title: Developing a smoke free household initiative: an Indonesian case study.
abstract: Little research has focused on women's exposure to secondhand smoke (SHS) in LMICs, local perceptions of SHS risk to women and children, and women's attempts to limit exposure to tobacco smoke in their households. This paper describes a community based survey in Indonesia that investigated these issues as one step in a movement to initiate community wide household smoking bans. The survey found high levels of exposure to SHS, high levels of awareness among both women and men that SHS placed women and children at risk for illness, a very low percentage of households having indoor smoking rules, great interest on the part of women to participate in a communitywide ban, and a promising level of male smoker agreement to comply with such a ban. Women expressed a low sense of self efficacy in individually getting their husbands to quit smoking in their homes, but a strong sense of collective efficacy that husbands might agree to a well-publicized and agreed-upon community household smoking ban. Men and women expressed concern about the social risk of asking guests not to smoke in their homes without a communitywide ban and visible displays communicating their participation in this movement. The smoke free initiative described requires the participation of doctors in community education programs, and is attempting to introduce household smoking bans as a way of turning tobacco control into a family health and not just a smokers' health issue.
authors.affiliation: Mimi Nichter, School of Anthropology, University of Arizona, Emil Haury Building, Tucson, Arizona, USA.
authors.forename: Mimi
authors.initials: M
authors.lastname: Nichter
authors.affiliation: Mimi Nichter, School of Anthropology, University of Arizona, Emil Haury Building, Tucson, Arizona, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Nichter
authors.affiliation: Centre for Bioethics and Medical Humanities, Faculty of Medicine, Gadjah Mada University, Indonesia.
authors.forename: Retna Siwi
authors.initials: RS
authors.lastname: Padmawati
authors.affiliation: Department of Public Health, Faculty of Medicine, Gadjah Mada University, Indonesia.|Umea University for Global Health Research, Umea University, Sweden.
authors.forename: Nawi
authors.initials: N
authors.lastname: Ng
mesh_terms: D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007214:Indonesia; D008297:Male; D012111:Residence Characteristics; D020377:Self Efficacy; D012907:Smoking / Q000009:adverse effects; D000074606:Smoking Prevention; D012927:Social Control, Informal; D018454:Spouses; D014028:Tobacco Smoke Pollution / Q000009:adverse effects / Q000517:prevention & control*
chemical_list: D014028:Tobacco Smoke Pollution