Home Place Research Articles

Home Health Care and Place of Death in Medicare Beneficiaries With and Without Dementia.

Home health care supports patient goals for aging in place. Our objective was to determine if home health care use in the last 3 years of life reduces the risk of inpatient death without hospice. We analyzed the characteristics of 2,065,300 Medicare beneficiaries who died in 2019 and conducted multinomial logistic regression analyses to evaluate the association between the use and timing of home health care, dementia diagnosis, and place of death. Receiving any home health care in the last 3 years of life was associated with a lower probability of inpatient death without hospice (Pr 23.3% vs 31.5%, p < .001), and this effect was stronger when home health care began prior to versus during the last year of life (Pr 22.5% vs 24.3%, p < .001). Among all decedents, the probability of death at home with hospice compared to inpatient death with hospice was greater when any home health care was used (Pr 46.0% vs 36.5%, p < .001), and this association was strongest among beneficiaries with dementia who started home health care at least 1 year prior to death (Pr 55.6%, p < .001). Use of home health care during the last 3 years of life was associated with reduced rates of inpatient death without hospice, and increased rates of home death with hospice. Increasing affordable access to home health care can positively affect end-of-life care outcomes for older Americans and their family caregivers, especially those with dementia.

Uncovering perspectives on physical activity in nursing homes: a qualitative exploration of the experiences of healthcare professionals and family caregivers

BackgroundThe ageing population has increased the demand for healthcare services. In Norway, community-based long-term care are prioritised, leading to fewer nursing home places. As a result, nursing home residents are now older and have more complex needs. Nearly 92% of nursing home residents are affected by cognitive impairments accompanied by neuropsychiatric symptoms (NPS) that affect their daily activity, physical function, cognition, and behaviour. Traditionally, pharmacological therapy has been the prevailing treatment for NPS. However, emerging evidence suggests that physical activity can serve as an alternative treatment approach. Physical activity has the potential to maintain physical independence and enhance the quality of life (QoL) for the residents. Despite these benefits, institutionalisation in a nursing home often restricts activity levels of residents. This study explores facilitators and barriers to physical activity in nursing homes through the experiences of healthcare professionals and family caregivers. The goal is to enhance our understanding of how to promote and support physical activity for nursing home residents by identifying essential factors for successfully implementing daily physical activity initiatives.MethodsSeven focus groups were conducted with a total of 31 participants. Participants included healthcare professionals (physiotherapists, nurses, unit- and department managers, assistant occupational therapists, and assistant nurses) and family caregivers of residents at nursing homes. Data were analysed using Braun and Clarke’s reflexive thematic analysis, underpinned by hermeneutic phenomenology.ResultsThree main themes related to facilitators and barriers to physical activity in nursing homes were identified: inconsistency in task prioritisation; need for improved interprofessional collaboration; and need for improved utilisation of external resources. The participants experienced task prioritisation and lack of interdisciplinary collaboration as barriers to physical activity. The involvement of external societal resources was considered as both a facilitator and a necessity for obtaining physical activity in nursing homes.ConclusionsThis study highlights the need for a consensus in task prioritisation, enhanced competence among healthcare professionals, and better interdisciplinary collaboration to facilitate physical activity in nursing homes. Involving external societal resources could be a strategic approach to address barriers and support physical activity initiatives. Future research should focus on developing effective strategies for interdisciplinary collaboration that prioritises and promotes physical activity in nursing homes.

