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Hekimlerin Üçüncü El Sigara Dumanı Hakkındaki İnanç ve Görüşleri – Kesitsel Bir Çalışma

Year 2025, Volume: 17 Issue: 3, 302 - 308, 29.10.2025

Abstract

Amaç: Günümüze kadar yapılan araştırmalar, toplumların üçüncü el sigara dumanı hakkında yeterli bilgiye sahip olmadığını ve bu konudaki inanç ve tutumlarının yeterince gelişmediğini ortaya koymuştur. Bu çalışmada, farklı kliniklerde görev yapan hekimlerin üçüncü el sigara dumanına ilişkin inanç ve görüşlerinin değerlendirilmesi amaçlanmıştır.
Yöntem: Bu kesitsel çalışma, Eylül-Kasım 2022 tarihleri arasında 245 hekimin katılımıyla gerçekleştirilmiştir. Katılımcılardan sosyodemografik veriler, çalıştıkları birim, kronik hastalık durumu, sigara içme alışkanlıkları ve Üçüncü El Sigara Dumanı İnanç Ölçeği - Türkçe formuna verdikleri yanıtlar yüz yüze görüşme yöntemiyle toplanmıştır. Anlamlılık düzeyi p<0,05 olarak kabul edilmiştir.
Bulgular: Katılımcıların yaş ortalaması 33,46±7,51 yıl olup, %53,5’i (n=131) kadındı. Katılımcıların %55,51’i (n=136) hiç sigara içmemiş, %31,83’ü (n=78) halen sigara içmekte, %12,65’i (n=31) ise sigarayı bırakmıştı. Katılımcıların yaklaşık dörtte üçü üçüncü el sigara dumanı terimini daha önce duymamıştı. Kadın, bekar, kronik obstrüktif akciğer hastalığı veya astımı olanlar, sigara içmeyenler, evde sigara içilmesine izin vermeyenler ve hastalarına sigarayı bırakmaları konusunda öneride bulunan hekimler, üçüncü el sigara dumanı maruziyeti konusunda anlamlı düzeyde daha güçlü inançlara sahipti.
Sonuç: Bu çalışmada hekimlerin üçüncü el sigara dumanına ilişkin inanç ve görüşleri değerlendirilmiş; önemli bir kısmının bu konuda daha önce bilgi sahibi olmadığı görülmüştür. Bu çalışma, hekimlerin bu konudaki bilgi ve farkındalıklarının artırılmasının önemini vurgulamaktadır. Halk sağlığının korunması açısından risk altındaki grupları hedef alan kapsamlı çalışmaların yapılması önerilmektedir.

