title: Socioeconomic differences in exposure to tobacco smoke pollution (TSP) in Bangladeshi households with children: findings from the International Tobacco Control (ITC) Bangladesh Survey.
abstract: This study assessed the pattern of exposure to tobacco smoke pollution (TSP; also known as, secondhand smoke) in Bangladeshi households with children and examined the variations in household smoking restrictions and perception of risk for children's exposure to TSP by socioeconomic status. We interviewed 1,947 respondents from Bangladeshi households with children from the first wave (2009) of the International Tobacco Control (ITC) Bangladesh Survey. 43.5% of the respondents had complete smoking restrictions at home and 39.7% were very or extremely concerned about TSP risk to children's health. Participants with lower level of education were significantly less likely to be concerned about the risk of TSP exposure to children's health and less likely to adopt complete smoking restrictions at home. Logistic regression revealed that the predictors of concern for TSP exposure risk were educational attainment of 1 to 8 years (OR = 1.94) or 9 years or more (OR = 4.07) and being a smoker (OR = 0.24). The predictors of having complete household smoking restrictions were: urban residence (OR = 1.64), attaining education of 9 years or more (OR = 1.94), being a smoker (OR = 0.40) and being concerned about TSP exposure risk to children (OR = 3.25). The findings show that a high proportion of adults with children at home smoke tobacco at home and their perceptions of risk about TSP exposure to children's health were low. These behaviours were more prevalent among rural smokers who were illiterate. There is a need for targeted intervention, customized for low educated public, on TSP risk to children's health and tobacco control policy with specific focus on smoke-free home.
authors.affiliation: School of Public Health, Guangxi Medical University, 22 Shuangyong Road, Nanning 530021, Guangxi, China. asm.abdullah@graduate.hku.hk
authors.forename: Abu S
authors.initials: AS
authors.lastname: Abdullah
authors.forename: Sara C
authors.initials: SC
authors.lastname: Hitchman
authors.forename: Pete
authors.initials: P
authors.lastname: Driezen
authors.forename: Nigar
authors.initials: N
authors.lastname: Nargis
authors.forename: Anne C K
authors.initials: AC
authors.lastname: Quah
authors.forename: Geoffrey T
authors.initials: GT
authors.lastname: Fong
mesh_terms: D000293:Adolescent; D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D015331:Cohort Studies; D005191:Family Characteristics; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D007231:Infant, Newborn; D019570:Inhalation Exposure / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012907:Smoking / Q000453:epidemiology*; D012923:Social Class; D014028:Tobacco Smoke Pollution / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D014028:Tobacco Smoke Pollution