Prevalence of smoke-free homes and passive exposure to tobacco in pediatric population (children from 3 to 36 months)

e201907045

Authors

  • Ana Díez-Izquierdo Servicio de Pediatría. Hospital Universitario General de Catalunya (HUGC). Sant Cugat del Vallès. Barcelona. España. / Facultat de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España. / Grupo de Evaluación de Determinantes de la Salud y Políticas Sanitarias. Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España.
  • Pia Cassanello Peñarroya Servicio de Pediatría. Hospital Universitario General de Catalunya (HUGC). Sant Cugat del Vallès. Barcelona. España. / Facultat de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España
  • Àurea Cartanyà-Hueso Facultat de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España. / Grupo de Evaluación de Determinantes de la Salud y Políticas Sanitarias. Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España.
  • Núria Matilla-Santander Facultat de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España. / Grupo de Evaluación de Determinantes de la Salud y Políticas Sanitarias. Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España.
  • Juan Carlos Martín Sánchez Facultat de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España. / Grupo de Evaluación de Determinantes de la Salud y Políticas Sanitarias. Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España.
  • Albert Balaguer Santamaría Servicio de Pediatría. Hospital Universitario General de Catalunya (HUGC). Sant Cugat del Vallès. Barcelona. España. / Facultat de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España
  • José M. Martínez-Sánchez Facultat de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España. / Grupo de Evaluación de Determinantes de la Salud y Políticas Sanitarias. Universitat Internacional de Catalunya (UIC-Barcelona). Sant Cugat del Vallès. Barcelona. España.

Keywords:

Tobacco smoke exposure, Smoke-free homes, Second-hand smoke, Pediatrics, Children, Smoke-free policies

Abstract

Introduction: Pediatric population is the most vulnerable to secondhand smoke (SHS), exposure being households the main source of exposure in children. The objective of this study is to describe smoke-free households and the prevalence of SHS in the pediatric population (from 3 to 36 months) in Spain.

Methods: Cross-sectional study with 1,368 parents, mothers or guardians with children from 3 to 36 months carried out in Spain from March to November of 2017 through an online questionnaire as part of the EPISON study. Information was collected on the voluntary adoption of tobacco use regulations at home and SHS exposure at home and other environments. We calculated prevalences and Odds Ratio adjusted (ORa) for sex, age, level of education, and smoking status.

Results: 87.6% of respondents claimed to have a smoke-free home. 12.4% of respondents had partial regulation or did not have regulation at home, increasing up to 26.0% when the parent was a smoker or to 21.8% when the parent had primary or lower education. 5.4% of parents reported SHS exposure in their children at their homes, rising to 14.5% when it occurs in other environments, increasing with statistically significant differences between smoking parents and parents with lower educational level.

Conclusion: The smoke-free homes are the majority; but SHS exposure to tobacco at home persists in children under 3 years of age, especially in families with a lower educational level. Therefore, awareness-raising campaigns on the effects of passive exposure on minors among families with a lower socioeconomic status should be encouraged.

Downloads

Download data is not yet available.

References

Semple S, Apsley A, Galea KS, MacCalman L, Friel B, Snelgrove V. (2012) Secondhand smoke in cars: assessing children’s potential exposure during typical journey conditions. Tob Control,21:578–83. http://dx.doi.org/10.1136/tobaccocontrol-2011-050197.

Rees VW, Connolly GN. (2006) Measuring Air Quality to Protect Children from Secondhand Smoke in Cars. Am J Prev Med.,31:363–8. https://doi.org/10.1016/j.amepre.2006.07.021.

Bearer CF. (1995) Health Environmental Hazards: How Children Are Different from Adults. Princet Univ., 5:11–26.

World Health Organization and TFI. (2007) Protection from exposure to second-hand tobacco smoke. Policy recommendations. World Health Organization. http://apps.who.int/iris/bitstream/10665/43677/1/9789241563413_eng.pdf. Último acceso 11 de julio de 2019.

U.S. Department of Health and Human Services.(2006) The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. US Dep Heal Hum Serv Centers Dis Control Prev Coord Cent Heal Promot Natl Cent Chronic Dis Prev Heal Promot Off Smok Heal.,709.

