title: Smoking and Secondhand Smoke Exposure at Home Were Associated with Poor Perceived Family Well-Being: Findings of FAMILY Project.
abstract: BACKGROUND
  To investigate the associations of cigarette smoking and secondhand (SHS) exposure at home with family well-being among Chinese adults in Hong Kong.
  
  
  METHODS
  Telephone surveys were conducted among 3043 randomly selected adults (response rate 70%) in 2010 and 2012 to monitor family health information and tobacco use in Hong Kong. Family well-being was measured using three questions of perceived family harmony, happiness and health (3Hs) with responses ranging from 0-10 and a higher score indicating better family well-being. Smoking status, nicotine dependence, quitting behaviours and SHS exposure at home were recorded. Multiple linear regressions were used to calculate β-coefficients for individual family 3Hs component and an overall composite score representing family well-being.
  
  
  RESULTS
  Compared with never smokers, current smokers reported lower levels of family harmony (adjusted β = -0.15, 95% CI: -0.35 to -0.10), happiness (adjusted β = -0.12, 95% CI: -0.28 to -0.02), health (adjusted β = -0.15, 95% CI: -0.30 to -0.03) and overall family well-being (adjusted β = -0.17, 95% CI: -0.32 to -0.06). Quit attempt and intention to quit were not associated with family well-being. SHS exposure at home was associated with lower levels of family harmony (adjusted β = -0.17, 95% CI: -0.30 to -0.07), happiness (adjusted β = -0.19, 95% CI: -0.32 to -0.08), health (adjusted β = -0.13, 95% CI: -0.26 to -0.03) and family well-being (adjusted β = -0.19, 95% CI: -0.32 to -0.09).
  
  
  CONCLUSIONS
  Smoking and SHS exposure at home were associated with the lower levels of perceived family well-being. Prospective studies are needed to confirm the results.
authors: School of Public Health, The University of Hong Kong, Hong Kong SAR, China.
authors: Xin
authors: X
authors: Wang
authors: School of Nursing, The University of Hong Kong, Hong Kong SAR, China.
authors: Man Ping
authors: MP
authors: Wang
authors: Center for Community-Based Research, Dana-Farber Cancer Institute/Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, United States of America.
authors: Kasisomayajula
authors: K
authors: Viswanath
authors: School of Public Health, The University of Hong Kong, Hong Kong SAR, China.
authors: Alice
authors: A
authors: Wan
authors: School of Public Health, The University of Hong Kong, Hong Kong SAR, China.
authors: Tai Hing
authors: TH
authors: Lam
authors: School of Nursing, The University of Hong Kong, Hong Kong SAR, China.
authors: Sophia S
authors: SS
authors: Chan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002681:China; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014028:Tobacco Smoke Pollution / Q000009:adverse effects* / Q000706:statistics & numerical data
chemical_list: D014028:Tobacco Smoke Pollution