Parental Knowledge, Attitude, and Practice on Tobacco Use, Smoking Cessation, and Children's Environmental Tobacco Smoke Exposure

Background: Environmental tobacco smoke (ETS) exposure in children ranks one of the major public health problems in our time. Poor parental knowledge, attitude, and practice (KAP) on ETS often contribute to worse exposure of the kids. Thus, we aimed to document parental KAP regarding tobacco use, sm...

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Autores principales:	Siyu Dai, Chun Ting Au, Michael Ho Ming Chan, Richard Kin Ting Kam, Albert Martin Li, Kate Ching-Ching Chan
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	child environmental tobacco smoke KAP parent smoke-free policy smoking cessation Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/fd61b709437c424ea1e0e9b31712d8e4
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spelling	oai:doaj.org-article:fd61b709437c424ea1e0e9b31712d8e42021-11-30T16:48:30ZParental Knowledge, Attitude, and Practice on Tobacco Use, Smoking Cessation, and Children's Environmental Tobacco Smoke Exposure2296-256510.3389/fpubh.2021.733667https://doaj.org/article/fd61b709437c424ea1e0e9b31712d8e42021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.733667/fullhttps://doaj.org/toc/2296-2565Background: Environmental tobacco smoke (ETS) exposure in children ranks one of the major public health problems in our time. Poor parental knowledge, attitude, and practice (KAP) on ETS often contribute to worse exposure of the kids. Thus, we aimed to document parental KAP regarding tobacco use, smoking cessation and children's ETS exposure, and to analyse how knowledge and attitude relate to practice.Methods: Self-administered KAP questionnaires were distributed to smoking parents recruited from the pediatric unit at the Prince of Wales Hospital, which provides pediatric service to a population of 1.2 million in Hong Kong. The 60-item questionnaire had a range of 0–38 for knowledge, 0–44 for attitude, and 0–40 for practice. Descriptive analyses were performed for KAP response, regression analyses were performed for the exploration of associations and identification of predictive indicators.Results: 145 smoking parents (mean age: 38.0 ± 6.7 yrs.; male: 85.5%) were included. Less than half (39.3%) of them reported a smoke-free policy at home. Among those parents who had private cars, less than half (45.2%) of them had smoke-free policy in their car that they never smoked in the car. Only 25.5% of the participants correctly answered ≥70% of the knowledge questions, and 11.8 % of the participants gave favorable responses to ≥70% of the attitude questions. The total knowledge and the total attitudes score were positively associated (r = 0.49, 95% CI: 0.35–0.79, p < 0.001), yet they were only modestly correlated with parental practice on children's ETS exposure. By multivariate regressions, potential predictive factors for more favorable parental KAP included higher household income, lower parental nicotine dependence level and breastfeeding practice.Conclusions: Parental KAP related to tobacco use and children's ETS exposure needs improvement to address the significant gap between recommended and actual practice. The weak association between knowledge and practice suggested that parental education alone is not adequate to combat ETS exposure in children.Siyu DaiSiyu DaiChun Ting AuMichael Ho Ming ChanRichard Kin Ting KamAlbert Martin LiKate Ching-Ching ChanFrontiers Media S.A.articlechildenvironmental tobacco smokeKAPparentsmoke-free policysmoking cessationPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	child environmental tobacco smoke KAP parent smoke-free policy smoking cessation Public aspects of medicine RA1-1270
spellingShingle	child environmental tobacco smoke KAP parent smoke-free policy smoking cessation Public aspects of medicine RA1-1270 Siyu Dai Siyu Dai Chun Ting Au Michael Ho Ming Chan Richard Kin Ting Kam Albert Martin Li Kate Ching-Ching Chan Parental Knowledge, Attitude, and Practice on Tobacco Use, Smoking Cessation, and Children's Environmental Tobacco Smoke Exposure
description	Background: Environmental tobacco smoke (ETS) exposure in children ranks one of the major public health problems in our time. Poor parental knowledge, attitude, and practice (KAP) on ETS often contribute to worse exposure of the kids. Thus, we aimed to document parental KAP regarding tobacco use, smoking cessation and children's ETS exposure, and to analyse how knowledge and attitude relate to practice.Methods: Self-administered KAP questionnaires were distributed to smoking parents recruited from the pediatric unit at the Prince of Wales Hospital, which provides pediatric service to a population of 1.2 million in Hong Kong. The 60-item questionnaire had a range of 0–38 for knowledge, 0–44 for attitude, and 0–40 for practice. Descriptive analyses were performed for KAP response, regression analyses were performed for the exploration of associations and identification of predictive indicators.Results: 145 smoking parents (mean age: 38.0 ± 6.7 yrs.; male: 85.5%) were included. Less than half (39.3%) of them reported a smoke-free policy at home. Among those parents who had private cars, less than half (45.2%) of them had smoke-free policy in their car that they never smoked in the car. Only 25.5% of the participants correctly answered ≥70% of the knowledge questions, and 11.8 % of the participants gave favorable responses to ≥70% of the attitude questions. The total knowledge and the total attitudes score were positively associated (r = 0.49, 95% CI: 0.35–0.79, p < 0.001), yet they were only modestly correlated with parental practice on children's ETS exposure. By multivariate regressions, potential predictive factors for more favorable parental KAP included higher household income, lower parental nicotine dependence level and breastfeeding practice.Conclusions: Parental KAP related to tobacco use and children's ETS exposure needs improvement to address the significant gap between recommended and actual practice. The weak association between knowledge and practice suggested that parental education alone is not adequate to combat ETS exposure in children.
format	article
author	Siyu Dai Siyu Dai Chun Ting Au Michael Ho Ming Chan Richard Kin Ting Kam Albert Martin Li Kate Ching-Ching Chan
author_facet	Siyu Dai Siyu Dai Chun Ting Au Michael Ho Ming Chan Richard Kin Ting Kam Albert Martin Li Kate Ching-Ching Chan
author_sort	Siyu Dai
title	Parental Knowledge, Attitude, and Practice on Tobacco Use, Smoking Cessation, and Children's Environmental Tobacco Smoke Exposure
title_short	Parental Knowledge, Attitude, and Practice on Tobacco Use, Smoking Cessation, and Children's Environmental Tobacco Smoke Exposure
title_full	Parental Knowledge, Attitude, and Practice on Tobacco Use, Smoking Cessation, and Children's Environmental Tobacco Smoke Exposure
title_fullStr	Parental Knowledge, Attitude, and Practice on Tobacco Use, Smoking Cessation, and Children's Environmental Tobacco Smoke Exposure
title_full_unstemmed	Parental Knowledge, Attitude, and Practice on Tobacco Use, Smoking Cessation, and Children's Environmental Tobacco Smoke Exposure
title_sort	parental knowledge, attitude, and practice on tobacco use, smoking cessation, and children's environmental tobacco smoke exposure
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/fd61b709437c424ea1e0e9b31712d8e4
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Parental Knowledge, Attitude, and Practice on Tobacco Use, Smoking Cessation, and Children's Environmental Tobacco Smoke Exposure

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