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BMC Women's Health
Published in: BMC Women's Health 1/2024

Open Access 01-12-2024 | Smoking and Nicotine Detoxification | Research

Prevalence and factors associated with second hand smoke exposure among a sample of pregnant women in Cairo, Egypt

Authors: Elizabeth R. Stevens, Erin L. Mead-Morse, Kareem Labib, Linda G. Kahn, Sugy Choi, Scott E. Sherman, Cheryl Oncken, Natasha J Williams, Tom Loney, Omar El Shahawy

Published in: BMC Women's Health | Issue 1/2024

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Abstract

Purpose

This study estimated the prevalence of and factors associated with secondhand smoke (SHS) exposure, and assessed attitudes and knowledge about SHS among pregnant women in Cairo, Egypt.

Methods

Pregnant women in the third trimester were recruited to participate in a survey assessing tobacco smoking and SHS exposure during their current pregnancy. Participants were recruited from three antenatal clinics in Cairo, Egypt, from June 2015 to May 2016. We examined differences in sociodemographic characteristics and SHS exposure, attitudes, and knowledge by smoking/SHS status. We used multivariable ordinary least squares regression to examine the association between husbands’ smoking and pregnant women’s mean daily hours of SHS exposure, adjusting for women’s smoking status, age group, education, and urban (vs. suburban/rural) residence.

Results

Of two hundred pregnant women aged 16–37 years, about two-thirds (69%) had a husband who smoked tobacco. During their current pregnancy, most women reported being non-smokers (71%), and 38% of non-smokers reported being SHS-exposed. Non-smokers exposed to SHS tended to live in more rural areas and have husbands who smoked in the home. In adjusted analyses, having a husband who smoked was significantly associated with a greater mean number of hours of SHS exposure per day exposed, and this difference was driven by husbands who smoked in the home (p < 0.001). Women in the SHS-exposed group were less likely than other groups to agree that SHS exposure was harmful to their own or their future child’s health; however, all groups agreed that SHS was harmful to newborn health.

Conclusion

Among our sample of pregnant women in Cairo, Egypt, there was a high rate of SHS exposure as well as misconceptions about the safety of SHS exposure to a developing fetus. Our findings suggest a need for targeted education and gender-sensitive messaging about SHS exposure, along with improved enforcement of existing tobacco control policies.
Appendix
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Metadata
Title
Prevalence and factors associated with second hand smoke exposure among a sample of pregnant women in Cairo, Egypt
Authors
Elizabeth R. Stevens
Erin L. Mead-Morse
Kareem Labib
Linda G. Kahn
Sugy Choi
Scott E. Sherman
Cheryl Oncken
Natasha J Williams
Tom Loney
Omar El Shahawy
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2024
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-023-02821-2

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