title: Factors Associated with Complete Home Smoking Ban among Chinese Parents of Young Children.
abstract: (1) BACKGROUND: The home environment is a major source of Environmental Tobacco Smoke (ETS) exposure among children especially in early childhood. ETS exposure is an important health risk among children and can cause severe and chronic diseases, such as asthma, bronchitis, and premature death. However, ETS exposure at home has often been neglected in the Chinese families. Identification of factors that facilitate or otherwise hamper the adoption of home smoking ban will help in the design and implementation of evidence-based intervention programs. This study identifies factors correlated with home smoking bans in Chinese families with children. (2) METHODS: A cross-sectional survey of parents living in Nanning city, Guangxi Province, China with at least one smoker and a child in the household was conducted between September, 2013 and January, 2014. A Chi-square test was used to compare categorical variables differences between the parents who had home smoking bans and those with no home smoking ban. Multiple logistic regression analyses were used to identify factors correlated with home smoking bans. (3) RESULTS: 969 completed questionnaires were collected with a response rate of 92.29% (969/1050). Of the respondents (n = 969), 14.34% had complete home smoking bans. Factors that were associated with home smoking bans were: having no other smokers in the family (OR = 2.173), attaining education up to high school (OR = 2.471), believing that paternal smoking would increase the risk of lower respiratory tract illnesses (OR = 2.755), perceiving the fact that smoking cigarettes in the presence of the child will hurt the child's health (OR = 1.547), believing that adopting a no smoking policy at home is very important (OR = 2.816), and being confident to prevent others to smoke at home (OR = 1.950). Additionally, parents who perceived difficulty in adopting a no smoking policy at home would not have a home smoking ban (OR = 0.523). (4) CONCLUSIONS: A home smoking ban is not widely adopted by families of hospitalized children in Guangxi Province, China. To protect the health of children, there is a need to develop and test interventions to promote home smoking bans. Factors identified as predictors of home smoking ban should be considered in the design of interventions.
authors.affiliation: School of Public Health, Guangxi Medical University, Nanning 530021, Guangxi, China. huangka0319@sina.com.
authors.forename: Kaiyong
authors.initials: K
authors.lastname: Huang
authors.affiliation: School of Information and Management, Guangxi Medical University, Nanning 530021, Guangxi, China. chlq869007621@163.com.
authors.forename: Hailian
authors.initials: H
authors.lastname: Chen
authors.affiliation: Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, China. gxlmd@126.com.
authors.forename: Jing
authors.initials: J
authors.lastname: Liao
authors.affiliation: Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, China. ngm8525@hotmail.com.
authors.forename: Guangmin
authors.initials: G
authors.lastname: Nong
authors.affiliation: School of Public Health, Guangxi Medical University, Nanning 530021, Guangxi, China. yangli8290@hotmail.com.
authors.forename: Li
authors.initials: L
authors.lastname: Yang
authors.affiliation: MGH Center for Child and Adolescent Health Research and Policy, Harvard Medical School, Boston, MA 02115, USA. JWINICKOFF@PARTNERS.ORG.
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Winickoff
authors.affiliation: School of Public Health, Guangxi Medical University, Nanning 530021, Guangxi, China. rpazz@163.com.
authors.forename: Zhiyong
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Global Health Program, Duke Kunshan University, Kunshan 215347, Jiangsu Province, China. asm.abdullah@graduate.hku.hk.|Duke Global Health Institute, Duke University, Durham, NC 27710, USA. asm.abdullah@graduate.hku.hk.|School of Medicine, Boston Medical Center, Boston University, Boston, MA 02118, USA. asm.abdullah@graduate.hku.hk.
authors.forename: Abu S
authors.initials: AS
authors.lastname: Abdullah
mesh_terms: D016902:Air Pollution, Indoor / Q000009:adverse effects / Q000517:prevention & control* / Q000706:statistics & numerical data; D044466:Asian People / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006798:Housing / Q000331:legislation & jurisprudence; D006801:Humans; D007223:Infant; D008297:Male; D010290:Parents / Q000523:psychology; D015995:Prevalence; D011640:Public Policy / Q000331:legislation & jurisprudence*; D012307:Risk Factors; D012907:Smoking / Q000331:legislation & jurisprudence*; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D014028:Tobacco Smoke Pollution / Q000009:adverse effects / Q000331:legislation & jurisprudence* / Q000517:prevention & control*
chemical_list: D014028:Tobacco Smoke Pollution
keywords: China; children; environmental tobacco smoke; home smoking ban
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