Abstract：Objective To investigate the second-hand smoke behavior at home among smokers, so as to provide the reference for developing home tobacco control strategies. Methods Permanent residents who were smokers and at the ages of 15 years and above were sampled from 10 streets (townships) in Xuhui District, Shanghai Municipality using the multi-stage random sampling and population-size proportional sampling methods in 2022. Demographic information, smoking status, awareness of second-hand smoke hazards and second-hand smoke behavior at home were collected by questionnaire surveys. Factors affecting second-hand smoke behavior at home were identified using a multivariable logistic regression model. Results A total of 1 024 smokers were surveyed, including 769 males (75.10%) and 255 females (24.90%). The awareness of hazards of second-hand smoke was 33.59%; the awareness rate of second-hand smoke causing lung cancer in adults was the highest at 76.76%, while the awareness rate of second-hand smoke leading to premature birth and low birth weight in newborns was the lowest at 39.45%. There were 459 smokers with second-hand smoke behavior at home, accounting for 44.82%. Multivariable logistic regression analysis showed that occupation (the retired, OR=2.320, 95%CI: 1.276-4.218), frequency of smoking (often, OR=5.722, 95%CI: 3.977-8.231), smoking duration (a year and above, OR=10.089, 95%CI: 5.508-18.480), electronic cigarette use (occasionally, OR=2.994, 95%CI: 1.283-6.986), living with pregnant women or infants (no, OR=2.171, 95%CI: 1.367-3.448), family indoor smoking restrictions (no restriction, OR=13.926, 95%CI: 7.538-25.727) and awareness of second-hand smoke hazards (unknown, OR=1.562, 95%CI: 1.067-2.287) were the influencing factors for second-hand smoke behavior at home. Conclusion There were 44.82% smokers in Xuhui District with second-hand smoke behavior at home, which was influenced by occupation, living situation, smoking status, family indoor smoking restriction and awareness of second-hand smoke hazards.
[1] 王辰,肖丹,池彗.《中国吸烟危害健康报告2020》概要[J].中国循环杂志,2021,36(10):937-952. [2] 李建彬,高莉,郭向娇,等.郑州市居民二手烟暴露及危害认知情况调查[J].预防医学,2020,32(5):455-459. [3] 李新华. 2018中国成人烟草调查报告[M].北京:人民卫生出版社,2020. [4] 张方芳,杨思怡,张文翠,等.2017—2021年上海市松江区公共场所控烟监测结果分析[J].预防医学情报杂志,2024,40(6):699-705. [5] 王剑,谢臣晨,承语芝,等.上海市孕妇二手烟暴露现况及家庭暴露影响因素分析[J].首都公共卫生,2023,17(4):202-205. [6] 李庆伟,陈雪梅,王霄凯,等.金山区孕妇被动吸烟调查[J].预防医学,2024,36(5):457-460. [7] 钟晴,梅欣,李俊林,等.武汉市初中生二手烟暴露及影响因素分析[J].中国健康教育,2023,39(9):845-850. [8] DUAN Z H,WANG Y,HUANG J D,et al.Secondhand smoke(SHS)exposure before and after the implementation of the Tobacco Free Cities(TFC)initiative in five Chinese cities:a pooled cross sectional study[J].BMJ Open,2020,10(12):1-10. [9] XIA W,LI W H C,CAI W Z,et al.Association of smoking behavior among Chinese expectant fathers and smoking abstinence after their partner becomes pregnant:a cross-sectional study[J/OL].BMC Pregnancy Childbirth,2020[2024-10-09].https://pubmed.ncbi.nlm.nih.gov/32758182/.DOI:10.1186/s12884-020-03148-8. [10] 罗敏红,马丽娜,李慧,等.孕妇被动吸烟状况及其家中吸烟者吸烟知识行为调查[J].中国社会医学杂志,2023,40(3):314-319. [11] 刘翊珺,赵哲,姜勤勤,等.我国老年人社会隔离、孤独感与吸烟行为的关联性研究[J].现代预防医学,2024,51(14):2587-2592,2641. [12] 张泸戈,南奕,谢晓芸,等.个性化戒烟干预APP短期戒烟效果评价及影响因素分析[J].中国慢性病预防与控制,2024,32(2):115-120. [13] 王莹,姜琳琳,郭恂,等.黑龙江省15岁及以上人群电子烟使用现状分析[J].中国健康教育,2024,40(1):73-76,83. [14] 陈霄雯,陈昊,施莉莉,等.妊娠期家庭控烟现状调查及影响因素分析[J].中国全科医学,2015,18(30):3697-3703. [15] 何静怡,郑频频,潘姿娴,等.台州、大理农村5岁以下儿童家庭二手烟暴露情况与影响因素分析[J].中国健康教育,2021,37(3):239-243. [16] CHEN J Y,LI X H,FANG P Q.Influence of family resources on secondhand smoking in pregnant women:a cross-sectional study in the border and minority urban areas of Northwest China[J/OL].BMC Pregnancy Childbirth,2020[2024-10-09].https://pubmed.ncbi.nlm.nih.gov/33087094/.DOI:10.1186/s12884-020-03251-w.
