Urban-rural differentials in the factors associated with exposure to second-hand smoke in India
Urban-rural differentials in the factors associated with exposure to second-hand smoke in India
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DOI：
10.1136/bmjopen-2013-003542
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发表时间：
2013-01-01
期刊：
影响因子：
2.9
通讯作者：
Sahoo, Namita
中科院分区：
文献类型：
--
作者：
Singh, Akansha;Sahoo, Namita
目的本研究旨在调查与印度城市和农村地区工作场所和家庭中接触二手烟（SHS）相关的不同因素的作用。设计对2009- 2010年进行的全球成人烟草调查数据进行二次分析。吸烟者在家里和4809农村和6227城市的非吸烟者在工作场所在India.Outcomes和方法，我们使用了两种措施的SHS：暴露于SHS在家里和暴露于SHS在工作场所。对于报告有人在家中吸烟的非吸烟者，估计家中的SHS暴露。工作场所暴露于SHS的估计是针对在调查前30天内报告有人在工作场所吸烟的非吸烟者。结果工作场所和家庭的SHS暴露水平农村高于城市;与男性相比，农村地区女性在家中暴露于SHS的可能性明显更高（OR=1.20，95%CI 1.10 - 1.30），而在城市地区，女性在工作场所暴露于SHS的可能性较低（OR=0.49，95%CI 0.40 - 0.59）。教育程度和地区是农村和城市地区家庭和工作场所SHS暴露水平的重要预测因素。对吸烟相关危害的认识对农村工作场所的SHS暴露有显著的歧视作用。SHS暴露在家里是最受影响的地区在农村地区和教育在城市areas.Conclusions影响SHS暴露不同的因素在农村和城市地区的印度。该研究得出结论，非吸烟者在家中和工作场所接触SHS的风险在该国农村地区更高。
Objectives This study aims to investigate the role of different factors associated with exposure to second-hand smoke (SHS) in the workplace and home in the urban and rural areas of India.Design Secondary analysis of the data from the Global Adult Tobacco Survey conducted in 2009-2010.Setting and participants Data were analysed from 32738 rural and 23202 urban non-smokers at home and 4809 rural and 6227 urban non-smokers in the workplace in India.Outcomes and methods We used two measures of SHS: exposure to SHS at home and exposure to SHS in the workplace. SHS exposure at home is estimated for non-smokers who reported anyone smoking inside his/her home. Exposure to SHS in the workplace is estimated for non-smokers who reported anyone smoking in the workplace in the past 30days before the survey. Statistical techniques such as (2) test, logistic regression and discriminant function analysis were used.Results The results showed that SHS exposure in the workplace and home is higher in the rural areas than in the urban areas. As compared with men, women are significantly more likely to be exposed to SHS at home (OR=1.20, 95% CI 1.10 to 1.30) in the rural areas, and less likely at the workplace in the urban areas (OR=0.49, 95% CI 0.40 to 0.59). Education and region are significant predictors of exposure levels to SHS at home and the workplace in the rural and urban areas. The knowledge of number of smoking-related hazards significantly discriminates the SHS exposure in the rural workplace. SHS exposure at home is most affected by region in the rural areas and education in the urban areas.Conclusions The factors which affect SHS exposure differ in the rural and urban areas of India. The study concludes that the risk of getting exposed to SHS at home and the workplace among non-smokers is higher in the rural areas of the country.