Perceptions about the harm of secondhand smoke exposure among U.S. middle and high school students: findings from the 2012 National Youth Tobacco Survey

Tobacco Induced Diseases

Stephen D Babb¹  Shanta R Dube¹  Brian A King¹ 

[1] Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K-79, Atlanta, GA 30341, USA

关键词: Students;    Risk;    Perception;    Adolescent;    Tobacco smoke pollution;    Tobacco;   

Others  :  867004
DOI  :  10.1186/1617-9625-11-16

 received in 2013-06-14, accepted in 2013-07-15,  发布年份 2013

【 摘 要 】

Background

Increased knowledge of the harmful effects of SHS is an evidence-based key indicator for eliminating nonsmokers’ exposure to SHS. This study assessed the prevalence and predictors of perceptions about the harm of secondhand smoke (SHS) exposure among U.S. middle and high school students.

Findings

Data were obtained from the 2012 National Youth Tobacco Survey, a nationally representative school-based survey of U.S. students in grades 6–12. Respondents who reported that they thought breathing smoke from other people’s cigarettes or other tobacco products causes “some” or “a lot” of harm were considered to have the perception that SHS is harmful. Multivariate logistic regression was used to identify predictors of the perception that SHS is harmful. Predictors included sex, race/ethnicity, school grade level, current tobacco use, and whether the respondent currently lived with a tobacco user. Overall, 75.4% of students perceived SHS exposure as harmful. The adjusted odds of perceiving SHS exposure as harmful were higher among non-Hispanic Asians than among non-Hispanic whites, and among students in 10^th-12^th grades than among students in 8^th grade. Adjusted odds were lower among boys than among girls, among non-Hispanic blacks than among non-Hispanic whites, among students living with a tobacco user than among those not, and among those who use combustible tobacco only or both combustible and non-combustible tobacco than among those who use no tobacco.

Conclusions

Most middle and high school students perceive SHS exposure as harmful, but efforts are needed to increase the prevalence of this perception in certain subpopulations, particularly tobacco users.

【 授权许可】

   
2013 King et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]U.S. Department of Health & Human Services: The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta, GA: U.S: Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention & Health Promotion, Office on Smoking and Health; 2006.
• [2]Centers for Disease Control and Prevention: Vital Signs: Nonsmokers’ exposure to secondhand smoke—United States, 1999–2008. MMWR Morb Mortal Wkly Rep 2010, 59:1141-1146.
• [3]Starr G, Rogers T, Schooley M, Porter S, Wiesen E, Jamison N: Key Outcome Indicators for Evaluating Comprehensive Tobacco Control Programs. Atlanta, GA: Centers for Disease Control and Prevention; 2005.
• [4]Green E, Courage C, Rushton L: Reducing domestic exposure to environmental tobacco smoke: a review of attitudes and behaviors. J R Soc Promot Health 2003, 123:46-51.
• [5]Song AV, Glantz SA, Halpern-Felsher BL: Perceptions of secondhand smoke risks predict future adolescent smoking initiation. J Adolesc Health 2009, 45:618-625.
• [6]McMillen RC, Winickoff JP, Klein JD, Weitzman M: US adult attitudes and practices regarding smoking restrictions and child exposure to environmental tobacco smoke: changes in the social climate from 2000–2001. Pediatrics 2003, 112:e55-e60.
• [7]Centers for Disease Control and Prevention: National Youth Tobacco Survey (NYTS). [http://www.cdc.gov/tobacco/data_statistics/surveys/nyts/ webcite]
• [8]Centers for Disease Control and Prevention: State Smoke-Free Laws for Worksites, Restaurants, and Bars --- United States, 2000–2010. MMWR Morb Mortal Wkly Rep 2011, 60:472-475.
• [9]Centers for Disease Control and Prevention: State Tobacco Activities Tracking and Evaluation (STATE) System. [http://www.cdc.gov/tobacco/statesystem webcite]
• [10]Americans for Nonsmokers Rights Foundation: Summary of 100% Smokefree State Laws and Population Protected by 100% U.S. Smokefree Laws. [http://www.no-smoke.org/pdf/SummaryUSPopList.pdf webcite]
• [11]Cheng KW, Glantz SA, Lightwood JM: Association between smoke-free laws and voluntary smoke-free home rules. Am J Prev Med 2011, 41:566-572.
• [12]International Agency for Research on Cancer: Evaluating the Effectiveness of Smoke-Free Policies. World Health Organization Press; 2009.
• [13]Centers for Disease Control and Prevention: Increases in Quitline Calls and Smoking Cessation Website Visitors During a National Tobacco Education Campaign – March 19-June 10, 2012. MMWR Morb Mortal Wkly Rep 2012, 61:667-670.
• [14]U.S. Census Bureau: School Enrollment: Current Population Survey 2011—detailed tables. [http://www.census.gov/hhes/school/data/cps/2011/tables.html webcite]