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Int. J. Environ. Res. Public Health 2014, 11(11), 12015-12028; doi:10.3390/ijerph111112015

Smoke-Free Homes and Home Exposure to Secondhand Smoke in Shanghai, China

1
Key Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China
2
Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
3
Center of Disease Control, Pudong District, Shanghai 200136, China
4
Center of Disease Control, Fengxian District, Shanghai 201400, China
*
Author to whom correspondence should be addressed.
Received: 1 September 2014 / Revised: 5 November 2014 / Accepted: 10 November 2014 / Published: 20 November 2014
(This article belongs to the Special Issue Tobacco Control)
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Abstract

Few studies have examined home exposure to secondhand smoke (SHS) in China. This study aimed to document: (1) the prevalence and correlates of exposure to SHS in homes (in adult non-smokers) in Shanghai, and (2) enforcement of rules, harm reduction behaviors, and self-efficacy for maintaining smoke-free homes in Shanghai. A total of 500 participants were recruited using a multistage proportional random sampling design in an urban and suburban district to complete a survey. Among the total 355 nonsmokers, 127 (35.8%) participants reported being exposed to SHS in the past 7 days. Participants living with smokers in the home, with no smoking restriction at home, and having children younger than 18 were more likely to be exposed to SHS at home. Higher self-efficacy in maintaining a smoke-free home was negatively associated with home SHS exposure. Having visitors who smoke was the greatest policy enforcement challenge. Ineffective measures such as opening windows were more commonly used in homes with partial bans. Educational initiatives to protect against SHS exposure in the home should promote smoke-free homes, address challenges to implementing such policies, and address misconceptions regarding the effectiveness of supposed harm reduction behaviors. View Full-Text
Keywords: secondhand smoke; home; Shanghai; China secondhand smoke; home; Shanghai; China
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Zheng, P.; Berg, C.J.; Kegler, M.C.; Fu, W.; Wang, J.; Zhou, X.; Liu, D.; Fu, H. Smoke-Free Homes and Home Exposure to Secondhand Smoke in Shanghai, China. Int. J. Environ. Res. Public Health 2014, 11, 12015-12028.

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