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Secondhand Smoke Exposure Among Women and Children

Active smoking prevalence among men in many countries exceeds 50 percent. Past experience has shown that as active smoking increases, so does involuntary exposure to secondhand smoke (SHS). Currently, one of the greatest public health challenges lies in protecting women and children from SHS exposure at home. Governments lack authority to restrict smoking in homes and, consequently, interventions to reduce exposure are largely based on education of smokers as to the risks that their smoking poses to their family members and towards non-smokers concerning measures that can be taken to reduce exposures.

The purpose of the study is to assess exposures of women and children to secondhand smoke (SHS) in a number of countries. A comon protocol is used to generate a global profile of SHS exposure and estimate the associated risks to women and children worldwide, and to generate locally relevant and useful data in order to support more progressive smoke-free policies and programs aimed at reducing SHS exposure. This study is suported by the Flight Attendants Medical Research Institute (FAMRI) through a Cahan Distinguished Professor Award grant to Dr. Jonathan Samet.

Specific Aims

  • To characterize levels of SHS in homes with smokers in multiple countries
  • To characterize the average level of nicotine in women and children exposed to SHS in multiple countries
  • To identify factors related to differences in levels of SHS exposure (presence of voluntary restrictions, attitudes and behaviors of smokers, attitudes and behaviors of non-smokers)
  • To generate locally relevant and useful data in order to support more progressive smoke-free policies and programs aimed at reducing SHS exposure and educating smokers and non-smokers regarding the harmful effects of SHS exposure on women and children         
  • To identify baseline levels for monitoring the impact of tobacco control policies and programs throughout the world on voluntary efforts to reduce SHS exposure in homes

Design
Cross-sectional exposure survey using area monitors and biological samples.

Countries and Partners
Argentina: Marta Angueira, UATA
Armenia: Arayik Sargsyan, American University of Armenia
Brazil: Valeska Figueiredo, INCA
Cambodia: Sin Sovann, National Center for Health Promotion
China: Gonghuan Yang, Peking Union Medical College
Dominican Republic: Sergio Diaz, Centro de Atención Primaria Juan XXIII
Egypt:  Mostafa Mohamed, Smoking Prevention Research Institute
Georgia: Giorgi Magradze, Health Promotion and Education Foundation
Guatemala: Joaquin Barnoya, Unidad de Cirugia Cardiovascular
Hong Kong: TH Lam, Hong Kong University
India: Mira Aghi, Independent consultant
Indonesia: Rita Damayanti, University of Indonesia
Latvia: Janis Caunitis, Health Promotion State Agency
Laos: Maniphanh Vongphosy, ADRA
Malaysia: Foong Kin, National Poison Center, Universiti Sains Malaysia
Mexic Mauricio Hernandez-Avila, National Public Health Institute (INSP)
Nepal: Mrigendra Pandey, Samjhana Medical Trust
Panama: Riena Roa, Ministry of Health
Peru: Alfonso Zavaleta, CEDRO
Philippines: Maria Lourdes Reuillida, University of Philippines
Poland: Krzysztof Przewozniak, Health Promotion Foundation
Romania: Florin Mihaltan, Romanian Network for Smoking Prevention
Russia: Vladimir Levshin, Russian Cancer Research Center
Syria: Wasim Maziak, Syrian Center for Tobacco Studies
Taiwan: Wayne Kao, John Tung Foundation
Thailand: Naowarut Charoenca, Mahidol University
Turkey: Zeynep Order, Bilkent University
Ukraine: Tatiana Andreeva, Kiev-Mohyla Academy
Uruguay: Adriana Blanco, City of Montevideo
USA: Heather Wipfli, Johns Hopkins Bloomberg School of Public Health
Venezuela: Natasha Herrera, Pan American Health Organization
Vietnam: Bao Chau, Vietnamese Public Health Association

Research

We don't know the whole story of how bad tobacco is yet.

Jonathan Samet,
Baltimore, United States

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