Exposure to secondhand smoke as a risk factor for severe tobacco smoking among young healthy men in South Africa
Background Despite public health intervention, exposure to secondhand smoke, specifically in the home, remains high. Secondhand smoke has been linked to several health outcomes however there is limited information on how secondhand smoke impacts on severity of smoking. Methods We report interim r...
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doaj-51346d9e2a654895909719b3a710f3002020-11-24T21:39:38ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8452584525Exposure to secondhand smoke as a risk factor for severe tobacco smoking among young healthy men in South AfricaMinja Milovanovic0Limakatso Lebina1Kennedy Otwombe2Khuthadzo Hlongwane3Pattamukkil Abraham4Jonathan Golub5Neil Martinson6University of the Witwatersrand, Perinatal HIV Research Unit, South AfricaUniversity of the Witwatersrand, Perinatal HIV Research Unit, South AfricaUniversity of the Witwatersrand, Perinatal HIV Research Unit, South AfricaUniversity of the Witwatersrand, Perinatal HIV Research Unit, South AfricaUniversity of the Witwatersrand, Perinatal HIV Research Unit, South AfricaJohns Hopkins University School of Medicine, Center for Tuberculosis Research, Department of Medicine, United States of AmericaUniversity of the Witwatersrand, Perinatal HIV Research Unit, South AfricaBackground Despite public health intervention, exposure to secondhand smoke, specifically in the home, remains high. Secondhand smoke has been linked to several health outcomes however there is limited information on how secondhand smoke impacts on severity of smoking. Methods We report interim results of a cross-sectional study among young men (10-34 years) attending five Voluntary Medical Male Circumcision (VMMC) clinics in South Africa. Data were collected on participant and parental smoking status; exposure to secondhand smoking and alcohol consumption. A qualitative urine test for cotinine and a breathalyser test for Carbon monoxide measured in parts per million (COppm) were administered. COppm scores were classified into two categories: moderate/mild and severe. Secondhand smoking was defined as exposure to indoor and family members smoking. Logistic regression was used to determine risk factors associated with severe smoking. Results Of the 2465 participants, median age 20 (IQR: 13-27) years, 32.5% (785/2418) tested positive for urine cotinine of which 98.6% (774/785) had a COppm result. COppm result showed 53.2% (412/774) were severe smokers, 46.8% (362/774) were moderate/mild smokers. A total of 46.3% (189/408) of severe smokers reported often having someone smoking in their home of whom 27.8% (72/259) reported that their mother and 59.9% (100/167) report that their father smokes. Overall, 80.3% (330/411) of severe smokers self-reported drinking alcohol. Multivariate analysis adjusting for age and alcohol use showed that severe smoking was associated with often exposure to indoor smoking at home (OR: 1.612 95%CI: 1.195-2.173) and to family members that smoke (OR: 3.495 95%CI: 1.413-8.646). Conclusions Family members who smoke and alcohol use put young men at risk of severe smoking. Rules and social norms must encourage smokers to smoke outside of their houses. Policy interventions should focus on highlighting the risks and reducing the prevalence of secondhand smoking.http://www.journalssystem.com/tid/Exposure-to-secondhand-smoke-as-a-risk-factor-for-severe-tobacco-smoking-among-young,84525,0,2.htmlWCTOH |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Minja Milovanovic Limakatso Lebina Kennedy Otwombe Khuthadzo Hlongwane Pattamukkil Abraham Jonathan Golub Neil Martinson |
spellingShingle |
Minja Milovanovic Limakatso Lebina Kennedy Otwombe Khuthadzo Hlongwane Pattamukkil Abraham Jonathan Golub Neil Martinson Exposure to secondhand smoke as a risk factor for severe tobacco smoking among young healthy men in South Africa Tobacco Induced Diseases WCTOH |
author_facet |
Minja Milovanovic Limakatso Lebina Kennedy Otwombe Khuthadzo Hlongwane Pattamukkil Abraham Jonathan Golub Neil Martinson |
author_sort |
Minja Milovanovic |
title |
Exposure to secondhand smoke as a risk factor for severe tobacco smoking among young healthy men in South Africa |
title_short |
Exposure to secondhand smoke as a risk factor for severe tobacco smoking among young healthy men in South Africa |
title_full |
Exposure to secondhand smoke as a risk factor for severe tobacco smoking among young healthy men in South Africa |
title_fullStr |
Exposure to secondhand smoke as a risk factor for severe tobacco smoking among young healthy men in South Africa |
title_full_unstemmed |
Exposure to secondhand smoke as a risk factor for severe tobacco smoking among young healthy men in South Africa |
title_sort |
exposure to secondhand smoke as a risk factor for severe tobacco smoking among young healthy men in south africa |
publisher |
European Publishing |
series |
Tobacco Induced Diseases |
issn |
1617-9625 |
publishDate |
2018-03-01 |
description |
Background
Despite public
health intervention, exposure to secondhand smoke,
specifically in the home, remains high. Secondhand smoke has been linked to
several health outcomes however there is limited information on how secondhand
smoke impacts on severity of smoking.
Methods
We report interim results of a cross-sectional study among young men (10-34 years)
attending five Voluntary Medical Male Circumcision (VMMC) clinics in South
Africa. Data were collected
on participant and parental smoking status; exposure to secondhand smoking
and alcohol consumption. A qualitative urine test for cotinine and a
breathalyser test for Carbon monoxide measured in parts per million (COppm)
were administered. COppm scores were classified into two categories: moderate/mild
and severe. Secondhand smoking was defined as exposure to indoor and family
members smoking. Logistic regression was used to determine
risk factors associated with severe smoking.
Results
Of the 2465 participants, median age 20 (IQR: 13-27) years, 32.5% (785/2418)
tested positive for urine cotinine of which 98.6% (774/785) had a COppm result.
COppm result showed 53.2% (412/774) were severe smokers, 46.8% (362/774) were
moderate/mild smokers. A total of 46.3% (189/408) of severe smokers reported often
having someone smoking in their home of whom 27.8% (72/259) reported that their
mother and 59.9% (100/167) report that their father smokes. Overall, 80.3% (330/411)
of severe smokers self-reported drinking alcohol. Multivariate analysis adjusting
for age and alcohol use showed that severe smoking was associated with often exposure
to indoor smoking at home (OR: 1.612 95%CI: 1.195-2.173) and to family members
that smoke (OR: 3.495 95%CI: 1.413-8.646).
Conclusions
Family members who smoke and alcohol use put young men at risk of severe
smoking. Rules and social norms must encourage smokers to smoke outside of
their houses. Policy interventions should focus on highlighting the risks and
reducing the prevalence of secondhand smoking. |
topic |
WCTOH |
url |
http://www.journalssystem.com/tid/Exposure-to-secondhand-smoke-as-a-risk-factor-for-severe-tobacco-smoking-among-young,84525,0,2.html |
work_keys_str_mv |
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