Smoking prevalence among adults in households with children: parental survey

Authors

DOI:

https://doi.org/10.26641/2307-0404.2023.2.283396

Keywords:

children, second-hand smoke, tobacco product, nicotine vaping, smoking, prevalence

Abstract

The effects of tobacco smoke and nicotine on the health of adults and children remain one of the most burning problem in our days. In 2019 the prevalence of active smoking in Ukraine reached 42.0 among men and 14.4% among women. The negative effects of second-hand tobacco smoke exposure are most significant in children under 5 years of life, especially in families with smoking mothers. The goal of the study was to assess the current smoking prevalence in families with children, including the use of modern electronic nicotine delivery devices. A self-reported survey of 414 families living in Odessa and Odessa region (Ukraine) was conducted. All questionnaires were divided into two groups depending on the presence of tobacco smoke exposure. To asses the factor's relevance the odds ratio (OR) and its 95% confidence interval (CI) were used. The prevalence of smoking in families was associated with the age of the father up to 30 years (16.13 [95% CI 11.54–22.09]%; OR 2.73 [1.42–5.25]), mother’s and father’s low education lever (OR 2.73 [1.42–5.25] and 2.70 [1.64–4.44]), as well as with the residence of the family in the city (OR 4.30). The prevalence of smoking exposure was not associated with the income level or number of household members. The prevalence of smoking in women before pregnancy was more than 20%, and during pregnancy – 10%. After delivery women smoked in 23.91 (95% CI 20.06-28.25)% of cases. Proportion of families where smoked someone other than the mother reached 42.75 (95% CI 38.08–47.56)%. Other family members smoking negatively affected mothers’ tobacco consumption, both before and after childbirth. After pregnancy, women used both smoked tobacco and noncombustible forms of nicotine (51.52 vs 48.48%) with the same frequency. Other family members consumed smoking tobacco more often than e-cigarettes. All smokers who used electronic nicotine delivery devices more likely smoked at home (OR 5.33 [95% CI 0.53–54.04]).

References

Antomonov MYu. [Mathematical Processing and Analysis of Medico-biological Data]. 2-e ed. Kyiv: Med-inform; 2018. Russian.

Global Adults Tobacco Survey 2017 (Ukraine). [Internet]. [cited 2021 Sep 24]. Ukrainian. Available from: https://kiis.com.ua/materials/pr/20180214_GATS/Full%20Report%20GATS%20Ukraine%202017%20UKR.pdf

Bao W, Liu B, Du Y, et al. Electronic Cigarette Use Among Young, Middleaged, and Older Adults in the United States in 2017 and 2018. JAMA Intern Med. 2020;180:313. doi: https://doi.org/10.1001/jamainternmed.2019.4957

Core Questionnaire with Optional Questions. [Internet]. [cited 2021 Sep 24]. Available from: https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/gats/gats-corequestionnairewithoptionalquestions_0525f659-106d-435a-93f7-ea0adb63c218.pdf?sfvrsn=3b5ca226_6

Cornelius ME, Wang TW, Jamal A, et al. Tobacco Product Use Among Adults – United States, 2019. MMWR Morb Mortal Wkly Rep. 2020;69:1736-42. doi: http://dx.doi.org/10.15585/mmwr.mm6946a4

Dai H, Leventhal AM. Prevalence of e-Cigarette Use Among Adults in the United States, 2014-2018. JAMA. 2019;322:1824. doi: https://doi.org/10.1001/jama.2019.15331

Drake P, Driscoll AK, Mathews TJ. Cigarette smoking during pregnancy: United States, 2016. NCHS Data Brief. 2018 Feb;(305):1-8.

Kasza KA, Ambrose BK, Conway KP, et al. Tobacco-Product Use by Adults and Youths in the United States in 2013 and 2014. N Engl J Med. 2017;376:342. doi: https://doi.org/10.1056/NEJMsa1607538

Large S, Probst C, Rehm J, et al. National, regional, and global prevalence of smoking during pregnancy in the general population: a systematic review and meta-analysis. The Lanset. 2018 July;6(7);769-76. doi: https://doi.org/10.1016/S2214-109X(18)30223-7

Levine MD, Cheng Y, Marcus MD, et al. Preventing Postpartum Smoking Relapse: A Randomized Clinical Trial. JAMA Intern Med. 2016 Apr;176(4):443-52. doi: https://doi.org/10.1001/jamainternmed.2016.0248

National Health Interview Survey; 2019. [Internet]. [cited 2021 Sep 24]. Available from: https://www.cdc.gov/nchs/nhis/tobacco/tobacco_statistics.htm

Oldereid NB, Wennerholm UB, Pinborg A, et al. The effect of paternal factors on perinatal and paediatric outcomes: a systematic review and meta-analysis. Hum Reprod Update. 2018 May 1;24(3):320-89. doi: https://doi.org/10.1093/humupd/dmy005

GBD 2019 Tobacco Collaborators. Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. Lancet. 2021 Jun 19;397(10292):2337-60. doi: https://doi.org/10.1016/S0140-6736(21)01169-7

Published

2023-06-30

How to Cite

1.
Starets O, Kovalenko D. Smoking prevalence among adults in households with children: parental survey. Med. perspekt. [Internet]. 2023Jun.30 [cited 2024Feb.25];28(2):164-9. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/283396

Issue

Section

PREVENTIVE MEDICINE