Social inequalities in secondhand smoke exposure in children in Spain
Por:
Lopez, MJ, Arechavala, T, Continente, X, Schiaffino, A, Perez-Rios, M, Fernandez, E
Publicada:
1 abr 2018
Resumen:
INTRODUCTION Children are particularly vulnerable to the health effects of secondhand smoke (SHS). The objectives of this study are to describe SHS exposure of children younger than 12 years in Spain and to identify potential social inequalities associated with SHS exposure.
METHODS A cross-sectional study was conducted in a representative sample of the population younger than 12 years in Spain. A computer-assisted telephone interview was conducted with parents or legal guardians in 2016, to assess the children's SHS exposure at home, in the car, at school and at the nursery gates, in public transport, and during leisure time. The socio-demographic variables included were the child's age and sex, the highest educational attainment at home, and occupational social class. Prevalence and 95% confidence intervals were calculated for SHS exposure in each setting and for overall exposure.
RESULTS In all, 71.8% of the children were exposed to SHS: 25.8% were exposed at home, 4.6% in the car, 8.2% in public transport, 31.9% at outdoor nursery or school gates, and 48% during leisure time. The higher the educational attainment at home, the lower the exposure (38.8% for primary school or lower, 28.7% for secondary school and 20.8% university level). The more deprived the social class, the higher the exposure (21.7% class I-II, 23.4% class III-IV and 31.1% class V-VII). SHS exposure in cars and overall exposure also decreased with higher educational achievement.
CONCLUSIONS In Spain, a large proportion of children are still exposed to SHS. Furthermore, there are clear social inequalities. To reduce SHS exposure, there is an urgent need for evidence-based interventions with an equity perspective.
Filiaciones:
Lopez, MJ:
Agencia Salut Publ Barcelona, Evaluat & Intervent Methods Serv, Barcelona, Spain
CIBERESP, Madrid, Spain
UPF, Dept Expt & Hlth Sci, Barcelona, Spain
IIB St Pau, Barcelona, Spain
Arechavala, T:
Agencia Salut Publ Barcelona, Evaluat & Intervent Methods Serv, Barcelona, Spain
UPF, Dept Expt & Hlth Sci, Barcelona, Spain
Continente, X:
Agencia Salut Publ Barcelona, Evaluat & Intervent Methods Serv, Barcelona, Spain
CIBERESP, Madrid, Spain
IIB St Pau, Barcelona, Spain
Schiaffino, A:
Dept Salut Generalitat Catalunya, Direccio Gen Planificacio Salut, Barcelona, Spain
Perez-Rios, M:
CIBERESP, Madrid, Spain
Galician Hlth Author, Epidemiol Unit, Galician Directorate Publ Hlth, Santiago De Compostela, Spain
Univ Santiago de Compostela, Sch Med, Dept Prevent Med & Publ Hlth, Santiago De Compostela, Spain
Fernandez, E:
Inst Invest Biomed Bellvitge IDIBELL, Canc Prevent & Control Grp, Barcelona, Spain
ICO, Canc Control & Prevent Program, Tobacco Control Unit, Barcelona, Spain
Univ Barcelona, Sch Med & Hlth Sci, Dept Clin Sci, Barcelona, Spain
Gold, Green Published
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