Research Article
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Predictors of Beliefs About Thirdhand Tobacco Smoke Among Adult Individuals

Year 2025, Volume: 10 Issue: 1, 96 - 102
https://doi.org/10.26453/otjhs.1636394

Abstract

Objective: This study aimed to determine the predictors of the beliefs about thirdhand tobacco smoke among adult individuals.
Materials and Methods: This was a cross-sectional study. The study sample consisted of community-dwelling adult individuals living in Türkiye (n=835). The data were collected via a questionnaire and the Beliefs about Thirdhand Smoke Scale between June 10th-July 31st, 2021. The data were analyzed via IBM SPSS v.25.0. Descriptive statistics, student t-test, Mann-Whitney U, One-way ANOVA, and multiple linear regression analysis were used to present the data. The statistical significance level was accepted as p<0.05.
Results: The mean age was 29.10±9.76, 74.9% were women, 64.8% were homeowners, and 85.3% had not heard about thirdhand smoke before. The total mean score of the Beliefs about Thirdhand Smoke Scale was 4.30±0.64. The total mean score of the Beliefs about Thirdhand Smoke Scale was higher in women, those who were rural residents, who had pre-knowledge about thirdhand smoke, who were non-smokers, who preferred not to be in a smoking-allowed-place, and those who entirely banned smoking in their homes (R2= 0.079, F=7.064, p<0.001).
Conclusions: Beliefs about thirdhand smoke among adult individuals were strong. The results of this study will contribute to the studies to be conducted to increase the motivation of community-dwelling adult individuals to quit smoking. Experimental studies should be performed to increase the knowledge and awareness of adults by determining their beliefs about thirdhand smoke.

Ethical Statement

It was gathered an ethical approval from the Ufuk University’s Ethics Board (Approval number: 2021-55/Date: 09.06.2021) for conducting the research.

Supporting Institution

None.

Thanks

The authors would like to thank all adult individuals for their voluntary participation and valuable contributions to this study.

