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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Parental risk perceptions of child exposure to tobacco smoke

Authors: Laura Rosen, Inessa Kostjukovsky

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Tobacco smoke exposure harms children and adults. Yet, 40% of children worldwide are exposed to tobacco smoke in their homes. Such widespread parental failure to protect children is puzzling, and may be related to risk perceptions. No consensus exists about how to measure parental risk perceptions of tobacco smoke exposure.

Methods

The objective of this research was to study Parental Risk Perceptions of child Exposure to Tobacco Smoke (PRETS) using various dimensions of risk perceptions: likelihood of harm, susceptibility to harm, and severity of harm. We aimed to estimate PRETS and identify correlates of PRETS, and assess the association between PRETS, parental smoking status, and home smoking behaviors. We conducted 132 face-to-face interviews with parents of infants.

Results

Parents who smoked regularly believed that infant tobacco smoke exposure was less dangerous than did other parents (p = .0158). Birthplace of parent was significantly associated with risk perception (p = .0019); parents of Russian origin believed the overall risk to be less than did those born elsewhere. Smoking status, ethnicity, and employment status were associated with smoking in the home. The relationship between smoking behavior in the home and risk perceptions was complex, and may have been modified by ethnicity.

Conclusions

Parental risk perceptions concerning child exposure to tobacco smoke are associated with smoking behavior and ethnicity. Understanding how to measure risk perceptions, and identifying risk perception dimensions which differ between families with and without home smoking bans, may contribute to the development of effective interventions to protect children from the harmful effects of tobacco smoke exposure.
Literature
2.
go back to reference U.S. Department of Health and Human Services. The Health Consequences of Smoking - 50 Years of Progress: A Report of the Surgeon General. Altanta, Georgia 2014. U.S. Department of Health and Human Services. The Health Consequences of Smoking - 50 Years of Progress: A Report of the Surgeon General. Altanta, Georgia 2014.
3.
go back to reference Oberg M, Jaakkola MS, Woodward A, Peruga A, Pruss-Ustun A. Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet. 2011;377(9760):139–46.CrossRefPubMed Oberg M, Jaakkola MS, Woodward A, Peruga A, Pruss-Ustun A. Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet. 2011;377(9760):139–46.CrossRefPubMed
4.
go back to reference Mannino DM, Caraballo R, Benowitz N, Repace J. Predictors of cotinine levels in US children: data from the Third National Health and Nutrition Examination Survey. Chest. 2001;120(3):718–24.CrossRefPubMed Mannino DM, Caraballo R, Benowitz N, Repace J. Predictors of cotinine levels in US children: data from the Third National Health and Nutrition Examination Survey. Chest. 2001;120(3):718–24.CrossRefPubMed
5.
go back to reference Rosenstock I. Historical origins of the health belief model. Health Educ Monogr. 1974;2:328.CrossRef Rosenstock I. Historical origins of the health belief model. Health Educ Monogr. 1974;2:328.CrossRef
6.
go back to reference Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul KD, Weinstein ND. Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychol. 2007;26(2):136–45.CrossRefPubMed Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul KD, Weinstein ND. Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychol. 2007;26(2):136–45.CrossRefPubMed
8.
go back to reference Baghal T. The measurement of risk perceptions: the case of smoking. Journal of Risk Research. 2011;14(3):351–64.CrossRef Baghal T. The measurement of risk perceptions: the case of smoking. Journal of Risk Research. 2011;14(3):351–64.CrossRef
9.
go back to reference Bock B, Becker B, Borrelli B. Smoking behavior and risk perception among parents of infants in the neonatal intensive care unit. Nicotine Tob Res. 2008;10(1):47–54.CrossRefPubMed Bock B, Becker B, Borrelli B. Smoking behavior and risk perception among parents of infants in the neonatal intensive care unit. Nicotine Tob Res. 2008;10(1):47–54.CrossRefPubMed
10.
go back to reference Chen YT, Hsiao FH, Miao NF, Chen PL. Factors associated with parents perceptions of parental smoking in the presence of children and its consequences on children. Int J Environ Res Public Health. 2013;10(1):192–209.CrossRefPubMedPubMedCentral Chen YT, Hsiao FH, Miao NF, Chen PL. Factors associated with parents perceptions of parental smoking in the presence of children and its consequences on children. Int J Environ Res Public Health. 2013;10(1):192–209.CrossRefPubMedPubMedCentral