ASSESSMENT OF PASSIVE SMOKING EXPOSURE AMONG PREGNANT WOMEN

Secondhand smoke (SHS) exposure poses significant health risks to both mothers and fetuses during pregnancy. Despite global efforts to reduce smoking in public and private spaces, SHS exposure remains prevalent, particularly in low- and middle-income countries. Objective: The study aimed to assess the extent of passive smoking exposure among pregnant women in various settings, including their homes, workplaces, and public spaces, and to examine the frequency and potential health risks associated with SHS exposure during pregnancy. Methods: This cross-sectional study was conducted among 150 pregnant women attending a tertiary care hospital in Pakistan between January and June 2024. Data were collected using a structured questionnaire that captured demographic information and SHS exposure across different environments, including home, workplace, and public spaces. Descriptive statistics, including frequencies and percentages, were used to summarize the data. Results: Among the participants, 60.7% reported SHS exposure at home, with 30% experiencing SHS exposure 6-10 times weekly. Additionally, 61.3% of the women reported exposure at work, with 52.7% exposed 11-15 times monthly. Public spaces also contributed to significant SHS exposure, with 86% of participants affected. Notably, 37.3% of women reported spending 15-30 minutes daily inside a car with someone smoking. Demographically, most participants were aged 25-28 years (46.7%) and had a matric-level education (36.0%). Conclusion: This study reveals a high prevalence of SHS exposure among pregnant women, particularly at home, work, and public places. The findings underscore the urgent need for public health interventions, such as stricter smoke-free policies and public awareness campaigns, to reduce SHS exposure and safeguard maternal and fetal health.

Reviving life that has ceased on October the 7th: an attachment perspective on a virtual reality intervention

Unfortunately, in recent years, wars have forced many civilians to evacuate their homes and move to safe zones. The event of October the seventh that took place in many Kibbutzim near the Gaza strip, exposed families who were on a Jewish holiday, to the murder of family and community members. They had to leave their burned houses and move to hotels and apartment buildings in other parts of Israel. Many people, also from the Northen parts of the country, are still in new safe zones, and have huge difficulties in returning to their houses (and not only because of objective security reasons). In this “perspective” article we propose a Virtual Reality (VR) application, which is based on past and current research in the fields of attachment theory and traumatic grief. We propose that in addition to the use of exposure therapy, a VR simulation which will activate the attachment system, can reorganize the evacuees’ figure and place attachment representations. We suggest that such a simulation will revive the evacuees’ sense of safe-haven and secure base and enable them to return to their home place, or to adjust to a new place, thereby leading to optimal adjustment. We start with a presentation of the theory of attachment, place attachment, attachment and loss and the two-track model of bereavement. Then, we describe the design of our VR intervention that aims to address this challenge from the attachment theory perspective with the evacuees. Finally, we discuss the challenges that need to be dealt with to implement the VR interventions through resilience centers in Israel.

The untold stories of resilience, reworking and resistance of ageing non-European migrant women

ABSTRACT Ageing non-European migrant women often do not have a space to share their stories in a manner that adds meaning to their lives. They are viewed as a group that embodies deficits. This article centres them and their stories to understand how resilience, reworking and resistance practices are embedded in their everyday lives by utilising Katz’s framework of disaggregated agency. The data consist of semi-structured interviews with 20 ageing women from non-European migrant backgrounds in Finland. The findings suggest the need to re-imagine ways of narrating the multifaceted stories of women in the margins and illuminate new pathways for social work by untangling questions on power and who gets to participate as knowers. Shedding light on their untold stories challenges the hegemonic framing of social realities, destabilising the normative understandings of social work, and unravelling the nuanced unconventional strategies of survival and well-being utilised by them in the form of cultivating home place, sisterhood, community, decolonial healing, various strengths, reworking and everyday acts of resistance against oppressive structures. The findings contest the negative perceptions in dominant narratives, which produce problematic construction of migrant women based on their vulnerability.

Epidemiology and first aid measures in pediatric burn patients in northern China during 2016-2020: A single-center retrospective study.