References

  • 1. World Health Organization (WHO). World health statistics 2022: Monitoring health for the SDGs sustainable development goals. Geneva; 2022:1-131.
  • 2. World Health Organization (WHO). Tobacco: poisoning our planet. Geneva; 2022:1-20.
  • 3. World Health Organization (WHO). Global health observatory data repository. https://data.worldbank.org/indicator/SH.PRV.SMOK?end=2020&most_recent_value_desc=true&start=2020. Accessed February 17, 2023.
  • 4. Koyama S, Tabuchi T, Okawa S, et al. Changes in smoking behavior since the declaration of the COVID-19 state of emergency in Japan: a cross-sectional study from the Osaka Health app. J Epidemiol. 2021;31(6):378-386. doi:10.2188/jea.JE20200533
  • 5. Wen Q, Wang X, Lv J, et al. Association between involuntary smoking and risk of cervical cancer in Chinese female never smokers: A prospective cohort study. Environ Res. 2022;212(PtC):113371. doi:10.1016/j.envres.2022.113371
  • 6. Pratt K, Hilty A, Jacob P, Schick SF. Respiratory exposure to thirdhand cigarette smoke increases concentrations of urinary metabolites of nicotine. Nicotine Tob Res. 2023;25(8):1424-1430. doi:10.1093/ntr/ntad002
  • 7. World Health Organization (WHO). Tobacco free initiative: secondhand smoke impacts health. http://www.emro.who.int/tfi/quit-now/secondhand-smoke-impacts-health.html. Accessed February 12, 2023.
  • 8. Tang X, Benowitz N, Gundel L, et al. Thirdhand exposures to tobacco-specific nitrosamines through inhalation, dust ingestion, dermal uptake, and epidermal chemistry. Environ Sci Technol. 2022;56(17):12506-12516. doi:10.1016/j.envres.2020.110462
  • 9. Matt GE, Hoh E, Quintana PJE, Zakarian JM, Arceo J. Cotton pillows: A novel field method for assessment of thirdhand smoke pollution. Environ Res. 2019;168:206-210. doi:10.1016/j.envres.2018.09.025
  • 10. Parks J, McLean KE, McCandless L, et al. Assessing secondhand and thirdhand tobacco smoke exposure in Canadian infants using questionnaires, biomarkers, and machine learning. Expo Sci Environ Epidemiol. 2022;32(1):112-123. doi:10.1038/s41370-021-00350-4
  • 11. Xie Z, Chen M, Fu Z, et al. Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai. Tob Induc Dis. 2021;19:10. doi:10.18332/tid/132289
  • 12. Terzi H, Kitiş Y, Akın B. Effectiveness of non-pharmacological community-based nursing interventions for smoking cessation in adults: A systematic review. Public Health Nurs. 2023;40(1):195-207. doi:10.1111/phn.13132
  • 13. Guignard R, Andler R, Quatremère G, et al. Changes in smoking and alcohol consumption during COVID-19-related lockdown: a cross-sectional study in France. Eur J Public Health. 2021;31(5):1076-1083. doi:10.1093/eurpub/ckab054
  • 14. Díez-Izquierdo A, Cassanello P, Cartanyà A, Matilla-Santander N, Balaguer Santamaria A, Martinez-Sanchez JM. Knowledge and attitudes toward thirdhand smoke among parents with children under 3 years in Spain. Pediatr Res. 2018;84(5):645-649. doi:10.1038/s41390-018-0153-2
  • 15. Shehab K, Ziyab AH. Beliefs of parents in Kuwait about thirdhand smoke and its relation to home smoking rules: A cross-sectional study. Tob Induc Dis. 2021;19:66. doi:10.18332/tid/140090
  • 16. Record RA, Greiner LH, Wipfli H, et al. Evaluation of a social media campaign designed to increase awareness of thirdhand smoke among California adults. Health Commun. 2023;38(3):437-446. doi:10.1080/10410236.2021.1954760
  • 17. Díez-Izquierdo A, Cassanello-Peñarroya P, Lidón-Moyano C, Matilla-Santander N, Balaguer A, Martínez-Sánchez JM. Update on thirdhand smoke: A comprehensive systematic review. Environ Res. 2018;167:341-371. doi:10.1016/j.envres.2018.07.020
  • 18. Haardörfer R, Berg CJ, Escoffery C, Bundy Ł T, Hovell M, Kegler MC. Development of a scale assessing Beliefs About ThirdHand Smoke (BATHS). Tob Induc Dis. 2017;15(4):1-8. doi:10.1186/s12971-017-0112-4
  • 19. Çadirci D, Terzi NK, Terzi R, Cihan FG. Validity and reliability of Turkish version of Beliefs About Thirdhand Smoke Scale: BATHS-T. Cent Eur J Public Health. 2021;29(1):56-61. doi:10.21101/cejph.a6578
  • 20. George D, Mallery P. IBM SPSS statistics 26 step by step: A simple guide and reference. 16th ed. NY: Routledge; 2019.
  • 21. Gendall P, Hoek J, Stanley J, Jenkins M, Every-Palmer S. Changes in Tobacco Use During the 2020 COVID-19 Lockdown in New Zealand. Nicotine Tob Res. 2021;23(5):866-871. doi:10.1093/ntr/ntaa257
  • 22. Ramírez González N. Thirdhand Smoke: a ubiquitous hidden threat in pandemic times. Arch Bronconeumol. 2021;57:569-570. doi:10.1016/j.arbr.2021.01.007
  • 23. Dai S, Au CT, Chan MHM, Kam RKT, Li AM, Chan KC. Parental knowledge, attitude, and practice on tobacco use, smoking cessation, and children's environmental tobacco smoke exposure. Front Public Health. 2021;9:733667. doi:10.3389/fpubh.2021.733667
  • 24. Yang J, Hashemi S, Han W, Song Y, Lim Y. Exposure and risk assessment of second- and thirdhand tobacco smoke using urinary cotinine levels in South Korea. Int J Environ Res Public Health. 2022;19(6). doi:10.3390/ijerph19063746
  • 25. Erguder T, Ozcebe H, Bilir N, Mauer-Stender K. WHO Regional Office for Europe: Tobacco control in Turkey: Story of commitment and leadership. 2012:1-74.
  • 26. Semerci V, Gökdere E. Üniversite öğrencilerinin üçüncü el sigara dumanı farkındalıkları ve sigaraya yönelik algıları: kesitsel çalışma. JPHN. 2023;5(3):245-257. doi:10.54061/jphn.1250090
  • 27. Zhao Y, Yang W, Xian D, Huang J. A network analysis of multiple preconception health behaviors in Chinese women. Int J Behav Med. 2022. doi:10.1007/s12529-022-10088-4
  • 28. World Health Organization (WHO). WHO global report on trends in prevalence of tobacco use 2000–2025. 4th ed. Geneva; 2021:1-150.
  • 29. Özpinar S, Demir Y, Yazicioğlu B, Bayçelebi S. Pregnant women's beliefs about thirdhand smoke and exposure to tobacco smoke. Cent Eur J Public Health. 2022;30(3):154-159. doi:10.21101/cejph.a7063
  • 30. Terzi H, Sarı ES. Üçüncü el sigara dumanı ve halk sağlığı açısından önemi. 2. International Cappadocia Scientific Research Congress. June 17-19, 2022 Nevşehir/Türkiye.

