142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Predictors of Exposure to Secondhand Smoke at Home and Workplace: Results from the Global Adult Tobacco Survey, Egypt, 2009

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Raed Bahelah, MPH&TM , Robert Stempel College of Public Health and Social Work, Department of Epidemiology, Florida International University, Miami, FL
Ziyad Ben Taleb, MD, MPH, PhDc , Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
BACKGROUND Exposure to secondhand smoke (SHS) among non-smokers is a major public health problem in many developing countries including Egypt where over 35 million adults live in homes where smoking is tolerated.

METHODS Exposure to SHS at home and workplace were obtained from the Global Adult Tobacco Survey, Egypt, 2009. Predictors of exposure to SHS were tested using multivariate logistic regression models, adjusted ORs and 95% CIs were calculated.

RESULTS Among non-smokers, 3,187 (15.2%) reported exposure to SHS at workplace, 12,944 (61.9%) reported exposure inside home, 69.5% lived in urban areas and 30.5% lived in rural areas, 78.6% were males and 21.4% were females. Almost 50% of participants were in the age group 25 – 44 years. Those who noticed anti-smoking messages in newspapers/magazines during the previous month before the survey were 0.8 (95% CI= 0.7 – 0.9) less likely to expose to SHS at workplace. Female gender (AOR = 0.4, 95% CI= 0.3 – 0.5), older age (65+) (AOR = 0.7, 95% CI = 0.4 – 0.9), and watching anti-cigarette messages on TV (AOR = 0.8, 95% CI = 0.7 – 0.9) were protective factors against exposure to SHS at home, while unemployment (AOR = 1.3, 95% CI = 1.03 – 1.6), any formal education (AOR = 1.6, 95% CI =1.3 – 1.9), and hearing anti-cigarette messages on radio (AOR = 1.8, 95% CI = 1.5 – 2.2) predicted exposure to SHS at home.

CONCLUSIONS Exposure to SHS is high. Effective health messages through appropriate venues coupled with regulations to limit exposure to SHS are required.

Learning Areas:

Advocacy for health and health education
Environmental health sciences
Occupational health and safety
Public health or related public policy

Learning Objectives:
Explain the predictors of exposure to second hand smoke (SHS) at home and workplace among the general population in Egypt from a nationally representative sample using the Global Adult Tobacco Survey performed in Egypt in 2009 and to demonstrate the need for indoor laws banning exposure to SHS.

Keyword(s): Environmental Health, Public Health Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I received training in public health from Tulane University and currently pursuing my PhD studies in Epidemiology at Florida International University. My research interests include tobacco use, public health policy and health system research. I have two publications in reputable journals (Health policy and planning, and Addiction) focusing on tobacco use among adults in the Arab world and recommendations for expanding the FCTC guidelines to include waterpipe tobacco smoking.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.