References

  • 1. Organization WH. WHO framework convention on tobacco control: World Health Organization; 2003, Available From: https://iris.who.int/bitstream/handle/10665/42811/9241591013.pdf Accessed: 20. 01. 2025
  • 2- Štěpánek L, Ševčíková J, Horáková D, Patel MS, Durďáková R. Public health burden of secondhand smoking: case reports of lung cancer and a literature review. Int J Environ Res Public Health. 2022;19(20):13152.
  • 3- Parks J, McLean KE, McCandless L, de Souza RJ, Brook JR, Scott J, et al. Assessing secondhand and thirdhand tobacco smoke exposure in Canadian infants using questionnaires, biomarkers, and machine learning. J Expo Sci Environ Epidemiol. 2022;32(1):112-23.
  • 4- Matt GE, Quintana PJ, Destaillats H, Gundel LA, Sleiman M, Singer BC, et al. Thirdhand tobacco smoke: emerging evidence and arguments for a multidisciplinary research agenda. Environ Health Perspect. 2011;119(9):1218-26.
  • 5- Guan Q, Mai J, Teng K, Liu Z, Lin L, Zhou L, et al. Thirdhand smoke beliefs, exposure status and associated factors among young people in China: A cross-sectional study. Tob Induc Dis. 2023;13;21:132.
  • 6- Winickoff JP, Friebely J, Tanski SE, Sherrod C, Matt GE, Hovell MF, et al. Beliefs about the health effects of "thirdhand" smoke and home smoking bans. Pediatrics. 2009;123(1):e74-e79.
  • 7- Hang B, Snijders AM, Huang Y, Schick SF, Wang P, Xia Y, et al. Early exposure to thirdhand cigarette smoke affects body mass and the development of immunity in mice. Sci Rep. 2017;7:41915.
  • 8- Hang B, Wang P, Zhao Y, Sarker A, Chenna A, Xia Y, et al. Adverse health effects of thirdhand smoke: From cell to animal models. Int J Mol Sci. 2017;18(5):932.
  • 9- Acuff L, Fristoe K, Hamblen J, Smith M, Chen J. Third-hand smoke: old smoke, new concerns. J Community Health. 2016;41(3):680-7.
  • 10- Quispe-Cristóbal B, Lidón-Moyano C, Martín-Sánchez JC, Pérez-Martín H, Cartanyà-Hueso À, Cabriada-Sáez Í, et al. Knowledge and opinions of healthcare professionals about thirdhand smoke: a multi-national, cross-sectional study. Healthcare (Basel). 2022;10(5):945.
  • 11- Haardörfer R, Berg CJ, Escoffery C, Bundy ŁT, Hovell M, Kegler MC. Development of a scale assessing Beliefs About ThirdHand Smoke (BATHS). Tob Induc Dis. 2017;15:4.
  • 12- Çadirci D, Terzi NK, Terzi R, Cihan FG. Validity and reliability of Turkish version of Beliefs About Third-Hand Smoke Scale: BATHS-T. Cent Eur J Public Health. 2021;29(1):56-61.
  • 13-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.
  • 14- Aras A, Bayraktar M. Third-hand smoke perception and awareness among medical students: a survey study. Sci Rep. 2024;14(1):13355.
  • 15- Çoşğun İG, Çilekar Ş, Balcı A, Köymen BN, Moral S, Nur B, et al. The beliefs of medical faculty students about thirdhand smoke. Tob Induc Dis. 2023;21:17.
  • 16- Darlow SD, Heckman CJ, Munshi T, Collins BN. Thirdhand smoke beliefs and behaviors among healthcare professionals. Psychol Health Med. 2017;22(4):415-24.
  • 17- King BA, Patel R, Babb SD. Prevalence of smokefree home rules--United States, 1992-1993 and 2010-2011. MMWR Morb Mortal Wkly Rep. 2014;63(35):765-9.
  • 18- Xie Z, Chen M, Fu Z, He Y, Tian Y, Zhang X, et al. Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai. Tob Induc Dis. 2021;19:10.
  • 19- Ferrante G, Simoni M, Cibella F, Ferrara F, Liotta G, Malizia V, et al. Third-hand smoke exposure and health hazards in children. Monaldi Arch Chest Dis. 2013;79(1):38-43.
  • 20- Yang AM, Lo K, Zheng TZ, Yang JL, Bai YN, Feng YQ, et al. Environmental heavy metals and cardiovascular diseases: Status and future direction. Chronic Dis Transl Med. 2020;6(4):251-9.
  • 21- Özpinar S, Demir Y, Yazicioğlu B, Bayçelebi S. Pregnant women's beliefs about third-hand smoke and exposure to tobacco smoke. Cent Eur J Public Health. 2022;30(3):154-9.
  • 22- Drehmer JE, Ossip DJ, Nabi-Burza E, Rigotti NA, Hipple B, Woo H, et al. Thirdhand smoke beliefs of parents. Pediatrics. 2014;133(4):e850-e856.
  • 23- Wu JX, Lau ATY, Xu YM. Indoor Secondary Pollutants Cannot Be Ignored: Third-Hand Smoke. Toxics. 2022;10(7):363.
  • 24- Hawkins SS, Berkman L. Increased tobacco exposure in older children and its effect on asthma and ear infections. J Adolesc Health. 2011;48(6):647-50.
  • 25- Tong EK, Ong MK, Vittinghoff E, Pérez-Stable EJ. Nondaily smokers should be asked and advised to quit. Am J Prev Med. 2006;30(1):23-30.
  • 26- Egici MT, Ozturk GZ, Bukhari MH, Toprak D. Smoking Cessation with Medication and Behaviour Therapy. Pak J Med Sci. 2017;33(6):1459-62.
  • 27- Ayaz D, Asi E, Meydanlioglu A, Oncel S. Effectiveness of smoking cessation interventions in the workplace: A systematic review and meta-analysis. Am J Ind Med. 2024;67(8):712-22.
  • 28- Börklü Doğan Ö, Egici MT, Ozkaya H. The effect of treatment methods and continuity of follow-up on success rates in patients followed in the smoking cessation polyclinic. Ankara Med J. 2022;22(4):499-509.