Yetişkin Bireylerin Üçüncü El Tütün Dumanına Yönelik İnanışları ve Etkileyen Faktörler

Year 2025, Volume: 10 Issue: 1, 96 - 102
https://doi.org/10.26453/otjhs.1636394

Abstract

Amaç: Bu araştırma yetişkin bireylerin üçüncü el tütün dumanına yönelik inanışlarını ve etkileyen faktörleri belirlemek amacıyla yapıldı.
Materyal ve Metot: Kesitsel tipteki araştırmanın örneklemi, Türkiye’de toplumda yaşayan yetişkin bireylerden oluşturuldu (n=835) Veriler, 10 Haziran-31 Temmuz 2021 tarihleri arasında anket formu ve Üçüncü El Dumana Yönelik İnançlar Ölçeği kullanılarak toplandı. Veriler, IBM SPSS v.25.0 programında tanımlayıcı istatistikler, karşılaştırmalı analizler ve çoklu doğrusal regresyon analizi kullanılarak test edildi. İstatistiksel anlamlılık düzeyi p<0,05 kabul edildi.
Bulgular: Katılımcıların yaş ortalaması 29,10±9,76 olup, %74,9’unun kadın, %64,8'inin ev sahibi ve %85,3'ünün üçüncü el duman kavramını daha önce duymadıkları belirlendi. Üçüncü El Dumana Yönelik İnançlar Ölçeği'nin toplam puan ortalamasının 4,30±0,64 olduğu bulundu. Kadınların, kırsal bölgede yaşayanların, üçüncü el duman kavramını daha önce duyanların, sigara içmeyenlerin, sigara içilmesine izin verilen yerlerde bulunmayı tercih etmeyenlerin ve evlerinde sigara içilmesi tamamen yasak olan yetişkin bireylerin Üçüncü El Dumana Yönelik İnançlar Ölçeği'nin toplam puan ortalamasının daha yüksek olduğu belirlendi (R2= 0,079; F=7,064; p<0,001).
Sonuç: Yetişkin bireylerin üçüncü el dumana ilişkin inanç düzeylerinin yüksek olduğu belirlendi. Çalışma sonuçlarının, toplumda yaşayan yetişkin bireylerin sigarayı bırakma motivasyonunu artırmak için yapılacak çalışmalara katkıda bulunacağı düşünülmektedir. Yetişkinlerin üçüncü el dumana ilişkin inançlarının belirlenerek bilgi ve farkındalıklarını artırmaya yönelik deneysel çalışmaların yapılması önerilir.