Dybing E, Sanner T. (1999) Passive smoking, sudden infant death syndrome (SIDS) and childhood infections. Hum Exp Toxicol.,18:202–5. https://doi.org/10.1191/096032799678839914.

Mackay DF, Nelson SM, Haw SJ, Pell JP. (2012) Impact of Scotland’s Smoke-Free Legislation on Pregnancy Complications: Retrospective Cohort Study. PLoS Med.,9: e1001175 https://doi.org/10.1371/journal.pmed.1001175.

Been JV, Nurmatov UB, Cox B, Nawrot TS, Van Schayck CP, Sheikh A. (2014) Effect of smoke-free legislation on perinatal and child health: A systematic review and meta-analysis. Lancet,383:1549–60. http://dx.doi.org/10.1016/S0140-6736(14)60082-9.

Millett C, Lee JT, Laverty AA, Glantz SA, Majeed A. (2013) Hospital Admissions for Childhood Asthma After Smoke-Free Legislation in England. Pediatrics,131:e495–501. http://dx.doi.org/10.1542/peds.2012-2592.

Simón L, Pastor-Barriuso R, Boldo E, Fernández-Cuenca R, Ortiz C, Linares C, et al. (2017) Smoke-Free Legislation in Spain and Prematurity. Pediatrics,139(6):e20162068. http://dx.doi.org/10.1542/peds.2016-2068.

Faber T, Kumar A, Mackenbach JP, Millett C, Basu S, Sheikh A, et al. (2017) Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis. Lancet Public Heal.,2:e420–37. http://dx.doi.org/10.1016/S2468-2667(17)30144-5.

Díez-izquierdo A, Balaguer A, Lidón-moyano C, Martín-Sánchez JC. (2018) Correlation between tobacco control policies and preterm births and low birth weight in Europe. Environ Res.,160 (July 2017):547–53. https://doi.org/10.1016/j.envres.2017.10.033.

Gobierno de España. (2010) Ley 42/2010, de 30 de diciembre, por la que se modifica la Ley 28/2005, de 26 de diciembre, de medidas sanitarias frente al tabaquismo y reguladora de la venta, el suministro, el consumo y la publicidad de los productos del tabaco. Boletín Of Del Estado.,308:31. Disponible en: https://www.boe.es/boe/dias/2010/12/31/pdfs/BOE-A-2010-20138.pdf. Último acceso 11 de julio de 2019.

Galán I, Simón L, Boldo E, Ortiz C, Cuenca RF, Linares C, et al. (2017) Changes in hospitalizations for chronic respiratory diseases after two successive smoking bans in Spain. PLoS One.;12:1–14. https://doi.org/10.1371/journal.pone.0177979.

Martínez-Sánchez JM, Blanch C, Fu M, Gallus S, La Vecchia C, Fernández E. (2014) Do smoke-free policies in work and public places increase smoking in private venues? Tob Control.23(3):204–7. https://doi.org/10.1136/tobaccocontrol-2012-050877.

Lidón-Moyano C, Martínez-Sánchez JM, Fu M, Ballbè M, Martín-Sánchez JC, Martínez C, et al. (2016) Impact of the Spanish smoking legislations in the adoption of smoke-free rules at home: a longitudinal study in Barcelona (Spain). Tob Control.; 26(5), 557-562.https://doi.org/tobaccocontrol-2016-053114. 10.1136/tobaccocontrol-2016-053114.

Alavanja M, Baron JA, Brownson RC, Buffler PA, DeMarini DM, Djordjevic MV., et al. (2004) Tobacco smoke and involuntary smoking. IARC Monogr Eval Carcinog Risks to Humans,83:1–1413.

U.S. Department of Health and Human Services.(2011) Prevention C for DC and. Healthy Homes Manual. Smoke-Free Policies in Multiunit Housing National Center. Atlanta, GA;. Disponible en: http://www.smokefreehousingny.org/wp-content/uploads/CDC-Healthy-Homes-Manual.pdf. Último acceso 11 de julio de 2019.

Ministerio de Sanidad SS e I. (2011) Encuesta Nacional de Salud de España (ENSE). Gobierno de España. Disponible en: https://www.mscbs.gob.es/estadEstudios/estadisticas/sisInfSanSNS/aplicacionesConsulta/home.htm. Último acceso 11 de julio de 2019.

