[Association between socioeconomic determinants and environmental tobacco smoke exposure in children]
Gac Sanit . Jul-Aug 2020;34(4):334-339. doi: 10.1016/j.gaceta.2018.12.007. Epub 2019 Mar 1.
Fecha de la publicación: 01/03/2019
Autor: Iria Fernández-Álvarez (1), Mónica Pérez-Ríos (2), Agustín Montes (3)
Palabras clave: Children, Desigualdades en salud, Determinantes socioeconómicos, Environmental tobacco smoke exposure, Exposición al humo ambiental del tabaco, Health inequalities, Niñas, Niños, Prevalence, Prevalencia; Socioeconomic determinants
PMID
- PMID: 30833114
- DOI: 10.1016/j.gaceta.2018.12.007
Affiliations
1Servicio de Medicina Preventiva, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
2Servicio de Epidemiología, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Xunta de Galicia, Santiago de Compostela, A Coruña, España; Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España. Electronic address: monica.perez.rios@usc.es.
3Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España.
Abstract
Objective: To assess the association between exposure to environmental tobacco smoke (ETS) and different socioeconomic determinants among Spanish children.
Method: We analyzed the data of 5495 children included in the 2011-2012 Spanish National Health Survey. We estimated the prevalence of exposure to ETS and adjusted logistic regression models to identify variables related to exposure to ETS: total exposure and exposure in the home in addition to ETS exposure in enclosed public places/transport.
Results: Total exposure to ETS among children aged 15 and younger was 11.8%, 11.5% of whom were exposed at home and 0.8% in enclosed public places/transport. The prevalence odds ratio (POR) of exposure at home increased with age (6-9 years: 2.19; 10-14 years: 2.28), in children with parents of low or medium education levels (1.97 and 1.29), of social class IV-VI (1.42), among those living in a household with a composition other than a «couple with children» (1.43), and in smaller-sized homes (1.39). Total exposure results were similar to home exposure results.