References

  • 1. World Health Organization (WHO). World health statistics 2022: Monitoring health for the SDGs sustainable development goals. Geneva; 2022:1-131.
  • 2. World Health Organization (WHO). Tobacco: poisoning our planet. Geneva; 2022:1-20.
  • 3. World Health Organization (WHO). Global health observatory data repository. https://data.worldbank.org/indicator/SH.PRV.SMOK?end=2020&most_recent_value_desc=true&start=2020. Accessed February 17, 2023.
  • 4. Koyama S, Tabuchi T, Okawa S, et al. Changes in smoking behavior since the declaration of the COVID-19 state of emergency in Japan: a cross-sectional study from the Osaka Health app. J Epidemiol. 2021;31(6):378-386. doi:10.2188/jea.JE20200533
  • 5. Wen Q, Wang X, Lv J, et al. Association between involuntary smoking and risk of cervical cancer in Chinese female never smokers: A prospective cohort study. Environ Res. 2022;212(PtC):113371. doi:10.1016/j.envres.2022.113371
  • 6. Pratt K, Hilty A, Jacob P, Schick SF. Respiratory exposure to thirdhand cigarette smoke increases concentrations of urinary metabolites of nicotine. Nicotine Tob Res. 2023;25(8):1424-1430. doi:10.1093/ntr/ntad002
  • 7. World Health Organization (WHO). Tobacco free initiative: secondhand smoke impacts health. http://www.emro.who.int/tfi/quit-now/secondhand-smoke-impacts-health.html. Accessed February 12, 2023.
  • 8. Tang X, Benowitz N, Gundel L, et al. Thirdhand exposures to tobacco-specific nitrosamines through inhalation, dust ingestion, dermal uptake, and epidermal chemistry. Environ Sci Technol. 2022;56(17):12506-12516. doi:10.1016/j.envres.2020.110462
  • 9. Matt GE, Hoh E, Quintana PJE, Zakarian JM, Arceo J. Cotton pillows: A novel field method for assessment of thirdhand smoke pollution. Environ Res. 2019;168:206-210. doi:10.1016/j.envres.2018.09.025
  • 10. Parks J, McLean KE, McCandless L, et al. Assessing secondhand and thirdhand tobacco smoke exposure in Canadian infants using questionnaires, biomarkers, and machine learning. Expo Sci Environ Epidemiol. 2022;32(1):112-123. doi:10.1038/s41370-021-00350-4
  • 11. Xie Z, Chen M, Fu Z, et al. Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai. Tob Induc Dis. 2021;19:10. doi:10.18332/tid/132289
  • 12. Terzi H, Kitiş Y, Akın B. Effectiveness of non-pharmacological community-based nursing interventions for smoking cessation in adults: A systematic review. Public Health Nurs. 2023;40(1):195-207. doi:10.1111/phn.13132
  • 13. Guignard R, Andler R, Quatremère G, et al. Changes in smoking and alcohol consumption during COVID-19-related lockdown: a cross-sectional study in France. Eur J Public Health. 2021;31(5):1076-1083. doi:10.1093/eurpub/ckab054
  • 14. Díez-Izquierdo A, Cassanello P, Cartanyà A, Matilla-Santander N, Balaguer Santamaria A, Martinez-Sanchez JM. Knowledge and attitudes toward thirdhand smoke among parents with children under 3 years in Spain. Pediatr Res. 2018;84(5):645-649. doi:10.1038/s41390-018-0153-2
  • 15. Shehab K, Ziyab AH. Beliefs of parents in Kuwait about thirdhand smoke and its relation to home smoking rules: A cross-sectional study. Tob Induc Dis. 2021;19:66. doi:10.18332/tid/140090
  • 16. Record RA, Greiner LH, Wipfli H, et al. Evaluation of a social media campaign designed to increase awareness of thirdhand smoke among California adults. Health Commun. 2023;38(3):437-446. doi:10.1080/10410236.2021.1954760