Grupo de Trabajo sobre Tabaquismo de la Sociedad Española de Epidemiología. (2017) Evaluación de las políticas de control del tabaquismo en España (Leyes 28/2005 y 42/2010) Revisión de la evidencia.. 1–74 p. Disponible en: http://seepidemiologia.es/documents/dummy/MONOGRAFIA.pdf.

Halterman JS, Fagnano M, Conn KM, Szilagyi PG. (2006) Do Parents of Urban Children With Persistent Asthma Ban Smoking in Their Homes and Cars? Ambul Pediatr.,6:115–9. https://doi.org/10.1016/j.ambp.2005.10.004.

Lidón-Moyano C, Martínez-Sánchez JM, Fu M, Ballbè M, Martín-Sánchez JC, Martínez C, et al. (2017) Secondhand smoke risk perception and smoke-free rules in homes: A cross-sectional study in Barcelona (Spain). BMJ Open;7(1). https://doi.org/ 10.1136/bmjopen-2016-0142073.

Díez-Izquierdo A, Lidón-Moyano C, Martín-Sánchez JC, Matilla-Santander N, Cassanello-Peñarroya P, Balaguer A, et al. (2017) Smoke-free homes and attitudes towards banning smoking in vehicles carrying children in Spain (2016). Environ Res.,158:590–7. http://dx.doi.org/10.1016/j.envres.2017.07.012.

Siahpush M, McNeill A, Hammond D, Fong GT. (2006) Socioeconomic and country variations in knowledge of health risks of tobacco smoking and toxic constituents of smoke: Results from the 2002 International Tobacco Control (ITC) Four Country Survey. Tob Control.,15:65–70.

Mons U, Nagelhout GE, Allwright S, Guignard R, van den Putte B, Willemsen MC, et al. (2013) Impact of national smoke-free legislation on home smoking bans: findings from the International Tobacco Control Policy Evaluation Project Europe Surveys. Tob Control.,22:e2-9. http://dx.doi.org/10.1136/tobaccocontrol-2011-050131.

King BA, Dube SR, Homa DM. (2013) Smoke-free rules and secondhand smoke exposure in homes and vehicles among US adults, 2009-2010. Prev Chronic Dis.,10(December 2012):E79. https://doi.org/10.5888/pcd10.120218.

Kruger J, Jama A, Homa DM, Babb SD, King BA. (2015) Smoke-free home and vehicle rules by tobacco use status among US adults. Prev Med (Baltim).78:9–13.

Orton S, Jones LL, Cooper S, Lewis S, Coleman T. (2014) Predictors of children’s secondhand smoke exposure at home: A systematic review and narrative synthesis of the evidence. PLoS One.,9: e112690. https://doi.org/10.1371/journal.pone.0112690.

State of California. SB-1333 State beaches and parks: smoking ban. 2016. Disponible en: https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB133.3 Último acceso 11 de julio de 2019.

Council. TNYC. Transcript of the minutes of the Joint Committees on Health and Parks & Recreation. 2011. Disponible en: http://legistar.council.nyc.gov/LegislationDetail.aspx?ID=773185&GUID=FD6CB044-E7FC-497B-A487-7B9457D760FC. Último acceso 11 de julio de 2019.

The Board of Commissioners of the Chicago Park District. Resolution authorizing smoke free parks and beaches. Illinois; 2014. Disponible en: https://chicagoparkdistrict.legistar.com/LegislationDetail.aspx?ID=1901154&GUID=2A164DD7-0495-4587-B476-DBF1EBEBDE80. Último acceso 11 de julio de 2019.

Xunta de Galicia. Red Gallega de playas sin humo. Servicio Galego de Saúde. 2018. Disponible en: https://www.sergas.es/Saude-publica/Praias-sen-fume?idioma=es. Último acceso 11 de julio de 2019.

Snyder K, Vick JH, King BA. (2015) Smoke-free multiunit housing: a review of the scientific literature. Tob Control.,tobaccocontrol-2014-051849. http://dx.doi.org/10.1136/tobaccocontrol-2014-051849.

Koster B, Brink AL, Clemmensen IH. (2013) ’Neighbour smoke’--exposure to secondhand smoke in multiunit dwellings in Denmark in 2010: a cross-sectional study. Tob Control.,22:190–3. http://dx.doi.org/10.1136/tobaccocontrol-2011-050393.