Burn and scald injuries are the fourth most common type of trauma. Pediatric burns account for a high proportion of the total number of burn patients and impose a high burden on public health. Understanding the epidemiology of pediatric burns can help improve science education and reduce the incidence of burn injuries. This study is a single-center retrospective study. One thousand five hundred and twenty-seven pediatric burn patients admitted to our burn center from January 2016 to December 2020 were included. Demographic and epidemiological data of included patients were extracted and analyzed. The correlations of categorical data were tested by the Chi-square tests, and differences of continuous data were tested by the Kruskal-Wallis tests. A p-value of less than 0.05 was considered to be statistically significant. The results showed that children under 3 years of age were most susceptible to burn and scald injuries. Burn injuries were most likely to occur in the season of winter and at the place of home. 56.6% of included patients did receive first aid measures, while 1.8% received gold-standard first aid. Clinical variables related to the severity of injuries were statistically different between patients with and without cooling measures in first aid. Linear regression models showed that emergency treatment of burns in children and adolescents was associated with outcome indicators, including number of operations, total operation duration per total burn surface area (TBSA), cost per TBSA, and length of stay per TBSA. This study summarized the epidemiology and outcomes of pediatric burn patients admitted to a burn center in northern China. Adopting cooling measures in first aid can reduce the severity of injuries and reduce the burden on the medical system. Education on burn prevention and first aid measures to caregivers of children, especially preschool children, should be strengthened.

Analyzing post-COVID-19 demographic and mobility changes in Andalusia using mobile phone data

This work studies changes in the demographics of the different spatial units that make up the Andalusia region in Spain throughout the year 2021, with the aim of seeing the progressive recovery of the population after the COVID-19 pandemic. Mobile phone data from Origin–Destination matrices has been used, due to the ease of obtaining updated information quickly and constantly. A methodology has been developed to transform the number of travelers into an estimated population without biases, and an interpolation function has been used to take into account all the data available in the year 2021. Results show a direct link between the demographic changes in Andalusia and the removal of the mobility restrictions caused by the COVID-19 pandemic, with an increase of non-related work mobility and a decrease of static population. Travel distances between home and work places are also affected, with an increase of long trips after the end of the mobility restrictions. In addition, different patterns have been visualized, such as the concentration of commuting in the metropolitan areas of the region during working days, the population growth in rural areas during weekends, or the population displacement to coastal areas in summer.

Metode Komunikasi Da’wah Ustadz Sirajuddin Rabbani Dalam Menda’wahkan Sunnah di Perumahan Bintang Metropol

This research aims to find out how Ustadz Sirajuddin Rabbani's da'wah communication method is in preaching the Sunnah at the Bintang Metropol Housing Complex. This type of research is field research, which is carried out directly by visiting respondents at home or other places to obtain data. or information. This research uses a qualitative approach which focuses on in-depth understanding of social phenomena. Data was collected through observation, interviews and documentation, each with different techniques. Data analysis was carried out descriptively, including reduction, presentation and drawing conclusions to describe phenomena systematically and find meaning in them. The research results show that in preaching the Sunnah at the Bintang Metropol Housing Complex, Ustadz Sirajuddin Rabbani applied three theoretical methods: Educational, Instructive, and Human Relations.

Stay at home behavior during COVID-19: The role of person-home relationships

Numerous studies investigated the adherence to health behaviors during COVID-19; however, the majority of approaches considered individual factors, while neglecting the importance of people's relationship with their home. The purpose of this contribution is to integrate this aspect into a behavioral model to understand stay at home behavior during COVID-19 lockdowns. More specifically, this study combines a traditional approach employing variables from the Theory of Planned Behavior (TPB) and risk perception with Home place attachment and Past stay at home experience to explain people's decisions to stay at home during the COVID-19 lockdown. Data collection was conducted online during the first Italian lockdown with 794 valid answers. A structural equation model found that the predicted model has a good fit, and all variables are found to significantly predict Stay at home behavior, except for Descriptive norms and Risk perception. Place attachment and Past stay at home experience are found to positively predict Stay at home intention, through Attitude and Perceived behavioral control, respectively. Contrary to the hypotheses, Risk perception is not found to be significant, Findings point to the importance of considering the person-home relationship in adherence to stay at home behavior. Results are discussed for their implication for behavioral coping during future pandemics as well as for their relevance in daily life after the pandemic.