Physicians’ Beliefs And Opinions About Third-hand Smoke- A Cross-Sectional Study

Year 2025, Volume: 17 Issue: 3, 302 - 308, 29.10.2025

Abstract

Objective: Research to date has revealed that communities lack adequate knowledge about third-hand smoke, and their beliefs and attitudes towards it are not well- developed. In this study, it was aimed to assess the beliefs and opinions of physicians from different clinics regarding third-hand smoke.
Method: This cross-sectional study was conducted from September 2022 to November 2022, with the participation of 245 physicians. We conducted face-to-face interviews to collect sociodemographic data, department of employment, chronic illness, smoking habits, and responses to the Beliefs About Third-Hand Smoke-Turkish scale. The significance level was set at p<0.05.
Results: The participants had an average age of 33.46±7.51 years, with 53.5% (n=131) being female. Among them, 55.51% (n=136) had never smoked, 31.83% (n=78) were current smokers, and 12.65% (n=31) had quit smoking. About three-fourths had never heard of third-hand smoke. Female, single, physicians with chronic obstructive pulmonary disease or asthma, non-smokers, those who prohibited smoking at home, and those who advised patients to quit smoking had significantly stronger beliefs about third-hand smoke exposure.
Conclusions: In this study, physicians' beliefs and opinions concerning third-hand smoke exposure were examined, and it was found that a significant number of them had no prior knowledge of third-hand smoke. This study underscores the importance of enhancing physicians' understanding and awareness in this regard. It also recommends conducting comprehensive studies targeting at-risk groups to protect public health.

Ethical Statement

Ethics Approval and Consent to Participate: The study's aim and methodology were explained to all participants, and written informed consent was obtained. Ethical approval for the study was granted by the Ethics Committee of the University of Health Sciences, Hamidiye Scientific Research Ethics Board, under decision number 17/14, dated July 1, 2022. The authors confirm that all procedures were conducted in accordance with the principles outlined in the Declaration of Helsinki.