Wang TW, Lemos PR, McNabb S, King BA. (2018) Attitudes Toward Smoke-Free Public Housing Among U.S. Adults, 2016. Am J Prev Med.,54:113–8. http://dx.doi.org/10.1016/j.amepre.2017.08.026.

Gobierno de España. REAL DECRETO-LEY 31/1978. de 31 de octubre, sobre politica de vivienda de protección oficial. 1978 p. no 267.

Fomento M. Programas de ayuda a la vivienda. Disponible en: https://www.fomento.gob.es/arquitectura-vivienda-y-suelo/programas-de-ayudas-a-la-vivienda. Último acceso 11 de julio de 2019.

Curto A, Martínez-Sánchez JM, Fernández E. (2018) Tobacco consumption and secondhand smoke exposure in vehicles: A cross-sectional study. BMJ Open.,1(2):1–8. http://dx.doi.org/ 10.1136/bmjopen-2011-000418.

Murphy-Hoefer R, Madden P, Maines D, Coles C. (2014) Prevalence of smoke-free car and home rules in Maine before and after passage of a smoke-free vehicle law, 2007-2010. Prev Chronic Dis.,11:130132. http://dx.doi.org/10.5888/pcd11.130132.

Hitchman SC, Fong GT, Zanna MP, Hyland A, Bansal-Travers M. (2011). Support and correlates of support for banning smoking in cars with children: Findings from the ITC Four Country Survey. Eur J Public Health.,21:360–5.

Bakiri S, Galéra C, Lagarde E, Laborey M, Contrand B, Ribéreau-gayon R, et al. (2013) Distraction and driving : Results from a case – control responsibility study of traffic crash injured drivers interviewed at the emergency room. Accid Anal Prev.,59:588–92. http://dx.doi.org/10.1016/j.aap.2013.06.004.

Cabana MD, Rand C, Slish K, Nan B, Davis MM, Clark N. (2004)Pediatrician Self-Efficacy for counseling parents of asthmatic children to quit smoking. Pediatrics.;113:78–81.

Tanski SE, Klein JD, Winickoff JP, Auinger P, Weitzman M. (2003) Tobacco Counseling at Well-Child and Tobacco-Influenced Illness Visits: Opportunities for Improvement. Pediatrics.;111:162–7.

Matt GE, Quintana PJE, Destaillats H, Gundel LA, Sleiman M, Singer BC, et al. (2011) Thirdhand tobacco smoke: Emerging evidence and arguments for a multidisciplinary research agenda. Environ Health Perspect.;119:1218–26. http://dx.doi.org/10.1289/ehp.1103500.

Díez-Izquierdo A, Cassanello-Peñarroya P, Lidón-Moyano C, Matilla-Santander N, Balaguer A, Martínez-Sánchez JM. (2018) Update on Thirdhand Smoke: A Comprehensive Systematic Review. Environ Res. https://doi.org/10.1016/j.envres.2018.07.020.

Rada VD de. (2004) Problemas de representatividad en las encuestas con muestreos probabilísticos. Pap Rev Sociol.,74:45–66. http://dx.doi.org/10.5565/rev/papers/v74n0.1081.

Martínez-Sánchez JM, Sureda X, Fu M, Pérez-Ortuño R, Ballbè M, López MJ, et al. (2014) Secondhand smoke exposure at home: Assessment by biomarkers and airborne markers. Environ Res.133:111–6. http://dx.doi.org/10.1016/j.envres.2014.05.013.

Instituto Nacional de Estadística (INE). Disponible en: http://www.ine.es. Último acceso 11 de julio de 2019.

Published

2019-07-15

How to Cite

1.
Díez-Izquierdo A, Cassanello Peñarroya P, Cartanyà-Hueso Àurea, Matilla-Santander N, Martín Sánchez JC, Balaguer Santamaría A, et al. Prevalence of smoke-free homes and passive exposure to tobacco in pediatric population (children from 3 to 36 months): e201907045. Rev Esp Salud Pública [Internet]. 2019 Jul. 15 [cited 2025 May 17];93:13 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/1250

Issue

Section

Originales breves

Categories

Most read articles by the same author(s)