Korean J Health Promot.  2015 Dec;15(4):225-234. 10.15384/kjhp.2015.15.4.225.

Gender Differences in Factors Associated with Secondhand Smoke Exposure among Cancer Patients

• Kim EK
• Choo J
• Choi ES

• KMID: 2247049
• DOI: http://doi.org/10.15384/kjhp.2015.15.4.225

Abstract

BACKGROUND
There is little evidence on the prevalence of secondhand smoke (SHS) exposure among cancer patients. We aimed to investigate its prevalence, and to identify gender differences in factors associated with SHS exposure among cancer patients.
METHODS
Participants were 304 patients who have been treated via either inpatient or outpatient clinics in the National Cancer Center. SHS exposure was defined as an individual's experience of SHS exposure during the past month. Gender-stratified analysis was performed by using a logistic regression analysis with potential covariates.
RESULTS
SHS exposure was prevalent in 69.5% of the total participants, specifically in 57.1% of men and 62.7% of women; however, it did not differ significantly by gender. The prevalence of SHS exposure at home was significantly greater in women (20.7%) than in men (4.4%) (P=0.048). Among men, age < or =50 years (Adjusted odds ratio [OR]=3.11; confidence interval [CI]=1.05-9.24), employed status (Adjusted OR=3.15; CI=1.38-7.19), and having family smokers (Adjusted OR=0.32; CI=0.12-0.82) were significantly associated with SHS exposure. Among women, employment status (Adjusted OR=2.67; CI=1.40-5.10), good self-rated health (Adjusted OR=2.35; CI=1.20-4.61), and having family smokers (Adjusted OR=2.03; CI=1.05-3.91) were significantly associated with SHS exposure.
CONCLUSIONS
Cancer patients were exposed to SHS by 69.5% during the past month. Among cancer patients, factors associated with SHS exposure differed by gender. Therefore, gender-specific strategies for preventing SHS exposure are needed for cancer patients.

Keyword

Secondhand smoke; Cancer; Gender

MeSH Terms

Ambulatory Care Facilities
Employment
Female
Humans
Inpatients
Logistic Models
Male
Odds Ratio
Prevalence
Tobacco Smoke Pollution*
Tobacco Smoke Pollution

Reference

1.Statistics Korea. Annual report on the cause of death statistics. Daejeon: Statistics Korea;2012. [Accessed December 10, 2014].http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E01&conn_path=I2.

2.US Environmental Protection Agency. Respiratory health effect of passive smoking: lung cancer and other disorders. (EPA/600/6-90/006F). Washington DC: US EPA, Office of Research and Development RD-689;1992.

3.Nelson E. The miseries of passive smoking. Hum Exp Toxicol. 2001. 20(2):61–83.

4.Wald NJ., Boreham J., Bailey A., Ritchie C., Haddow JE., Knight G. Urinary cotinine as marker of breathing other people's tobacco smoke. Lancet. 1984. 1(8370):230–1.

5.Kim MJ., Kim CH., Kim YH., Kang JH. Relationship between passive smoke and urinary cotinine level. J Korean Acad Fam Med. 2007. 28(5):379–82.

6.Hackshaw AK., Law MR., Wald NJ. The accumulated evidence on lung cancer and environmental tobacco smoke. BMJ. 1997. 315(7114):980–8.

7.Jee SH., Ohrr H., Kim IS. Effects of husbands' smoking on the incidence of lung cancer in Korean women. Int J Epidemiol. 1999. 28(5):824–8.

8.Ministry of Health & Welfare. Report sources. Seoul: Ministry of Health & Welfare;2011. [Accessed December 10, 2014].http://www.mw.go.kr/front_new/index.jsp.

9.Korea Centers for Disease Control and Prevention. ｢Health Statistics 2013: Korea National Health and Nutrition Examination Survey (KNHANES Ⅵ-1)｣. Cheongwon: Korea Centers for Disease Control and Prevention;2013. [Accessed January 10, 2015].http://stat.mw.go.kr/front/statData/publicationView.jsp?menuId=47&topSelect=B00005&bbsSeq=13&nttSeq=21549&searchKey=&searchWord=&nPage=1.

10.Kim SS., Son H., Nam KA. The sociocultural context of Korean American men's smoking behavior. West J Nurs Res. 2005. 27(5):604–23. comment 624-7.

11.Choo J., Kim EK. Application of the ASE model to the assertive behavior of non-smoking college students under secondhand smoke exposure. J Korean Acad Community Health Nurs. 2011. 22(1):1–10.

12.Kim EK., Choo J. The Health Belief Model and assertive behavior of asking smokers not to smoke among college students. Korean J Health Promot. 2011. 11(3):160–8.

13.Kim EK., Choo J. Secondhand tobacco smoke exposure and associated factors among college students on campus and in the home: a preliminary study. Int J Environ Res Public Health. 2012. 9(1):212–22.

14.Hughes SC., Corcos IA., Hofstetter CR., Hovell MF., Seo DC., Irvin VL, et al. Secondhand smoke exposure among nonsmoking adults in seoul, Korea. Asian Pac J Cancer Prev. 2008. 9(2):247–52.

15.National Cancer Center. Annual report. Seoul: National Cancer Center;2012. [Accessed December 10, 2014].http://ncc.re.kr/index.

16.Helgason AR., Lund KE. Environmental tobacco smoke exposure of young children--attitudes and health-risk awareness in the Nordic countries. Nicotine Tob Res. 2001. 3(4):341–5.

17.Lund KE., Helgason AR. Environmental tobacco smoke in Norwegian homes, 1995 and 2001: changes in children's exposure and parents attitudes and health risk awareness. Eur J Public Health. 2005. 15(2):123–7.

18.Korea Centers for Disease Control and Prevention. The fifth Korea national health and nutrition examination survey (KNHANES V-3). Cheongwon: Korea Centers for Disease Control and Prevention;2012. [Accessed December 10, 2014].http://knhanes.cdc.go.kr/.

19.Sim HS., Lee KS., Hong HS., Meng KH. The awareness and countermeasures against harmful effect of passive smoking in Korean adults. Korean J Pev Med. 2000. 33(1):91–8.

20.U.S. Department of Health and Human Services. The health consequences of involuntary exposure to tobacco smoke: A report of the surgeon general. Washington DC: U.S. Department of Health and Human Services;2006. [Accessed June 10, 2014].http://www.surgeongeneral.gov/library/secondhandsmoke/factsheets/factsheet1.html.

21.Cho JH. Second-hand smoke prevention programs in the US-with special reference to ‘smoke-free home pledge campaign'-. Health Welf Policy Forum. 2006. 121:90–105.

22.Evans WN., Farrelly MC., Montgomery E. Do workplace smoking bans reduce smoking? Am Econ Rev. 1999. 89:728–47.

23.Farkas AJ., Gilpin EA., White MM., Pierce JP. Association between household and workplace smoking restrictions and adolescent smoking. JAMA. 2000. 284(6):717–22.

24.Kim S., Hong G., Kim D., Hwang S., Woo B., Ahn HG., Yang W. Assessment of nicotine concentration of passive smoking in indoor environments of entertainment facilities in Kyoungbuk. J Korean Soc Indoor Environ. 2012. 9:53–64.