References

  • 1. Organization WH. WHO framework convention on tobacco control: World Health Organization; 2003, Available From: https://iris.who.int/bitstream/handle/10665/42811/9241591013.pdf Accessed: 20. 01. 2025
  • 2- Štěpánek L, Ševčíková J, Horáková D, Patel MS, Durďáková R. Public health burden of secondhand smoking: case reports of lung cancer and a literature review. Int J Environ Res Public Health. 2022;19(20):13152.
  • 3- Parks J, McLean KE, McCandless L, de Souza RJ, Brook JR, Scott J, et al. Assessing secondhand and thirdhand tobacco smoke exposure in Canadian infants using questionnaires, biomarkers, and machine learning. J Expo Sci Environ Epidemiol. 2022;32(1):112-23.
  • 4- Matt GE, Quintana PJ, Destaillats H, Gundel LA, Sleiman M, Singer BC, et al. Thirdhand tobacco smoke: emerging evidence and arguments for a multidisciplinary research agenda. Environ Health Perspect. 2011;119(9):1218-26.
  • 5- Guan Q, Mai J, Teng K, Liu Z, Lin L, Zhou L, et al. Thirdhand smoke beliefs, exposure status and associated factors among young people in China: A cross-sectional study. Tob Induc Dis. 2023;13;21:132.
  • 6- Winickoff JP, Friebely J, Tanski SE, Sherrod C, Matt GE, Hovell MF, et al. Beliefs about the health effects of "thirdhand" smoke and home smoking bans. Pediatrics. 2009;123(1):e74-e79.
  • 7- Hang B, Snijders AM, Huang Y, Schick SF, Wang P, Xia Y, et al. Early exposure to thirdhand cigarette smoke affects body mass and the development of immunity in mice. Sci Rep. 2017;7:41915.
  • 8- Hang B, Wang P, Zhao Y, Sarker A, Chenna A, Xia Y, et al. Adverse health effects of thirdhand smoke: From cell to animal models. Int J Mol Sci. 2017;18(5):932.
  • 9- Acuff L, Fristoe K, Hamblen J, Smith M, Chen J. Third-hand smoke: old smoke, new concerns. J Community Health. 2016;41(3):680-7.
  • 10- Quispe-Cristóbal B, Lidón-Moyano C, Martín-Sánchez JC, Pérez-Martín H, Cartanyà-Hueso À, Cabriada-Sáez Í, et al. Knowledge and opinions of healthcare professionals about thirdhand smoke: a multi-national, cross-sectional study. Healthcare (Basel). 2022;10(5):945.
  • 11- Haardörfer R, Berg CJ, Escoffery C, Bundy ŁT, Hovell M, Kegler MC. Development of a scale assessing Beliefs About ThirdHand Smoke (BATHS). Tob Induc Dis. 2017;15:4.
  • 12- Çadirci D, Terzi NK, Terzi R, Cihan FG. Validity and reliability of Turkish version of Beliefs About Third-Hand Smoke Scale: BATHS-T. Cent Eur J Public Health. 2021;29(1):56-61.
  • 13-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.
  • 14- Aras A, Bayraktar M. Third-hand smoke perception and awareness among medical students: a survey study. Sci Rep. 2024;14(1):13355.
  • 15- Çoşğun İG, Çilekar Ş, Balcı A, Köymen BN, Moral S, Nur B, et al. The beliefs of medical faculty students about thirdhand smoke. Tob Induc Dis. 2023;21:17.
  • 16- Darlow SD, Heckman CJ, Munshi T, Collins BN. Thirdhand smoke beliefs and behaviors among healthcare professionals. Psychol Health Med. 2017;22(4):415-24.
  • 17- King BA, Patel R, Babb SD. Prevalence of smokefree home rules--United States, 1992-1993 and 2010-2011. MMWR Morb Mortal Wkly Rep. 2014;63(35):765-9.
  • 18- Xie Z, Chen M, Fu Z, He Y, Tian Y, Zhang X, et al. Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai. Tob Induc Dis. 2021;19:10.
  • 19- Ferrante G, Simoni M, Cibella F, Ferrara F, Liotta G, Malizia V, et al. Third-hand smoke exposure and health hazards in children. Monaldi Arch Chest Dis. 2013;79(1):38-43.
  • 20- Yang AM, Lo K, Zheng TZ, Yang JL, Bai YN, Feng YQ, et al. Environmental heavy metals and cardiovascular diseases: Status and future direction. Chronic Dis Transl Med. 2020;6(4):251-9.
  • 21- Özpinar S, Demir Y, Yazicioğlu B, Bayçelebi S. Pregnant women's beliefs about third-hand smoke and exposure to tobacco smoke. Cent Eur J Public Health. 2022;30(3):154-9.
  • 22- Drehmer JE, Ossip DJ, Nabi-Burza E, Rigotti NA, Hipple B, Woo H, et al. Thirdhand smoke beliefs of parents. Pediatrics. 2014;133(4):e850-e856.
  • 23- Wu JX, Lau ATY, Xu YM. Indoor Secondary Pollutants Cannot Be Ignored: Third-Hand Smoke. Toxics. 2022;10(7):363.
  • 24- Hawkins SS, Berkman L. Increased tobacco exposure in older children and its effect on asthma and ear infections. J Adolesc Health. 2011;48(6):647-50.
  • 25- Tong EK, Ong MK, Vittinghoff E, Pérez-Stable EJ. Nondaily smokers should be asked and advised to quit. Am J Prev Med. 2006;30(1):23-30.
  • 26- Egici MT, Ozturk GZ, Bukhari MH, Toprak D. Smoking Cessation with Medication and Behaviour Therapy. Pak J Med Sci. 2017;33(6):1459-62.
  • 27- Ayaz D, Asi E, Meydanlioglu A, Oncel S. Effectiveness of smoking cessation interventions in the workplace: A systematic review and meta-analysis. Am J Ind Med. 2024;67(8):712-22.
  • 28- Börklü Doğan Ö, Egici MT, Ozkaya H. The effect of treatment methods and continuity of follow-up on success rates in patients followed in the smoking cessation polyclinic. Ankara Med J. 2022;22(4):499-509.
There are 28 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Egemen Tural 0009-0007-4772-796X

