2015 APHA Annual Meeting & Expo

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329755
Regional differences and determinants of secondhand smoke exposure among never-smoking youth


Sunday, November 1, 2015

Daniel Owusu, DrPH, Department of Biostatistics and Epidemiology, East Tennessee State University, Johnson City, TN
David Kioko, MPH, Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson, TN
Rijo M John, PhD, Indian Institute of Technology Jodhpur, Rajasthan, India
Abdallah Ibrahim, DrPH, CPH, Dept. of Health Policy, Planning & Mgt.,, University of Ghana, Legon, Accra, Ghana
Ouma Ogwell Ahmed, PhD, WHO Regional Office for Africa, World Health Organization, Brazzaville, Congo-Brazzaville
Hadii Mohammed Mamudu, PhD, Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson City, TN
Sreenivas P. Veeranki, MBBS, DrPH, Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX
Background: Recent studies suggest approximately one-third and two-fifths of never-smoking youth were exposed to SHS inside and outside the home, respectively.  However, there is little insight into SHS exposure across the WHO regions .Therefore, we aimed to estimate prevalence and identify key determinants of SHS exposure among never-smoking youth in the WHO regions: Africa (AFRO), Europe (EURO), Eastern Mediterranean (EMRO), Pan-American (PAHO), South East Asian (SEARO) and Western Pacific region (WPRO).

Methods: We used pooled nationally representative data of Global Youth Tobacco Survey. We conducted bivariate analysis using chi-square for nominal variables and t-test for interval-ratio variables. Multiple logistic regression analysis was conducted to delineate major determinants of SHS exposure across the regions.

Results: Of the total 356,414 participants analyzed, 5.3%, 8.7%, 3.8%, 6.3%, 70.9%, and 4.9% were from the AFRO, EMRO, EURO, PAHO, SEARO, WPRO regions, respectively. Overall, 30.4% and 44.2% of never-smoking youth were exposed to SHS inside and outside the home, respectively. Inside the home SHS exposure ranged from 22.4% in AFRO to 53.7% in EURO (p<0.001), and outside- home SHS exposure ranged from 39.8% in EMRO to 73.7% in EURO (p<0.001).  Overall, the odds of SHS exposure inside or outside home was significantly associated with parental or peer smoking behavior, knowledge about harmful effects of smoking and SHS exposure and positive attitudes towards smoking bans.

Conclusion: Our study provides the first comprehensive insight into SHS among youth across WHO regions. The results suggest the need for policy strengthening and inter-regional collaboration to control the phenomenon.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Epidemiology
Public health or related research

Learning Objectives:
Assess SHS exposure among youth in WHO global regions Identify major determinants of SHS exposure among youth Explore regional differences in youth SHS exposure

Keyword(s): Tobacco Control, Youth

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a co-investigator of the study. I played a major role in the analysis and interpretation of the study. I am the first author of the paper and I have the approval of all other authors to present the study at the APHA conference.I have skills in data analysis and interpretation. I have also done several research works on tobacco. I have presented at several conferences.
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.

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