Gesundheitswesen
Volume 76, Issue 5, 2014, Pages e14-e22

The impact of migration background on children's secondhand smoke exposure: A cross-sectional study within the health monitoring units (GME) in Bavaria, Germany [Die Bedeutung des Migrationshintergrundes für die Tabakrauchbelastung von Kindern: Eine Querschnittstudie im Rahmen der Gesundheits-Monitoring- Einheiten (GME) in Bayern] (Article)

Klingshirn H. , Hendrowarsito L. , Fromme H. , Bolte G.*
  • a Sachbereich Arbeits- und Umweltepidemiologie, Germany
  • b Sachbereich Arbeits- und Umweltepidemiologie, Germany
  • c Sachgebiet Chemikaliensicherheit und Toxikologie, Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, München, Germany
  • d Sachbereich Arbeits- und Umweltepidemiologie, Germany, Abteilung Sozialepidemiologie, Institut für Public Health und Pflegeforschung, Universität Bremen, Grazer Strae 4, 28359 Bremen, Germany

Abstract

Aim of the Study: Differences in children's secondhand smoke (SHS) exposure were examined by migration-specific characteristics, socioeconomic factors and living conditions, as well as with regard to the parents SHS knowledge and SHS attitudes. Study Population and Methods: Data from 5?336 pre-school children (29% migrants) were collected in a cross-sectional study in 2008/2009 in Germany through parental questionnaire (response rate: 61%). Using multiple logistic regression, the association of migration background and childrens SHS exposure was analysed. Results: Children with a migration background are at an increased risk of SHS exposure in their homes. Multivariate analyses show that adjusting for socioeconomic factors and parental knowledge of how to protect their children from SHS reduces the estimates of migration background significantly. Compared to children without migration background, the chance of SHS exposure for children with migration background is still increased (OR [95% CI]: 1.57 [1.23-2.01]). Children of Turkish-speaking families, compared to children from German-speaking families, are most often burdened by SHS (3.05 [2.18-4.26]). Conclusion: Migrant-sensitive tobacco prevention in selected risk groups is necessary to provide support for creating smoke-free homes for children. © 2014 Georg Thieme Verlag KG Stuttgart New York.

Author Keywords

social position smoking behaviour secondhand smoke (SHS) Migration background Child health

Index Keywords

Germany demography sex ratio human epidemiology statistics and numerical data Residence Characteristics Cross-Sectional Studies cross-sectional study Humans Ecological Parameter Monitoring preschool child Socioeconomic Factors female risk factor environmental exposure Risk Factors socioeconomics Child, Preschool ecosystem monitoring prevalence Tobacco Smoke Pollution passive smoking migration Sex Distribution age distribution Emigration and Immigration Transients and Migrants environmental monitoring Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84901507527&doi=10.1055%2fs-0033-1347258&partnerID=40&md5=866ffb5fe835d02aa14e618661c4bf03
DOI: 10.1055/s-0033-1347258
ISSN: 09413790
Cited by: 9
Original Language: German