title: [The impact of migration background on children's secondhand smoke exposure. A cross-sectional study within the health monitoring units (GME) in Bavaria, Germany].
abstract: OBJECTIVE
  Differences in children's secondhand smoke (SHS) exposure were examined by migration-specific characteristics, socioeconomic factors and living conditions, as well as with regard to the parents SHS knowledge and SHS attitudes.
  
  
  METHODS
  Data from 5,336 pre-school children (29% migrants) were collected in a cross-sectional study in 2008/2009 in Germany through parental questionnaire (response rate: 61%). Using multiple logistic regression, the association of migration background and children's SHS exposure was analysed.
  
  
  RESULTS
  Children with a migration background are at an increased risk of SHS exposure in their homes. Multivariate analyses show that adjusting for socioeconomic factors and parental knowledge of how to protect their children from SHS reduces the estimates of migration background significantly. Compared to children without migration background, the chance of SHS exposure for children with migration background is still increased (OR [95% CI]: 1.57 [1.23-2.01]). Children of Turkish-speaking families, compared to children from German-speaking families, are most often burdened by SHS (3.05 [2.18-4.26]).
  
  
  CONCLUSIONS
  Migrant-sensitive tobacco prevention in selected risk groups is necessary to provide support for creating smoke-free homes for children.
authors.affiliation: Sachbereich Arbeits- und Umweltepidemiologie.
authors.forename: H
authors.initials: H
authors.lastname: Klingshirn
authors.affiliation: Sachbereich Arbeits- und Umweltepidemiologie.
authors.forename: L
authors.initials: L
authors.lastname: Hendrowarsito
authors.affiliation: Sachgebiet Chemikaliensicherheit und Toxikologie, Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, München.
authors.forename: H
authors.initials: H
authors.lastname: Fromme
authors.affiliation: Sachbereich Arbeits- und Umweltepidemiologie.
authors.forename: G
authors.initials: G
authors.lastname: Bolte
mesh_terms: D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D064308:Ecological Parameter Monitoring / Q000706:statistics & numerical data*; D004641:Emigration and Immigration / Q000706:statistics & numerical data*; D004781:Environmental Exposure / Q000706:statistics & numerical data*; D004784:Environmental Monitoring / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015995:Prevalence; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012307:Risk Factors; D017678:Sex Distribution; D012959:Socioeconomic Factors; D014028:Tobacco Smoke Pollution / Q000706:statistics & numerical data*; D014171:Transients and Migrants / Q000706:statistics & numerical data*
chemical_list: D014028:Tobacco Smoke Pollution