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Int. J. Environ. Res. Public Health 2011, 8(3), 842-860; doi:10.3390/ijerph8030842
Article

Socioeconomic Differences in Exposure to Tobacco Smoke Pollution (TSP) in Bangladeshi Households with Children: Findings from the International Tobacco Control (ITC) Bangladesh Survey

1,2,* , 3, 4, 5, 3 and 3,6
1 School of Public Health, Guangxi Medical University, 22 Shuangyong Road, Nanning 530021, Guangxi, China 2 Department of Medicine (MISU), Boston University School of Medicine, 801 Massachusetts Avenue (2nd floor), Boston, MA 02118, USA 3 Department of Psychology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L3G1, Canada 4 Propel Centre for Population Health Impact, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L3G1, Canada 5 Department of Economics, University of Dhaka, Arts Building, Room 4057, Dhaka-1000, Bangladesh 6 Ontario Institute for Cancer Research, MaRS Centre, South Tower, 101 College Street, Suite 800, Toronto, Ontario M5G0A3, Canada
* Author to whom correspondence should be addressed.
Received: 6 February 2011 / Revised: 6 March 2011 / Accepted: 6 March 2011 / Published: 15 March 2011
(This article belongs to the Special Issue Tobacco Smoking: Public Health, Science and Policy)
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Abstract

This study assessed the pattern of exposure to tobacco smoke pollution (TSP; also known as, secondhand smoke) in Bangladeshi households with children and examined the variations in household smoking restrictions and perception of risk for children’s exposure to TSP by socioeconomic status. We interviewed 1,947 respondents from Bangladeshi households with children from the first wave (2009) of the International Tobacco Control (ITC) Bangladesh Survey. 43.5% of the respondents had complete smoking restrictions at home and 39.7% were very or extremely concerned about TSP risk to children’s health. Participants with lower level of education were significantly less likely to be concerned about the risk of TSP exposure to children’s health and less likely to adopt complete smoking restrictions at home. Logistic regression revealed that the predictors of concern for TSP exposure risk were educational attainment of 1 to 8 years (OR = 1.94) or 9 years or more (OR = 4.07) and being a smoker (OR = 0.24). The predictors of having complete household smoking restrictions were: urban residence (OR = 1.64), attaining education of 9 years or more (OR = 1.94), being a smoker (OR = 0.40) and being concerned about TSP exposure risk to children (OR = 3.25). The findings show that a high proportion of adults with children at home smoke tobacco at home and their perceptions of risk about TSP exposure to children’s health were low. These behaviours were more prevalent among rural smokers who were illiterate. There is a need for targeted intervention, customized for low educated public, on TSP risk to children’s health and tobacco control policy with specific focus on smoke-free home.
Keywords: tobacco smoke pollution (TSP); second hand smoke (SHS); smoking restrictions; children; Bangladesh tobacco smoke pollution (TSP); second hand smoke (SHS); smoking restrictions; children; Bangladesh
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.

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Abdullah, A.S.; Hitchman, S.C.; Driezen, P.; Nargis, N.; Quah, A.C.; Fong, G.T. Socioeconomic Differences in Exposure to Tobacco Smoke Pollution (TSP) in Bangladeshi Households with Children: Findings from the International Tobacco Control (ITC) Bangladesh Survey. Int. J. Environ. Res. Public Health 2011, 8, 842-860.

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