Abstract

The authors assessed sex and age differences in secondhand smoke (SHS) exposure among vulnerable adolescent populations. Data from the 2013 Korea Youth Risk Behavior Web-based Survey of 64,499 non-smokers aged 13–18 years were analyzed using multiple logistic regression. Girls were exposed 1.26 times (95% confidence interval, 1.21–1.32) more to home SHS than boys, and the younger adolescents were more likely to be exposed to home SHS than were the older, regardless of sex (p < 0.001). Younger girls living with or without current smokers and the younger boys living with current smokers were more likely to be exposed to SHS at home, when the data were stratified according to current household member smoking, which was one of the main risk factors for SHS exposure at home. Girls living with current smokers were more likely to be exposed to SHS at home than boys regardless age. Girls and younger adolescents, populations vulnerable to smoke exposure, were more likely to be exposed to SHS at home, even though they should be more protected. It is necessary to improve home SHS awareness, especially among these vulnerable populations.

Highlights

  • People can be exposed to secondhand smoke (SHS) in various places including homes, vehicles, workplaces, and public places

  • Since about 30% of adolescents worldwide who have never smoked are exposed to SHS at home, it is reasonable to assume that home is where adolescents are exposed to SHS most frequently [3]

  • We focused on exposure to SHS from the traditional viewpoint with exception of thirdhand smoke

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Summary

Introduction

People can be exposed to secondhand smoke (SHS) in various places including homes, vehicles, workplaces, and public places. Smoking initiation risk increases when non-smoking adolescents are exposed to SHS [2]. Since about 30% of adolescents worldwide who have never smoked are exposed to SHS at home, it is reasonable to assume that home is where adolescents are exposed to SHS most frequently [3]. As home SHS exposure is especially difficult to avoid in the presence of household smokers, home is one place where adolescent SHS exposure needs to be urgently addressed. There have been many studies on the risk factors for adolescent home SHS. In a systematic review of 41 studies of home SHS exposure in children under 18 years old published before July 2014, Orton et al analyzed risk factors for home SHS in five categories: (1) socioeconomic status (SES);

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