#3003 Increased focus on peritoneal dialysis gives patients improved quality of life and saves millions for the region

Abstract Background and Aims Is it possible to improve PD patients' quality of life and everyday life in combination with the challenge of mastering large geographical distances and at the same time a desire to make healthcare more patient safe and enable patients to be co-creators in their dialysis care? With an area of 48,935 km2, which corresponds to 12% of Sweden's area and larger than the whole of Denmark, Östersund Hospital is the only hospital in a region that takes care of 132,670 inhabitants. In 2018, 85% of patients were dialyzed with hemodialysis at Östersund Hospital. Several of the patients had to travel 200-300 km one way, three to four times a week to receive their dialysis treatment. In addition to high medical travel costs for the region, this also contributed to a low quality of life for the patients. Patients of working age found it difficult to maintain their jobs due to long journeys to the hospital. In a study by (Van Bulck et al, 2018), he shows that patients on dialysis have low participation in their care compared to other patient groups. Method A first step towards a change to provide an increased quality of life for the patients was to invest in self-care with peritoneal dialysis. Several studies describe peritoneal dialysis as a treatment with increased freedom that offers the patient independence with the opportunity to continue working if they are of working age (IIkka et al, AJKD 2012). In addition, several studies show several medical benefits, such as preserving the patient's residual function, which indirectly associates with better patient survival (Van de Luijtgaarden et al, NDT 2011). To continue its work, the dialysis clinic needed approval from the region to start using a night machine connected to a cloud service. After a long wait, the dialysis clinic received approval to use the new technology. Results Since the digital platform was introduced, remote dialysis treatment has increased in the Jämtland Härjedalen region. Digitalization gives healthcare professionals the opportunity to follow the patient's treatment results daily and optimize dialysis treatments without the patient needing to visit the hospital. Today, work is more proactive and provides the conditions to prevent problems before they arise. Five years ago, 85% of dialysis treatments were performed at the hospital. Today, as many as 60% of dialysis treatments with peritoneal dialysis take place in the patient's home. Already in the first year of increased self-care, the region saved SEK 6 million on reduced patient travel. Success factors for a successful result and our way of working today: Conclusion With a patient centric approach, a clear goal focuses and collaboration between several different professional categories. Östersund Hospital has managed to increase the proportion of patients with home treatment from 15% to 60%. Through the implementation of new technology in the form of a digital platform tied to a dialysis machine, the patient's treatment can be evaluated and adjusted remotely. From previously working reactively and solving problems when they arise, now working proactively and planning care for the patient. Emergency hospitalizations can be avoided. In addition to reducing the patient's suffering and providing a better quality of life with fewer hospital visits, it also promotes the hospital's finances. By having the courage to dare to try when others say impossible, learn from their mistakes instead of seeing it as a failure, the clinic's work has improved self-care and participation for this patient group.

“It’s like I got a new pair of glasses”

Abstract This study focuses on a specific group of sojourners that has thus far remained rather unexplored in the context of study-abroad research, namely, students with extensive prior experiences of living in, traveling to, and/or familial ties with target-language mediated communities. To this end, this study examines data obtained through episodic interviews with three American students, who grew up in close contact with German-speaking communities and studied abroad in Austria for four weeks. By means of thematic analysis, the pre-study abroad sojourn motives and reflections on sense of self, home, and belonging are contrasted with these students’ immediate and delayed post-study abroad accounts. The results shed light on both the challenges young adults grapple with due to their international biographies and the transformative effects students attribute to their short-term sojourns with regard to redefining who they are and what meaning different places of home and heritage have within their individual trajectories.

