Reductions on Inequalities in Secondhand Smoke Exposure at Home among Children in Taiwan: Baai-Shyun Hurng

European Journal of Public Health, Oct 2015

Liu, SC, Chen, FC, Wang, KH, Lin, YH, Hurng, BS

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Reductions on Inequalities in Secondhand Smoke Exposure at Home among Children in Taiwan: Baai-Shyun Hurng

analysis. Children's SHS exposure was assessed by their main care giver's response to the question ''In the past week, did the child over secondhand smoke at home?'' Health Disparities Calculator (HD*Calc), a methodologically rigorous tool, was used to examine inequalities in children's SHS exposure across socioeconomic and geographic groups. Results The prevalence rates of children under 12 years of age exposed to SHS at home changed from 32.5% in 2009 to 26.1% in 2013. For socioeconomic status, children whose father or mother had higher level of education had a lower prevalence of SHS exposure at home. Compared with children in remote areas, the prevalence rates were lower in most affluent metropolitan regions. As for inequality measures, socioeconomic status defined by parent's education was the most pronounced. The indexes of disparity (IDisp) of father's education decreased from 456.2 in 2009 to 446.1 in 2013. For mother's education, IDisp were 525.2 in 2009 and 349.0 in 2013, respectively. Besides, IDisp due to different areas of residence were 45.7 in 2009 and 80.0 in 2013, respectively. Conclusions The results of this study showed that there was a decline in children's SHS exposure from 2009 to 2013. However, the gaps between different socioeconomic status and geographic location were not significantly reduced. Obvious inequalities between different geographic location and socioeconomic status were observed, especially for inequalities due to parent's education. Therefore, education on health harm of SHS to parents or care giver and advocates for smoke-free home are essential. Actions are needed to reduce inequalities in SHS exposure at home among children. Key messages There was a decline in children's secondhand smoke exposure from 2009 to 2013 The gaps between different socioeconomic status and geographic location were not significantly reduced Reductions on Inequalities in Secondhand Smoke Exposure at Home among Children in Taiwan Baai-Shyun Hurng


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Liu, SC, Chen, FC, Wang, KH, Lin, YH, Hurng, BS. Reductions on Inequalities in Secondhand Smoke Exposure at Home among Children in Taiwan: Baai-Shyun Hurng, European Journal of Public Health, 2015, DOI: 10.1093/eurpub/ckv175.193