Özge Börklü Doğan 0000-0002-4562-7910

Memet Taşkın Egici 0000-0003-2319-5739

Güven Bektemür 0000-0001-5899-566X

Submission Date April 26, 2025
Acceptance Date October 10, 2025
Publication Date October 29, 2025
Published in Issue Year 2025 Volume: 17 Issue: 3

Cite

APA Tural, E., Börklü Doğan, Ö., Egici, M. T., Bektemür, G. (2025). Physicians’ Beliefs And Opinions About Third-hand Smoke- A Cross-Sectional Study. Konuralp Medical Journal, 17(3), 302-308. https://doi.org/10.18521/ktd.1684305
AMA Tural E, Börklü Doğan Ö, Egici MT, Bektemür G. Physicians’ Beliefs And Opinions About Third-hand Smoke- A Cross-Sectional Study. Konuralp Medical Journal. October 2025;17(3):302-308. doi:10.18521/ktd.1684305
Chicago Tural, Egemen, Özge Börklü Doğan, Memet Taşkın Egici, and Güven Bektemür. “Physicians’ Beliefs And Opinions About Third-Hand Smoke- A Cross-Sectional Study”. Konuralp Medical Journal 17, no. 3 (October 2025): 302-8. https://doi.org/10.18521/ktd.1684305.
EndNote Tural E, Börklü Doğan Ö, Egici MT, Bektemür G (October 1, 2025) Physicians’ Beliefs And Opinions About Third-hand Smoke- A Cross-Sectional Study. Konuralp Medical Journal 17 3 302–308.
IEEE E. Tural, Ö. Börklü Doğan, M. T. Egici, and G. Bektemür, “Physicians’ Beliefs And Opinions About Third-hand Smoke- A Cross-Sectional Study”, Konuralp Medical Journal, vol. 17, no. 3, pp. 302–308, 2025, doi: 10.18521/ktd.1684305.
ISNAD Tural, Egemen et al. “Physicians’ Beliefs And Opinions About Third-Hand Smoke- A Cross-Sectional Study”. Konuralp Medical Journal 17/3 (October2025), 302-308. https://doi.org/10.18521/ktd.1684305.
JAMA Tural E, Börklü Doğan Ö, Egici MT, Bektemür G. Physicians’ Beliefs And Opinions About Third-hand Smoke- A Cross-Sectional Study. Konuralp Medical Journal. 2025;17:302–308.
MLA Tural, Egemen et al. “Physicians’ Beliefs And Opinions About Third-Hand Smoke- A Cross-Sectional Study”. Konuralp Medical Journal, vol. 17, no. 3, 2025, pp. 302-8, doi:10.18521/ktd.1684305.
Vancouver Tural E, Börklü Doğan Ö, Egici MT, Bektemür G. Physicians’ Beliefs And Opinions About Third-hand Smoke- A Cross-Sectional Study. Konuralp Medical Journal. 2025;17(3):302-8.

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