title: Perceptions of parental smoking and sociodemographic factors associated with the adoption of home smoking bans among parents of school-aged children.
abstract: BACKGROUND
  Although public smoking restrictions have been implemented, children are still exposed to household smoking. Parental smoking is the main source of children's exposure to secondhand smoke. This study was conducted to examine the factors associated with parents' adoption of home smoking bans.
  
  
  METHODS
  A cross-sectional study was conducted using a self-administered questionnaire to collect data from 768 parents of school-aged children in Taiwan. The home smoking restriction status, parents' perceptions of smoking in the presence of children and its influences, and parents' sociodemographic characteristics were assessed. Hierarchical logistic regression analysis was used to determine the best-fit model.
  
  
  RESULTS
  More than 80% of the parents agreed with home smoking bans, whereas only approximately 26% of the parents actually restricted smoking at home completely. The crude odds ratios showed that parents who perceived the influence of parental smoking on children to be negative were more likely to adopt home smoking bans. Hierarchical logistic regression revealed factors associated with the adoption of home smoking bans, including a higher education level and older age of parents, a family composed of nonparent adults, and opposition to parental smoking in the presence of children.
  
  
  CONCLUSIONS
  Children's health is a major concern for parents considering home smoking bans. Helping parents clarify misunderstandings regarding parental smoking, emphasizing the adverse effects of children's exposure to parental smoking, suggesting healthy substitutes for smoking, and providing effective strategies for maintaining a smoke-free home can motivate families to adopt home smoking bans.
authors.affiliation: School of Nursing, College of Medicine, Chang-Gung University, Kwei-Shan Tao-Yuan, Taiwan; Graduate Institute of Nursing, College of Nursing, Taipei Medical University, Taipei City, Taiwan;
authors.forename: Yu-Ting
authors.initials: YT
authors.lastname: Chen
authors.affiliation: Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University, Taipei City, Taiwan plchen@tmu.edu.tw.
authors.forename: Ping-Ling
authors.initials: PL
authors.lastname: Chen
mesh_terms: D000328:Adult; D002648:Child; D002669:Child Welfare; D003430:Cross-Sectional Studies; D003710:Demography; D005191:Family Characteristics; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D061845:Smoke-Free Policy; D012907:Smoking / Q000009:adverse effects; D011795:Surveys and Questionnaires; D013624:Taiwan; D014028:Tobacco Smoke Pollution / Q000009:adverse effects
chemical_list: D014028:Tobacco Smoke Pollution