Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019

Introduction: Children are vulnerable to secondhand smoke (SHS) exposure, especially those with lower socioeconomic status. This study assesses the changes in prevalence and socioeconomic inequalities in SHS exposure in children younger than 12 years old in Spain between 2016 and 2019. Methods: We c...

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Autores: Sanz Mas, Marta, Continente Garcia, Xavier, 1980-, Henderson, Elisabet, Fernández, Esteve, Schiaffino, Anna, Pérez-Ríos, Mónica, Espelt Hernández, Albert, 1981-, Guxens Junyent, Mònica, López, Maria José
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/68710
Acceso en línea:http://hdl.handle.net/10230/68710
http://dx.doi.org/10.18332/tid/189392
Access Level:acceso abierto
Palabra clave:Children
Inequalities
Smoke-free rules
Socioeconomic position
Tobacco smoke pollution
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spelling Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019Sanz Mas, MartaContinente Garcia, Xavier, 1980-Henderson, ElisabetFernández, EsteveSchiaffino, AnnaPérez-Ríos, MónicaEspelt Hernández, Albert, 1981-Guxens Junyent, MònicaLópez, Maria JoséChildrenInequalitiesSmoke-free rulesSocioeconomic positionTobacco smoke pollutionIntroduction: Children are vulnerable to secondhand smoke (SHS) exposure, especially those with lower socioeconomic status. This study assesses the changes in prevalence and socioeconomic inequalities in SHS exposure in children younger than 12 years old in Spain between 2016 and 2019. Methods: We conducted two cross-sectional studies among representative samples of households with children aged <12 years in Spain, in 2016 (n=2411) and 2019 (n=2412). Families were interviewed to assess children's SHS exposure in private settings and outdoor public venues and their adoption of home and car smoke-free rules. We used the education level of the home main earner as a proxy for socioeconomic position. Changes over time in the prevalence and socioeconomic inequalities of SHS exposure and smoke-free rules were estimated through adjusted Poisson regression models with robust variance according to sociodemographic covariates (adjusted prevalence ratios, APRs). Results: In 2019, 70.5% of children were exposed to SHS in Spain. No changes between 2016 and 2019 were found for overall SHS exposure, exposure at home, and at school entrances. SHS exposure increased at public transport stations (APR=1.24; 95% CI: 1.03-1.49) and outdoor hospitality venues (APR=1.17; 95% CI: 1.07-1.29) while it decreased in cars (APR=0.74; 95% CI: 0.56-0.98) and parks (APR=0.87; 95% CI: 0.77-0.98). Households with lower education level had higher prevalence of SHS exposure at home in 2019 compared with those with university studies (primary: APR=1.30; 95% CI: 1.11-1.51; secondary: APR=1.12; 95% CI: 1.00-1.25) and were less likely to adopt home indoor smoke-free rules (primary: APR=0.88; 95% CI: 0.79-0.99; secondary: APR=0.95; 95% CI: 0.89-1.02). Socioeconomic inequalities in SHS exposure at home persisted between 2016 and 2019 (p>0.05), while decreased in smoke-free rules in cars (p=0.039). Conclusions: Reported SHS exposure among children in Spain remained high between 2016 and 2019. Inequalities persisted at home, highlighting the need for measures to reduce such exposure with an equity perspective.European Publishing202420242024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/68710http://dx.doi.org/10.18332/tid/189392reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésTob Induc Dis. 2024 Jun 21;22© 2024 Sanz-Mas M. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License. (https://creativecommons.org/licenses/by/4.0/).http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/687102026-05-29T05:05:01Z
dc.title.none.fl_str_mv Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019
title Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019
spellingShingle Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019
Sanz Mas, Marta
Children
Inequalities
Smoke-free rules
Socioeconomic position
Tobacco smoke pollution
title_short Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019
title_full Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019
title_fullStr Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019
title_full_unstemmed Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019
title_sort Changes in prevalence and socioeconomic inequalities in secondhand smoke exposure in Spanish children, 2016-2019
dc.creator.none.fl_str_mv Sanz Mas, Marta
Continente Garcia, Xavier, 1980-
Henderson, Elisabet
Fernández, Esteve
Schiaffino, Anna
Pérez-Ríos, Mónica
Espelt Hernández, Albert, 1981-
Guxens Junyent, Mònica
López, Maria José
author Sanz Mas, Marta
author_facet Sanz Mas, Marta
Continente Garcia, Xavier, 1980-
Henderson, Elisabet
Fernández, Esteve
Schiaffino, Anna
Pérez-Ríos, Mónica
Espelt Hernández, Albert, 1981-
Guxens Junyent, Mònica
López, Maria José
author_role author
author2 Continente Garcia, Xavier, 1980-
Henderson, Elisabet
Fernández, Esteve
Schiaffino, Anna
Pérez-Ríos, Mónica
Espelt Hernández, Albert, 1981-
Guxens Junyent, Mònica
López, Maria José
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Children
Inequalities
Smoke-free rules
Socioeconomic position
Tobacco smoke pollution
topic Children
Inequalities
Smoke-free rules
Socioeconomic position
Tobacco smoke pollution
description Introduction: Children are vulnerable to secondhand smoke (SHS) exposure, especially those with lower socioeconomic status. This study assesses the changes in prevalence and socioeconomic inequalities in SHS exposure in children younger than 12 years old in Spain between 2016 and 2019. Methods: We conducted two cross-sectional studies among representative samples of households with children aged <12 years in Spain, in 2016 (n=2411) and 2019 (n=2412). Families were interviewed to assess children's SHS exposure in private settings and outdoor public venues and their adoption of home and car smoke-free rules. We used the education level of the home main earner as a proxy for socioeconomic position. Changes over time in the prevalence and socioeconomic inequalities of SHS exposure and smoke-free rules were estimated through adjusted Poisson regression models with robust variance according to sociodemographic covariates (adjusted prevalence ratios, APRs). Results: In 2019, 70.5% of children were exposed to SHS in Spain. No changes between 2016 and 2019 were found for overall SHS exposure, exposure at home, and at school entrances. SHS exposure increased at public transport stations (APR=1.24; 95% CI: 1.03-1.49) and outdoor hospitality venues (APR=1.17; 95% CI: 1.07-1.29) while it decreased in cars (APR=0.74; 95% CI: 0.56-0.98) and parks (APR=0.87; 95% CI: 0.77-0.98). Households with lower education level had higher prevalence of SHS exposure at home in 2019 compared with those with university studies (primary: APR=1.30; 95% CI: 1.11-1.51; secondary: APR=1.12; 95% CI: 1.00-1.25) and were less likely to adopt home indoor smoke-free rules (primary: APR=0.88; 95% CI: 0.79-0.99; secondary: APR=0.95; 95% CI: 0.89-1.02). Socioeconomic inequalities in SHS exposure at home persisted between 2016 and 2019 (p>0.05), while decreased in smoke-free rules in cars (p=0.039). Conclusions: Reported SHS exposure among children in Spain remained high between 2016 and 2019. Inequalities persisted at home, highlighting the need for measures to reduce such exposure with an equity perspective.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/68710
http://dx.doi.org/10.18332/tid/189392
url http://hdl.handle.net/10230/68710
http://dx.doi.org/10.18332/tid/189392
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Tob Induc Dis. 2024 Jun 21;22
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv European Publishing
publisher.none.fl_str_mv European Publishing
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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