  • 17. Díez-Izquierdo A, Cassanello-Peñarroya P, Lidón-Moyano C, Matilla-Santander N, Balaguer A, Martínez-Sánchez JM. Update on thirdhand smoke: A comprehensive systematic review. Environ Res. 2018;167:341-371. doi:10.1016/j.envres.2018.07.020
  • 18. Haardörfer R, Berg CJ, Escoffery C, Bundy Ł T, Hovell M, Kegler MC. Development of a scale assessing Beliefs About ThirdHand Smoke (BATHS). Tob Induc Dis. 2017;15(4):1-8. doi:10.1186/s12971-017-0112-4
  • 19. Çadirci D, Terzi NK, Terzi R, Cihan FG. Validity and reliability of Turkish version of Beliefs About Thirdhand Smoke Scale: BATHS-T. Cent Eur J Public Health. 2021;29(1):56-61. doi:10.21101/cejph.a6578
  • 20. George D, Mallery P. IBM SPSS statistics 26 step by step: A simple guide and reference. 16th ed. NY: Routledge; 2019.
  • 21. Gendall P, Hoek J, Stanley J, Jenkins M, Every-Palmer S. Changes in Tobacco Use During the 2020 COVID-19 Lockdown in New Zealand. Nicotine Tob Res. 2021;23(5):866-871. doi:10.1093/ntr/ntaa257
  • 22. Ramírez González N. Thirdhand Smoke: a ubiquitous hidden threat in pandemic times. Arch Bronconeumol. 2021;57:569-570. doi:10.1016/j.arbr.2021.01.007
  • 23. Dai S, Au CT, Chan MHM, Kam RKT, Li AM, Chan KC. Parental knowledge, attitude, and practice on tobacco use, smoking cessation, and children's environmental tobacco smoke exposure. Front Public Health. 2021;9:733667. doi:10.3389/fpubh.2021.733667
  • 24. Yang J, Hashemi S, Han W, Song Y, Lim Y. Exposure and risk assessment of second- and thirdhand tobacco smoke using urinary cotinine levels in South Korea. Int J Environ Res Public Health. 2022;19(6). doi:10.3390/ijerph19063746
  • 25. Erguder T, Ozcebe H, Bilir N, Mauer-Stender K. WHO Regional Office for Europe: Tobacco control in Turkey: Story of commitment and leadership. 2012:1-74.
  • 26. Semerci V, Gökdere E. Üniversite öğrencilerinin üçüncü el sigara dumanı farkındalıkları ve sigaraya yönelik algıları: kesitsel çalışma. JPHN. 2023;5(3):245-257. doi:10.54061/jphn.1250090
  • 27. Zhao Y, Yang W, Xian D, Huang J. A network analysis of multiple preconception health behaviors in Chinese women. Int J Behav Med. 2022. doi:10.1007/s12529-022-10088-4
  • 28. World Health Organization (WHO). WHO global report on trends in prevalence of tobacco use 2000–2025. 4th ed. Geneva; 2021:1-150.
  • 29. Özpinar S, Demir Y, Yazicioğlu B, Bayçelebi S. Pregnant women's beliefs about thirdhand smoke and exposure to tobacco smoke. Cent Eur J Public Health. 2022;30(3):154-159. doi:10.21101/cejph.a7063
  • 30. Terzi H, Sarı ES. Üçüncü el sigara dumanı ve halk sağlığı açısından önemi. 2. International Cappadocia Scientific Research Congress. June 17-19, 2022 Nevşehir/Türkiye.
There are 30 citations in total.

Details

Primary Language English
Subjects Environmental Health, Public Health Nursing
Journal Section Research article
Authors

Handan Terzi 0000-0001-8450-4481

Ebru Sönmez Sarı 0000-0001-7337-4853

Early Pub Date March 10, 2025
Publication Date
Submission Date February 9, 2025
Acceptance Date February 20, 2025
Published in Issue Year 2025 Volume: 10 Issue: 1

Cite

AMA Terzi H, Sönmez Sarı E. Predictors of Beliefs About Thirdhand Tobacco Smoke Among Adult Individuals. OTJHS. March 2025;10(1):96-102. doi:10.26453/otjhs.1636394

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