 (53.9% boys). At baseline, 42.0%, 38.5%, and 34.6% of the participants were junior high school students in 2008, 2012, and 2017, respectively. Based on the 2008 surveys, 51.0% of adolescents in grades 7 to 12 were exposed to secondhand smoke in any place (≥1 day during the past 7 days), 37.2% were exposed at home, and 36.5% were exposed in public places. In 2017, 36.3% of participants were exposed to secondhand smoke in any place, 23.8% were exposed at home, and 27.0% were exposed in public places. An association between secondhand smoke exposure frequency and prevalence of smoking was observed consistently regardless of survey year, location, or pattern of exposure (adjusted odds ratios ranged from 2.29 [95% CI, 1.81-2.91] for 1-2 days at home to 11.15 [95% CI, 8.50-14.62] for 7 days in public places). Stratified analysis by higher education intention indicated that the prevalence of smoking and secondhand smoke exposure decreased but remained higher among adolescents who did not intend to pursue higher education. The association between secondhand smoke and smoking did not differ substantially between groups.Conclusions and RelevanceIn this cross-sectional study, the prevalence of secondhand smoke exposure among adolescents in Japan decreased but remained at high levels overall. There may not be a hazard-free threshold for smoking. Enhancing comprehensive tobacco control strategies is Japan’s first step toward achieving smoke-free environments to protect youths. Implementation and verification of the effectiveness of smoke-free legislation should be considered.

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How secondhand smoke exposure affects tobacco use and smoking susceptibility of adolescents: Sex and school differences

Cited by 12 publications

References 40 publications

Factors Related to Adolescent Smoking: A Nationally Representative Cross-Sectional Study in Thailand

Factors Related to Adolescent Smoking: A Nationally Representative Cross-Sectional Study in Thailand

Association Between Place of Secondhand Smoke Exposure and Depression Among Nonsmoking Children and Adolescents: A Systematic Review

Secondhand Smoke Exposure and Smoking Prevalence Among Adolescents

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