title: Secondhand Smoke Exposure Among Nonsmoking Adolescents in West Africa.
abstract: OBJECTIVE
  We estimated the prevalence and determinants of secondhand smoke (SHS) exposure among nonsmoking adolescents in 9 West African countries.
  
  
  METHODS
  We conducted a pooled analysis with nationally representative 2006 to 2009 Global Youth Tobacco Survey data. We used descriptive statistics to determine the prevalence of SHS exposure and inferential statistics using a multivariable logistic regression model to determine factors associated with SHS exposure. We investigated average marginal effect results that show the probability of SHS exposure, adjusting for all other attributes.
  
  
  RESULTS
  SHS exposure inside the home ranged from 13.0% to 45.0%; SHS exposure outside the home ranged from 24.7% to 80.1%. Parental or peer smoking behaviors were significantly associated with higher probability of SHS exposure in all 9 countries. Knowledge of smoking harm, support for smoking bans, exposure to antismoking media messages, and receptivity of school tobacco education were significantly associated with higher SHS exposure in most countries.
  
  
  CONCLUSIONS
  West African policymakers should adopt policies consistent with Article 8 of the World Health Organization Framework Convention on Tobacco Control and its guidelines and public health education to promote smoke-free households.
authors.affiliation: Hadii M. Mamudu and David M. Kioko are with the Department of Health Services Management and Policy, East Tennessee State University, Johnson City. Sreenivas P. Veeranki is with the Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston. Rijo M. John is with the Indian Institute of Technology, Jodhpur, India. Ahmed E. Ogwell Ouma is with the Regional Tobacco Control Advisor, World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
authors.forename: Hadii M
authors.initials: HM
authors.lastname: Mamudu
authors.affiliation: Hadii M. Mamudu and David M. Kioko are with the Department of Health Services Management and Policy, East Tennessee State University, Johnson City. Sreenivas P. Veeranki is with the Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston. Rijo M. John is with the Indian Institute of Technology, Jodhpur, India. Ahmed E. Ogwell Ouma is with the Regional Tobacco Control Advisor, World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
authors.forename: Sreenivas P
authors.initials: SP
authors.lastname: Veeranki
authors.affiliation: Hadii M. Mamudu and David M. Kioko are with the Department of Health Services Management and Policy, East Tennessee State University, Johnson City. Sreenivas P. Veeranki is with the Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston. Rijo M. John is with the Indian Institute of Technology, Jodhpur, India. Ahmed E. Ogwell Ouma is with the Regional Tobacco Control Advisor, World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
authors.forename: Rijo M
authors.initials: RM
authors.lastname: John
authors.affiliation: Hadii M. Mamudu and David M. Kioko are with the Department of Health Services Management and Policy, East Tennessee State University, Johnson City. Sreenivas P. Veeranki is with the Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston. Rijo M. John is with the Indian Institute of Technology, Jodhpur, India. Ahmed E. Ogwell Ouma is with the Regional Tobacco Control Advisor, World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
authors.forename: David M
authors.initials: DM
authors.lastname: Kioko
authors.affiliation: Hadii M. Mamudu and David M. Kioko are with the Department of Health Services Management and Policy, East Tennessee State University, Johnson City. Sreenivas P. Veeranki is with the Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston. Rijo M. John is with the Indian Institute of Technology, Jodhpur, India. Ahmed E. Ogwell Ouma is with the Regional Tobacco Control Advisor, World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
authors.forename: Ahmed E
authors.initials: AE
authors.lastname: Ogwell Ouma
mesh_terms: D000293:Adolescent; D000354:Africa, Western / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D014028:Tobacco Smoke Pollution / Q000706:statistics & numerical data*
chemical_list: D014028:Tobacco Smoke Pollution