11.
go back to reference Farber H, Knowles S, Brown N, Caine L, Luna V, Qian Y, et al. Secondhand tobacco smoke in children with asthma: sources of and parental perceptions about exposure in children and parental readiness to change. Chest. 2008;113:1367–74.CrossRef Farber H, Knowles S, Brown N, Caine L, Luna V, Qian Y, et al. Secondhand tobacco smoke in children with asthma: sources of and parental perceptions about exposure in children and parental readiness to change. Chest. 2008;113:1367–74.CrossRef
12.
go back to reference Lonergan BJ, Meaney S, Perry IJ, Comber H, Power B, Bradley C, et al. Smokers still underestimate the risks posed by secondhand smoke: a repeated cross-sectional study. Nicotine Tob Res. 2014;16(8):1121–8.CrossRefPubMed Lonergan BJ, Meaney S, Perry IJ, Comber H, Power B, Bradley C, et al. Smokers still underestimate the risks posed by secondhand smoke: a repeated cross-sectional study. Nicotine Tob Res. 2014;16(8):1121–8.CrossRefPubMed
13.
go back to reference Lund KE, Helgason AR. Environmental tobacco smoke in Norwegian homes, 1995 and 2001: changes in children's exposure and parents attitudes and health risk awareness. Eur J Public Health. 2005;15(2):123–7.CrossRefPubMed Lund KE, Helgason AR. Environmental tobacco smoke in Norwegian homes, 1995 and 2001: changes in children's exposure and parents attitudes and health risk awareness. Eur J Public Health. 2005;15(2):123–7.CrossRefPubMed
14.
go back to reference Robinson J, Kirkcaldy AJ. ‘You think that I'm smoking and they're not’: why mothers still smoke in the home. Soc Sci Med. 2007;65(4):641–52.CrossRefPubMed Robinson J, Kirkcaldy AJ. ‘You think that I'm smoking and they're not’: why mothers still smoke in the home. Soc Sci Med. 2007;65(4):641–52.CrossRefPubMed
15.
go back to reference Rovira J, Viscusi W, Antonanzas F, Costa J, Hart W, Carvalho I. Smoking risks in Spain: Part II.Perceptions of environmental tobacco smoke externalities. J Risk Uncertain. 2000;21:187–212.CrossRef Rovira J, Viscusi W, Antonanzas F, Costa J, Hart W, Carvalho I. Smoking risks in Spain: Part II.Perceptions of environmental tobacco smoke externalities. J Risk Uncertain. 2000;21:187–212.CrossRef
16.
go back to reference Winickoff JP, Friebely J, Tanski SE, Sherrod C, Matt GE, Hovell MF, et al. Beliefs about the health effects of "thirdhand" smoke and home smoking bans. Pediatrics. 2009;123(1):e74–9.CrossRefPubMedPubMedCentral Winickoff JP, Friebely J, Tanski SE, Sherrod C, Matt GE, Hovell MF, et al. Beliefs about the health effects of "thirdhand" smoke and home smoking bans. Pediatrics. 2009;123(1):e74–9.CrossRefPubMedPubMedCentral
17.
go back to reference McMillen R, Winickoff J, Klein J, 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(1):e55–60.CrossRefPubMed McMillen R, Winickoff J, Klein J, 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(1):e55–60.CrossRefPubMed
18.
go back to reference Rosen L, Geva H, Connolly G. Letter: political will ushers in a new era for tobacco control in Israel. Lancet. 2011;378:1697–8.CrossRefPubMed Rosen L, Geva H, Connolly G. Letter: political will ushers in a new era for tobacco control in Israel. Lancet. 2011;378:1697–8.CrossRefPubMed
19.
go back to reference Johansson A, Halling A, Hermansson G, Ludvigsson J. Assessment of smoking behaviors in the home and their influence on children's passive smoking: development of a questionnaire. Ann Epidemiol. 2005;15(6):453–9.CrossRefPubMed Johansson A, Halling A, Hermansson G, Ludvigsson J. Assessment of smoking behaviors in the home and their influence on children's passive smoking: development of a questionnaire. Ann Epidemiol. 2005;15(6):453–9.CrossRefPubMed
20.
go back to reference Warren C, Riley L, Asma S, Eriksen M, Green L, Blanton C, et al. Tobacco use by youth: a surveillance report from the Global Youth Tobacco Survey project. Bull World Health Organ. 2000;78(7):868–76.PubMedPubMedCentral Warren C, Riley L, Asma S, Eriksen M, Green L, Blanton C, et al. Tobacco use by youth: a surveillance report from the Global Youth Tobacco Survey project. Bull World Health Organ. 2000;78(7):868–76.PubMedPubMedCentral
21.
go back to reference Diefenbach M, Weinstein ND, O'Reilly J. Scales for assessing health hazard susceptibility. Health Educ Res. 1993;9:181–92.CrossRef Diefenbach M, Weinstein ND, O'Reilly J. Scales for assessing health hazard susceptibility. Health Educ Res. 1993;9:181–92.CrossRef
22.