Geographical and temporal variations in the provision of registered older people long-term care home places in Wales

Deep-seated problems facing the residential and nursing care home sector have been compounded by the impacts of the pandemic, underfunding and the cost-of-living crisis. This study aims to investigate how patterns of access to registered residential and nursing care places changed in the period spanning lockdowns and demonstrate how spatial analytical techniques can be used to examine the potential impacts of ongoing pressures on geographical patterns of access. Findings identify variations in access to provision hidden within aggregate figures that can help stakeholders monitor the current and projected availability of places as part of an overall package of care provision.

Comparative Analysis of Out-of-Hospital Cardiac Arrest Outcomes in Health Clinics, Nursing Homes, and Public Places: Implications for Optimizing Automated External Defibrillator Strategies.

Various factors, such as event location and response time, influence the outcomes of out-of-hospital cardiac arrest (OHCA). Very few studies have explored the delivery of basic life support (BLS) to patients having OHCA at health clinics or nursing homes-settings with professional BLS providers. Thus, in this study, we compared prognostic and survival outcomes between health clinics, nursing homes, and other public places (eg, workplaces and sports facilities/recreational areas) to offer insights for optimizing OHCA outcomes. This study included adults who had nontraumatic OHCA in Taoyuan City between January 2017 and December 2022. We collected data on patient characteristics, emergency medical service parameters, onsite patient management, automated external defibrillator (AED) locations, OHCA prognosis, and survival outcomes. Multivariate analyses were performed to predict survival to discharge (primary outcome) and neurological outcomes at discharge (secondary outcome). During the study period, the numbers of OHCA events at health clinics, nursing homes, and other public places were 158, 208, and 1986, respectively. The mean age of OHCA in health medical clinics, nursing home and other public places were 63.4, 81.5 and 64.7, respectively (P value<0.001). The proportion of witnessed events, rate of bystander resuscitation, and frequency of AED utilization were the highest for health clinics (53.2% (84/158), 83.4% (132/158), and 13.3% (21/158), respectively, P value<0.001). The average AED-scene distances and response times were the lowest for health clinics (388.8 m and 5.4 min, respectively). In initial shockable rhythm group, the probabilities of survival to discharge at discharge were the highest for health clinics (aOR=1.41, 95% CI=1.04-1.81, P value=0.041)) and lowest for nursing homes (aOR=0.84, 95% CI=0.76-0.93, P value=0.024). Our research shows that OHCA patients at medical health clinics have higher rates of witnessing and bystander CPR and AED usage than other public places. However, while survival rates for patients with shockable rhythms are slightly better at health clinics, the neurological outcomes are not significantly different. The AED-scene distances are too far to be used effectively.

Sustainable Creative Practice with Older People: A Collaborative Approach between Arts and Care Sectors

Interprofessional working is common practice within the health and care sector and particularly within care homes to support the diverse needs of their residents. However, this is less common between the arts and care sectors despite the established impact of the arts on older people’s health, wellbeing, and quality of life. Arts activities that do take place in care homes tend to be time-bound, with artists utilising short-term funding to deliver a defined project often with limited engagement from care home staff due to their competing priorities. This article reflects on qualitative findings from the Artists’ Residencies in Care Homes (ARCH) programme led by Magic Me, which paired four leading arts organisations with four care homes in Essex who worked together over four years to deliver creative arts for the residents. Building trusted relationships and collaborative working between the artists and care home staff was essential for the success of the residencies and for generating and embedding sustainable creative practice in the homes. This article argues that for creative practice to become sustainably embedded in care homes, arts organisations and the arts and culture sector need to embrace interprofessional collaborative practice in health and social care.

Are People More Likely to Vape or Smoke Indoors? A Population Survey of Adults in England.

