Prevalence and characteristics of secondhand smoke and secondhand vapour exposure among youth

Bayly, Jennifer E.; Bernat, Debra H.; Porter, Lauren; O’Dare, Kellie; Choi, Kelvin

doi:10.1136/tobaccocontrol-2018-054265

Cited by 15 publications

(13 citation statements)

References 32 publications

(32 reference statements)

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“…In line with a study among youth in the USA,57 our study found that those who perceived SHA as harmful were less likely to report SHA exposure. Generally, people viewed SHA as less harmful than SHS 60.…”

Section: Discussionsupporting

confidence: 91%

“…Exposure to SHA has its impact on social norm and using e-cigarette. Constant SHA exposure among the youth may increase their susceptibility to using e-cigarettes and tobacco products, as well as decreased their harm perception of e-cigarettes 19 57. A higher likelihood of SHA exposure among e-cigarette past users (compared with never users) found in this study may pose a risk of relapse for those who have quit using e-cigarette.…”

Section: Discussionmentioning

confidence: 63%

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Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries: data from the TackSHS survey

et al. 2020

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Introduction: Exposure to secondhand aerosol from e-cigarette (SHA) may pose harmful effects to bystanders. This study aims to investigate the prevalence, duration, and determinants of SHA exposure in various indoor settings in 12 European countries. Methods:In 2017-2018, we conducted a cross-sectional study, the TackSHS survey, on a representative sample of the population aged ≥15 years in 12 European countries (Spain). We described the prevalence and duration of exposure to SHA in several indoor settings among 11,604 e-cigarette non-users. Individual-and country-level characteristics associated with SHA exposure were also explored using multi-level logistic regression analyses.Results: Overall, 16.0% of e-cigarette non-users were exposed to SHA in any indoor setting at least weekly, ranging from 4.3% in Spain to 29.6% in England. The median duration of SHA exposure among those who were exposed was 43 minutes/day. "Other indoor settings" (e.g. bar, restaurant) was reported as the place where most of e-cigarette non-users were exposed (8.3%), followed by workplace/educational venues (6.4%), home (5.8%), public transportation (3.5%), and private transportation (2.7%). SHA exposure was more likely to occur in certain groups of non-users: men, younger age groups, those with higher level of education, e-cigarette past users, current smokers, those perceiving SHA harmless and living in countries with a higher e-cigarette use prevalence. Conclusions:We found inequalities of SHA exposure across and within European countries.Governments should consider extending their tobacco smoke-free legislation to e-cigarettes to protect bystanders, particularly vulnerable populations such as young people.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 63%

Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries: data from the TackSHS survey

et al. 2020

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“…The smoking behavior of adolescents is affected by personal, psychological, and social factors such as gender, smoking behavior of peers or family members and social environment 11,12 . SHS exposure is one of the important risk factors that might increase susceptibility to smoking and nicotine dependence among those who have begun smoking 13 . Prior studies have indicated that SHS could influence tobacco use and smoking behaviors [14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

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

Yang

Yan

et al. 2021

Tob. Induc. Dis.

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INTRODUCTION Secondhand smoke (SHS) exposure affects tobacco related health behaviors during adolescence and persists into adulthood. This study aimed to investigate the influence of SHS exposure on tobacco use among adolescents stratified by school and gender, and provide recommendations for controlling tobacco use in youth. METHODS Through stratified random cluster sampling, 12278 selected students (aged 13-18 years) from schools in China were administered questionnaires. Multiple logistic regression was used to analyze whether SHS exposure would increase the smoking risk and susceptibility of adolescents. RESULTS The prevalence of SHS exposure among the participating students was 74.8%. Adolescents exposed to SHS were at higher odds of being susceptible and currently smoking. Students with SHS exposure at both home and public places accounted for 36.6%, greatly increasing the current smoking risk and smoking susceptibility. Home SHS exposure had greater impact on the current tobacco use of boys (OR=2.13; 95% CI: 1.50-3.03) and junior school students (OR=4.67; 95% CI: 2.41-9.06). Exposure from public places increased the risk of current smoking in boys (OR=4.20; 95% CI: 2.31-7.65) and smoking susceptibility of vocational school students (OR=1.51; 95% CI: 1.07-2.15). Students with highlevel exposure to SHS had 2.25 times higher odds of e-cigarette use. CONCLUSIONS The prevalence of SHS exposure is still high among adolescents in China and is associated with increased risk for tobacco use regardless of gender and school level. Effective smoke-free strategies should be developed and strictly implemented. Boys and junior school students constitute vulnerable populations exposed to SHS at home.

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“…6 Furthermore, almost 10% of US adolescents reported living with an ENDS user in 2014, 7 and a study among youth in Florida found almost one-third reported secondhand ENDS aerosol exposure. 8 Given that youth with asthma are likely exposed to these aerosols, it is important to understand if and how these exposures affect health. The goal of the present study was to examine the associations between secondhand ENDS aerosol exposure and asthma exacerbations among youth with asthma.…”

mentioning

confidence: 99%

Secondhand Exposure to Aerosols From Electronic Nicotine Delivery Systems and Asthma Exacerbations Among Youth With Asthma

Bayly

Bernat

Porter

et al. 2019

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104

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BACKGROUND: Current research suggests an association between the use of electronic nicotine delivery systems (ENDS) and asthma symptoms in youth, but little is known about the association of secondhand ENDS aerosol exposure and asthma control. The present study examines the relationship of secondhand ENDS aerosol exposure and asthma exacerbations among youth with asthma. METHODS: Youth who participated in the 2016 Florida Youth Tobacco survey (aged 11-17 years) with a self-reported diagnosis of asthma (N ¼ 11,830) reported asthma attacks in the past 12 months, demographic characteristics, cigarette use, cigar use, hookah use, ENDS use, past 30-day secondhand smoke exposure, and past 30-day secondhand ENDS aerosol exposure. Weighted multivariable logistic regression models were used to examine the association between secondhand ENDS aerosol exposure and past 12-month asthma attack status, adjusting for covariates. RESULTS: Overall, 21% of youth with asthma reported having an asthma attack in the past 12 months, and 33% reported secondhand ENDS aerosol exposure. Secondhand ENDS aerosol exposure was associated with higher odds of reporting an asthma attack in the past 12 months, adjusting for covariates (adjusted OR, 1.27; 95% CI, 1.11-1.47). CONCLUSIONS: Secondhand exposure to ENDS aerosols may be related to asthma symptoms in youth. Physicians may need to counsel youth with asthma regarding the potential risks of exposure. Future research is necessary to evaluate the longitudinal relationship between secondhand ENDS aerosol exposure and asthma control.

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Prevalence and characteristics of secondhand smoke and secondhand vapour exposure among youth

Abstract: Almost one-third of Florida youth reported SHV exposure. Factors associated with SHS and SHV exposure are somewhat similar, and exposure to SHS and SHV is associated with tobacco susceptibility in youth. Promoting tobacco-free homes is needed to protect youth from SHS and SHV exposure.

Cited by 15 publications

References 32 publications

Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries: data from the TackSHS survey

Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries: data from the TackSHS survey

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

Secondhand Exposure to Aerosols From Electronic Nicotine Delivery Systems and Asthma Exacerbations Among Youth With Asthma

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