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2016-06-08Zeitschriftenartikel DOI: 10.1186/s12889-016-3175-x
Social disparities in parental smoking and young children’s exposure to secondhand smoke at home: a time-trend analysis of repeated cross-sectional data from the German KiGGS study between 2003-2006 and 2009-2012
dc.contributor.authorKuntz, Benjamin
dc.contributor.authorLampert, Thomas
dc.date.accessioned2018-05-07T19:05:13Z
dc.date.available2018-05-07T19:05:13Z
dc.date.created2016-06-10
dc.date.issued2016-06-08none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/reodG3SWVeCFs/PDF/23l6ZtHvrvjKA.pdf
dc.identifier.urihttp://edoc.rki.de/176904/2336
dc.description.abstractBackground: Children who are exposed to secondhand smoke (SHS) have an increased risk of a wide range of health problems and illnesses. Smoke-free legislation aims to improve indoor air quality and in this way protect the health of people who do not smoke. This paper examines trends in SHS exposure at home among children in Germany since the introduction of smoking bans in public places. Special focus is placed on the importance of the family of origin’s socioeconomic status (SES) and on parental smoking behaviour. Methods: The analyses are based on two waves of the “German Health Interview and Examination Survey for Children and Adolescents” (KiGGS)—one of which was conducted immediately before the introduction of central smoke-free legislation in the 2003-2006 period, the other approximately 6 years later from 2009 to 2012. A comparison is made between the answers given by the parents of children aged between 0 to 6 (KiGGS baseline study, n = 6680; KiGGS Wave 1, n = 4455). Domestic SHS exposure is covered in the parent interviews by asking whether anyone is allowed to smoke at home in the presence of their child. Parental smoking behaviour is determined separately for mothers and fathers. SES is determined on the basis of the parents’ education, occupational status and income. Results: The percentage of 0- to 6-year-old children exposed to SHS in the parental home fell from 23.9 to 6.6 % in the period from 2003-2006 to 2009-2012. At the same time, the percentage of children with at least one parent who smokes decreased from 49.8 to 41.8 %. While relative social inequalities in parental smoking behaviour have tended to increase over time, inequalities in domestic SHS exposure have persisted. Children whose parents smoke and children from low-SES families are still most likely to be exposed to tobacco smoke. In both study periods and after statistical adjustment for parental smoking behaviour, children with a low SES had a 6.6-fold higher risk for SHS exposure in the parental home than children from high-SES households. Conclusions: The results of the KiGGS study show that the proportion of children in Germany who are exposed to SHS at home has declined significantly over the last few years. There is much to suggest that the smoke-free legislation that has been introduced in Germany has led to a heightened awareness of the health risks of SHS both in public and in the private sphere, as well as to a denormalization of smoking. Children whose parents smoke, and among them particularly children from socially disadvantaged families, should be recognised as key target groups when implementing future tobacco-control measures.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Epidemiologie und Gesundheitsberichterstattung
dc.subjectGermanyeng
dc.subjectTobacco controleng
dc.subjectKiGGSeng
dc.subjectHealth inequalitieseng
dc.subjectSecondhand smoke (SHS) exposureeng
dc.subjectEnvironmental tobacco smoke (ETSeng
dc.subject) Children Parental smokingeng
dc.subjectSocioeconomic positioneng
dc.subjectSmoke-free legislationeng
dc.subject.ddc610 Medizin
dc.titleSocial disparities in parental smoking and young children’s exposure to secondhand smoke at home: a time-trend analysis of repeated cross-sectional data from the German KiGGS study between 2003-2006 and 2009-2012
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10045409
dc.identifier.doi10.1186/s12889-016-3175-x
dc.identifier.doihttp://dx.doi.org/10.25646/2261
local.edoc.container-titleBMC Public Health
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3175-x
local.edoc.container-publisher-nameBioMedCentral
local.edoc.container-volume16
local.edoc.container-issue485
local.edoc.container-year2016

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