Increasingly, people smoke cigarettes outdoors and avoid exposing bystanders to harm. People may not have the same motivation to vape outdoors since e-cigarettes, unlike cigarettes, do not create side stream emissions and exhaled aerosol contains fewer toxicants than secondhand smoke. This study aims to estimate the prevalence and correlates of vaping and smoking indoors among adults in England. Data came from the Health Survey for England 2019, a cross-sectional household survey. Adults who vape or smoke (N = 1530) were asked whether they had vaped or smoked indoors inside the home, car, or other places within the past 7 days. Logistic regression was used to estimate prevalence and key correlates of indoor use, including age, sex, presence of adults/children in home, housing tenure, and nicotine dependence. People who exclusively vaped were much more likely to use their product indoors than those who exclusively smoked (87.0% vs. 52.0%; odds ratio [OR] = 6.16, 95% confidence interval [CI] = 4.09 to 9.28). Similarly, people who dual used had higher odds of vaping than smoking indoors (62.1% vs. 44.3%; OR = 3.76, 95% CI = 2.06 to 6.84). The preference for vaping over smoking indoors was found across different locations, including at home and in cars. Those who were older, highly dependent on nicotine, and lived alone were most prone to use any product indoors. While housing tenure was not strongly associated with vaping indoors, those living in social housing were much more likely to smoke indoors than homeowners. Adults in England are much more likely to vape than smoke indoors. Age, nicotine dependence, and living alone are strongly associated with both behaviors. Our results show that people have a strong preference for vaping over smoking indoors, including in the home. Given the high prevalence of vaping indoors, policy makers, landlords, and businesses must weigh up the ethics, benefits, and harms of extending smoke-free laws to include e-cigarettes.

Shame in patients undergoing ureterostomy: A cross-sectional survey.

Shame has an important impact on the mental health and quality of life of patients. The shame in patients with ureterostomy after cystectomy remains unclear. This survey aimed to evaluate the status quo and influencing factors of shame in patients with ureterostomy after cystectomy, to provide support for the clinical care. Patients with ureterostomy after cystectomy treated in the wound stomy clinic of a third-class hospital from 1 June 2022 to 31 July 2023 were included. General data questionnaire and social impact scale (SIS) were used for data collection. Univariate and multiple linear regression analysis were performed to evaluate the influencing factors of shame in patients with ureterostomy after cystectomy. One hundred and sixty four patients with ureterostomy after cystectomy were included. The total score of shame in patients with ureterostomy was (60.75 ± 6.31), which was in the high level. Age (r = 0.442), home place (r = 0.427), per capita monthly household income (r = 0.605), self-care ability (r = 0.597) and complications of stoma (r = 0.542) were correlated with the SIS score in patients with ureterostomy after cystectomy (all p < 0.05). Multiple linear regression analyses indicated that age, home place, per capita monthly household income, self-care ability and complications of stoma were the influencing factors of SIS score in patients with ureterostomy after cystectomy (all p < 0.05). The five variables explained 64.5% of the patients' sense of shame variation. Patients with ureterostomy after cystectomy have a serious sense of shame in the early stage after operation and there are many influencing factors. Health care providers should take early nursing interventions targeted on those influencing factors to reduce the patients' sense of shame.

An Effect on Performance Level and Stress of Employees in Private Factory Due to Covid 19 Pandemic Periods

In India the first case of COVID-19 reported on January 30th 2020, following the lock down was executed on 24th March for 21days.This was biggest streams of mass return on in country. The very effort to stave off the pandemic turned into one of greatest human tragedy in India’s recent history. Industries are complete their work with the help of resources such as men, machines, materials and funds. Except manpower other resources are non- living but manpower is a live and generating resources. Manpower is not available like Covid pandemic then other resources are useless and cannot produce anything. Out of all the factors of production, Manpower has the highest priority with most significant factors for production and important role plays in areas of manufacturing and quality. Social impacts of COVID-19 in India there were many challenges migrants faced during the nation-wide lockdown like lack of food, basic amenities, lack of health care, economic stress, lack of transportation facilities to return to their home places and psychological support loss. So present study is carrying out to determine Performance level of Industrial employees of Chhattisgarh before and during pandemic period.

