Prevalence and Determinants of Secondhand Smoke Exposure Among Women in Bangladesh, 2011
Prevalence and Determinants of Secondhand Smoke Exposure Among Women in Bangladesh, 2011
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DOI：
10.1093/ntr/ntu129
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发表时间：
2015-01-01
影响因子：
4.7
通讯作者：
Khan, Mobarak Hossain
中科院分区：
文献类型：
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作者：
Fischer, Florian;Minnwegen, Martina;Khan, Mobarak Hossain
背景和目标：孟加拉国的人口非常容易受到二手烟（SHS）的影响，因为吸烟率高，对SHS的有害影响认识不足。本研究的目的是确定SHS暴露的患病率，并强调在制定成功的战略，以防止在Bangladesh.Methods不利的健康影响的基本决定因素：分析是基于孟加拉国人口健康调查2011年，其中17,749名妇女在生育年龄组（12-49岁）。关于家中SHS暴露的信息来自于以下问题：“在你的房子里，人们多久吸烟一次？“变量被重新编码为3组：每日暴露，低暴露（每周暴露，每月暴露或少于每月暴露）和无SHS暴露。我们进行了描述性和双变量分析和多项logistic regulation.Results：共46.7%的妇女报告高暴露于SHS在家里。根据多项逻辑回归模型，较低的教育程度和较低的财富指数与每天在家接触SHS显著相关。孟加拉国各分区的暴露程度差别很大。有孩子在家里（与不）和伊斯兰教（相比，其他宗教信仰）的保护factors.Conclusions：这项研究表明，妇女从社会经济上处于不利地位的家庭更有可能经历每天暴露于SHS在家里。因此，必须特别针对这些群体减少烟草消费。除了立法方面之外，未来的战略还需要关注教育方面，以改善孟加拉国人口的健康状况。
Background and Objectives: The population of Bangladesh is highly susceptible to secondhand smoke (SHS) exposure due to high smoking rates and low awareness about the harmful effects of SHS. This study aims to determine the prevalence of SHS exposure and highlight the essential determinants in developing successful strategies to prevent adverse health effects in Bangladesh.Methods: The analysis is based on the Bangladesh Demographic Health Survey 2011, in which 17,749 women in the reproductive age group (12-49 years) were included. The information regarding SHS exposure at home was derived from the question: "How often does anyone smoke inside your house?" The variable was recoded into 3 groups: daily exposure, low exposure (exposed weekly, monthly, or less than monthly), and no SHS exposure. We performed descriptive and bivariable analyses and multinomial logistic regression.Results: A total of 46.7% of the women reported high exposure to SHS at home. According to the multinomial logistic regression model, relatively lower education and lower wealth index were significantly associated with daily SHS exposure at home. The exposure differed significantly between the divisions of Bangladesh. Having children at home (vs. not) and being Islamic (compared to other religious affiliations) were protective factors.Conclusions: The study indicates that women from socioeconomically disadvantaged households are more likely to experience daily exposure to SHS at home. Therefore, especially these groups have to be targeted to reduce tobacco consumption. In addition to aspects of legislation, future strategies need to focus educational aspects to improve the population's health status in Bangladesh.