Abstract
Purpose:The household smoking ban is one potential strategy for reducing exposure to second-hand smoke at home. There is little information about whether concurrent alcohol and tobacco use are related to a smoking ban at home. This study aimed to examine the association between concurrent alcohol and tobacco use with the household smoking ban strategy as reported by the parents of schoolchildren. Methods:We used data from a cross-sectional study that surveyed schoolchildren at 9 schools (grades 6 to 8). A self-administered questionnaire was sent out to the parents of 1,335 schoolchildren. Household smoking ban status was reported by the parents. We used multiple logistics regression to investigate the association between the household smoking ban and alcohol and tobacco use adjusted for potential confounders.Results:The prevalence of a no-smoking ban in households was 51% (95% confidence interval: 48.4%, 53.8%). After adjusting for the number of smokers in a home and perceptions about the harm of exposure to second-hand smoke, the multiple logistics regression results showed that concurrent alcohol and tobacco use in the households (OR = 2.31; 95% CI: 1.66, 3.20) had a higher risk of a no-smoking ban. Conclusions:Our findings showed that concurrent alcohol and tobacco use was associated with a smoking ban status in households. A no-alcohol-drinking-at-home campaign should be adopted and promoted for increasing the rate of smoke-free homes.
Highlights
Exposure to second-hand smoke (SHS) is a factual cause of morbidity and mortality, especially in children (Max et al, 2012a; Carreras and Gorini, 2017)
This study aimed to examine the association between concurrent alcohol and tobacco use with the household smoking ban strategy as reported by the parents of schoolchildren
We used multiple logistics regression to investigate the association between the household smoking ban and alcohol and tobacco use adjusted for potential confounders
Summary
Exposure to second-hand smoke (SHS) is a factual cause of morbidity and mortality, especially in children (Max et al, 2012a; Carreras and Gorini, 2017). Living in a smoke-free home is one of the strategies that can be employed to reduce exposure to SHS among children (Max et al, 2012b; Zhou et al, 2019). The influence of smoke-free home interventions in reducing SHS exposure at home is well documented (Behbod et al, 2018; Zhou et al, 2019). In Thailand, a study (Subady et al, 2013) reported that 43.1% and 34.9% of vocational school students had alcohol consumption parties, at home or in a dormitory, respectively. Other studies (Drobes, 2002; Twyman et al, 2016) have shown a relationship between alcohol consumption and smoking. It seems there is scarce evidence to show the association between concurrent alcohol and tobacco use (CATU) and no-smoking bans in households based on the perspectives of the parents of schoolchildren
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