Smoking in the home after childbirth: prevalence and determinants in an English cohort
Objectives Children's exposure to secondhand smoke (SHS) is causally linked to childhood morbidity and mortality. Over 38% of English children (aged 4–15) whose parents are smokers are exposed to SHS in the home. Little is known about the prevalence of SHS exposure in the homes of young inf...
| Main Authors: | , , , , |
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| Format: | Article |
| Published: |
BMJ Publishing Group
2015
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| Online Access: | https://eprints.nottingham.ac.uk/29858/ |
| _version_ | 1848793866893787136 |
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| author | Orton, Sophie Coleman, Tim Jones, Laura L Cooper, Sue Lewis, Sarah |
| author_facet | Orton, Sophie Coleman, Tim Jones, Laura L Cooper, Sue Lewis, Sarah |
| author_sort | Orton, Sophie |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Objectives
Children's exposure to secondhand smoke (SHS) is causally linked to childhood morbidity and mortality. Over 38% of English children (aged 4–15) whose parents are smokers are exposed to SHS in the home. Little is known about the prevalence of SHS exposure in the homes of young infants (≤3 months). This study aimed to estimate maternal self-reported prevalence of SHS exposure among infants of women who smoked just before or during pregnancy, and identify factors associated with exposure.
Setting
Primary Care, Nottingham, England.
Participants
Current and recent ex-smoking pregnant women (n=850) were recruited in Nottingham, England. Women completed questionnaires at 8–26 weeks gestation and 3 months after childbirth. Data on smoking in the home 3 months after childbirth was available for 471 households.Primary and secondary outcome measures Maternal-reported smoking in the home 3 months after childbirth.
Results
The prevalence of smoking in the home 3 months after childbirth was 16.3% (95% CI 13.2% to 19.8%) and after multiple imputation controlling for non-response 18.2% (95% CI 14.0% to 22.5%). 59% of mothers were current smokers; of these, 24% reported that smoking occurred in their home compared to 4.7% of non-smokers. In multivariable logistic regression, mothers smoking ≥11 cigarettes per day were 8.2 times (95% CI 3.4 to 19.6) more likely to report smoking in the home. Younger age, being of non-white ethnicity, increased deprivation and less negative attitudes towards SHS were also associated with smoking in the home.
Conclusions
This survey of smoking in the home 3 months after childbirth found a lower prevalence than has been reported in older children. Interventions to support smoking mothers to quit, or to help them restrict smoking in the home, should target attitudinal change and address inequality relating to social disadvantage, younger age and non-white ethnic groups. |
| first_indexed | 2025-11-14T19:07:07Z |
| format | Article |
| id | nottingham-29858 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:07:07Z |
| publishDate | 2015 |
| publisher | BMJ Publishing Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-298582020-05-04T17:17:35Z https://eprints.nottingham.ac.uk/29858/ Smoking in the home after childbirth: prevalence and determinants in an English cohort Orton, Sophie Coleman, Tim Jones, Laura L Cooper, Sue Lewis, Sarah Objectives Children's exposure to secondhand smoke (SHS) is causally linked to childhood morbidity and mortality. Over 38% of English children (aged 4–15) whose parents are smokers are exposed to SHS in the home. Little is known about the prevalence of SHS exposure in the homes of young infants (≤3 months). This study aimed to estimate maternal self-reported prevalence of SHS exposure among infants of women who smoked just before or during pregnancy, and identify factors associated with exposure. Setting Primary Care, Nottingham, England. Participants Current and recent ex-smoking pregnant women (n=850) were recruited in Nottingham, England. Women completed questionnaires at 8–26 weeks gestation and 3 months after childbirth. Data on smoking in the home 3 months after childbirth was available for 471 households.Primary and secondary outcome measures Maternal-reported smoking in the home 3 months after childbirth. Results The prevalence of smoking in the home 3 months after childbirth was 16.3% (95% CI 13.2% to 19.8%) and after multiple imputation controlling for non-response 18.2% (95% CI 14.0% to 22.5%). 59% of mothers were current smokers; of these, 24% reported that smoking occurred in their home compared to 4.7% of non-smokers. In multivariable logistic regression, mothers smoking ≥11 cigarettes per day were 8.2 times (95% CI 3.4 to 19.6) more likely to report smoking in the home. Younger age, being of non-white ethnicity, increased deprivation and less negative attitudes towards SHS were also associated with smoking in the home. Conclusions This survey of smoking in the home 3 months after childbirth found a lower prevalence than has been reported in older children. Interventions to support smoking mothers to quit, or to help them restrict smoking in the home, should target attitudinal change and address inequality relating to social disadvantage, younger age and non-white ethnic groups. BMJ Publishing Group 2015-09-08 Article PeerReviewed Orton, Sophie, Coleman, Tim, Jones, Laura L, Cooper, Sue and Lewis, Sarah (2015) Smoking in the home after childbirth: prevalence and determinants in an English cohort. BMJ Open, 5 (9). e008856/1-e008856/9. ISSN 2044-6055 http://bmjopen.bmj.com/content/5/9/e008856 doi:10.1136/bmjopen-2015-008856 doi:10.1136/bmjopen-2015-008856 |
| spellingShingle | Orton, Sophie Coleman, Tim Jones, Laura L Cooper, Sue Lewis, Sarah Smoking in the home after childbirth: prevalence and determinants in an English cohort |
| title | Smoking in the home after childbirth: prevalence and determinants in an English cohort |
| title_full | Smoking in the home after childbirth: prevalence and determinants in an English cohort |
| title_fullStr | Smoking in the home after childbirth: prevalence and determinants in an English cohort |
| title_full_unstemmed | Smoking in the home after childbirth: prevalence and determinants in an English cohort |
| title_short | Smoking in the home after childbirth: prevalence and determinants in an English cohort |
| title_sort | smoking in the home after childbirth: prevalence and determinants in an english cohort |
| url | https://eprints.nottingham.ac.uk/29858/ https://eprints.nottingham.ac.uk/29858/ https://eprints.nottingham.ac.uk/29858/ |