go back to reference Drehmer JE, Ossip DJ, Rigotti NA, Nabi-Burza E, Woo H, Wasserman RC, et al. Pediatrician interventions and thirdhand smoke beliefs of parents. Am J Prev Med. 2012;43(5):533–6.CrossRefPubMedPubMedCentral Drehmer JE, Ossip DJ, Rigotti NA, Nabi-Burza E, Woo H, Wasserman RC, et al. Pediatrician interventions and thirdhand smoke beliefs of parents. Am J Prev Med. 2012;43(5):533–6.CrossRefPubMedPubMedCentral
23.
go back to reference Wagener TL, Gregor KL, Busch AM, McQuaid EL, Borrelli B. Risk perception in smokers with children with asthma. J Consult Clin Psychol. 2010;78(6):980–5.CrossRefPubMed Wagener TL, Gregor KL, Busch AM, McQuaid EL, Borrelli B. Risk perception in smokers with children with asthma. J Consult Clin Psychol. 2010;78(6):980–5.CrossRefPubMed
24.
go back to reference Kostjukovsky I. Parental risk perceptions about infant exposure to secondhand smoke. Master’s Dissertation. Ramat Aviv, Israel: School of Public Health, Tel Aviv University; 2010. Kostjukovsky I. Parental risk perceptions about infant exposure to secondhand smoke. Master’s Dissertation. Ramat Aviv, Israel: School of Public Health, Tel Aviv University; 2010.
25.
go back to reference Carifio J, Perla R. Ten common misunderstandings, misconceptions, persistent myths and urban legends about Likert scales and Likert response formats and their antidotes. Journal of Social Sciences. 2007;2:106–16. Carifio J, Perla R. Ten common misunderstandings, misconceptions, persistent myths and urban legends about Likert scales and Likert response formats and their antidotes. Journal of Social Sciences. 2007;2:106–16.
26.
go back to reference Eibner F, Barth J, Helmes A, Bengel J. Variations in subjective breast cancer risk estimations when using different measurements for assessing breat cancer risk perception Health. Risk & Society. 2006;2006(8):197–210.CrossRef Eibner F, Barth J, Helmes A, Bengel J. Variations in subjective breast cancer risk estimations when using different measurements for assessing breat cancer risk perception Health. Risk & Society. 2006;2006(8):197–210.CrossRef
27.
go back to reference Evans K, Sims M, Judge K, Gilmore A. Assessing the knowledge of the potential harm to others caused by second-hand smoke and its impact on protective behaviors at home. J Public Health. 2011;34(2):183–94.CrossRef Evans K, Sims M, Judge K, Gilmore A. Assessing the knowledge of the potential harm to others caused by second-hand smoke and its impact on protective behaviors at home. J Public Health. 2011;34(2):183–94.CrossRef
28.
go back to reference Shiva F, Padyab M. Smoking practices and risk awareness in parents regarding passive smoke exposure of their preschool children: a cross-sectional study in Tehran. Indian J Med Sci. 2008;62(6):228–35.CrossRefPubMed Shiva F, Padyab M. Smoking practices and risk awareness in parents regarding passive smoke exposure of their preschool children: a cross-sectional study in Tehran. Indian J Med Sci. 2008;62(6):228–35.CrossRefPubMed
29.
go back to reference Helgason AR, Lund KE. Environmental tobacco smoke exposure of young children–attitudes and health-risk awareness in the Nordic countries. Nicotine Tob Res. 2001;3(4):341–5.CrossRefPubMed Helgason AR, Lund KE. Environmental tobacco smoke exposure of young children–attitudes and health-risk awareness in the Nordic countries. Nicotine Tob Res. 2001;3(4):341–5.CrossRefPubMed
30.
go back to reference Brewer NT, Weinstein ND, Cuite CL, Herrington JE. Risk perceptions and their relation to risk behavior. Ann Behav Med. 2004;27(2):125–30.CrossRefPubMed Brewer NT, Weinstein ND, Cuite CL, Herrington JE. Risk perceptions and their relation to risk behavior. Ann Behav Med. 2004;27(2):125–30.CrossRefPubMed
31.
go back to reference Klein W, Stefanek M. Cancer risk elicitation and communication: lessons from the psychology of risk perception. CA Cancer J Clin. 2007;57:147–67.CrossRefPubMed Klein W, Stefanek M. Cancer risk elicitation and communication: lessons from the psychology of risk perception. CA Cancer J Clin. 2007;57:147–67.CrossRefPubMed
32.
go back to reference Coxhead L, Rhodes T. Accounting for risk and responsibility associated with smoking among mothers of children with respiratory illness. Sociol Health Illn. 2006;28(1):98–121.PubMed Coxhead L, Rhodes T. Accounting for risk and responsibility associated with smoking among mothers of children with respiratory illness. Sociol Health Illn. 2006;28(1):98–121.PubMed
Metadata
Title
Parental risk perceptions of child exposure to tobacco smoke
Authors
Laura Rosen
Inessa Kostjukovsky
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1434-x

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