"Nobody But a Family Member Can Do It Quite the Same Way": Understanding the Meaning of Mealtimes to Residents and Families in Long-Term Care Homes During the Pandemic.

Meals in long-term care (LTC) are essential to residents not only for nutrition and their physical well-being but also for their social interactions supporting resident quality of life. This study aims to understand the mealtime experiences of residents and family care partners during the coronavirus 2019 disease (COVID-19) pandemic when restrictions were put in place in LTC and retirement homes. Interpretive description analysis of qualitative interviews in LTC and retirement homes, with 17 family care partners and 4 residents. Convenience and snowball sampling was used to recruit participants for telephone interviews. Three themes were generated. Compromised mealtimes mean compromising community-meals were seen by participants as a key social and community-building event of the home; they reported this loss of community with pandemic restrictions. Participants noted that family care partners are indispensable at meals for social, psychological, and physical support. The dangers of eating alone spoke to the social isolation reported by participants that occurred during the pandemic and the risks they described of eating alone. This study confirms the importance of mealtimes in LTC and retirement homes to community building and extends our understanding of the importance of family inclusion at meals and why eating alone, as happened during COVID-19, was so detrimental to residents. Effort needs to be made to value this communal activity for the well-being of residents.

Workshops as a Relational Material Research Practice: Creating Space for Shared Knowledge

Workshops provide a flexible approach to studying complex issues. This paper discusses the methodological considerations involved in doing research through workshops and aims to further the understanding of how workshops can facilitate interactive and creative knowledge practices in case study research. The paper builds on two research projects - where workshops were used to study the practices of professionals’ use of digital tools at a consultancy firm and the everyday life of residents in a newly built city district. In the project about professional practices, three workshops were carried out with professionals from different disciplines and focused on their use of a specific digital tool, BIM. Post-its were used to introduce, explore and discuss different topics around everyday practices and digital tools, both individually and in various group arrangements. The three workshops built on each other and resulted in a concrete action plan for developing the company’s work regarding BIM. In the research about the everyday life, the participants in five workshops were asked to draw a map of their home and other meaningful places in the city district. These individual “mental maps” were then used as a starting point for discussing the residents’ everyday practices in a group setting. While the workshops in the two research projects targeted different groups and had different forms, they both made use of visual materials as a central aspect of workshops. Therefore, we analysed the workshops with a relational material framework to further understand how design choices affect research practice and research outcomes. From this lens, we analyse our choices in designing the workshops, the analytical processes and the consequences these choices have on what knowledge we create in interaction with the participants.

Passive Smoking and Respiratory Symptoms among Children in Tertiary Care Hospital of Sindh

Background: Passive exposure to environmental tobacco smoke in the home and other places, and active smoking throughout later childhood all have an impact on the respiratory health of children. Parental smoking has been associated with respiratory symptoms and deteriorated lung function in children. Objective: This study aims to determine the prevalence of respiratory symptoms among children and their association with passive smoking and respiratory symptoms among children aged up to 12 years in selected tertiary care hospitals in Sindh. Methods: This study was a cross-sectional study, conducted in two tertiary care hospitals from where 217 children aged up to 12 years were selected who attended the pediatric OPD for a routine checkup. Results: A total of 217 children with a mean age of 6.4 years (±5.0) years participated in this study. Approximately 73.6 % of children between 0-6 years and 85% between 7-12 years had cough respectively. The results show a significant association between the smoking status of parents and respiratory health among children (0.049), according to the analysis symptoms like coughing, shortness of breath while running/walking, and getting tired p-values 0.038, 0.035, and 0.003 easily show statistically significant association whereas phlegm production shows non-significant (p-value 0.380) association with passive smoking exposure among children up to 12 years of age, experienced in last 30 days for more than 2 times/week. Conclusion: Children's health experts should discuss the negative effects of smoking and the necessity of reducing exposure to secondhand smoke; parents should be informed about these issues and advised not to smoke in front of children.