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Pre-conceptional and prenatal exposure to secondhand smoke and autism spectrum disorder:a national multi-center study in China

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世界儿科杂志:英文版 2023年第8期19卷 761-769页

作者： Li-Zi Lin Xiao-Xuan Ou Xiao-Ling Zhan Xin Wang Li Cai Xiu-Hong Li Jin Jing Guang-Hui Dong Guangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment Department of Occupational and Environmental HealthSchool of Public HealthSun Yat-Sen University74 Zhongshan 2nd RoadYuexiu DistrictGuangzhou510080China Department of Maternal and Child Health School of Public HealthSun Yat-Sen University74 Zhongshan 2Nd RoadYuexiu DistrictGuangzhou510080China

Background Despite extensive research evaluating the association between prenatal exposure to secondhand smoke(SHS)and the development of autism spectrum disorders(ASD),no study has investigated the association by considering the pre-conceptional *** study aimed to investigate the associations of pre-conceptional and prenatal SHS exposure and the development of ASD among *** In this cross-sectional study,parents of 6049 toddlers aged 16–30 months were recruited from 7 tertiary hospitals,21 communities,and 7 kindergartens located in seven cities in six provinces from five geographical regions of *** analyzed the associations of SHS exposure and the odds of ASD among toddlers in different exposure windows(pre-conceptional and/or prenatal periods).Data were analyzed from November 2021 to January *** Among the 6049 toddlers included in the analysis[22.7(4.1)months;44.8%girls],71 were identified and diagnosed with *** with the unexposed toddlers,toddlers with pre-conceptional SHS exposure had higher odds of ASD(OR 2.30,95%CI 1.36–3.84),while we observed a non-significantly positive association regarding prenatal SHS *** considering both pre-conceptional and prenatal periods,toddlers who were continuously exposed to SHS during these two periods had higher odds than those without SHS exposure(OR 2.32,95%CI 1.24–4.14).Conclusion We reported positive SHS–ASD associations when exposed during the pre-conceptional period and continuously exposed during pre-conceptional and prenatal periods,emphasizing the critical window of pre-conception for targeted intervention on smoking.

关键词： Autism spectrum disorder China Epidemiology Pre-conception secondhand smoke

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Population-Based Survey of secondhand smoke Exposure in China

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Biomedical and Environmental Sciences 2010年第6期23卷 430-436页

作者： LIN XIAO YAN YANG QIANG LI CONG-XIAO WANG GONG-HUAN YANG National Tobacco Control Office Chinese Center for Disease Control and PreventionBeijing 100050China

Objective To determine the extent of secondhand smoke exposure in China, and to explore the potential associated factors. Methods This study was a nationally representative household survey examining secondhand smoke exposure of non-institutionalized men and women aged 15 and older using a global standardized geographically clustered sample design. A total of 13 354 people completed the individual questionnaire with questions on gender, age, educational level, residence, profession, potential factors associated with secondhand smoke exposure, and workplace smoking policy. The data were used to determine whole population estimates of secondhand smoke exposure. Results Among non-smokers aged 15 years and older, it was estimated that 72.4% （556 million） were exposed to secondhand smoke, with 52.5% （292 million） exposed to secondhand smoke daily. The prevalence of secondhand smoke exposure was 74.1% for men, 71.6% for women, 70.5% for urban populations, and 74.2% for rural populations. The rates were 67.3%, 63.3%, and 72.7% respectively, within the household, indoor workplaces and public places. secondhand smoke exposure was significantly reduced in workplaces with a smoking ban but not in workplaces with a partial smoking ban. Conclusion Although China has made some progress toward a smoke-free environment there remains a high degree of exposure to secondhand smoke.

关键词： secondhand smoke China Workplace

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Preventing Pregnant Women’s Exposure to secondhand smoke: Development and Suitability Assessment of an Educational Comic Booklet

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Health 2020年第9期12卷 1186-1201页

作者： Kimiko Inaoka Ishak Halim Octawijaya Windy Mariane Virenia Wariki Erika Ota Graduate School of Nursing Science Pediatric Nursing International University of Health and Welfare Narita Japan Global Health Nursing Graduate School of Nursing Science St. Luke’s International University Tokyo Japan Global Public Health Department Graduate School of Comprehensive Human Sciences University of Tsukuba Tsukuba Japan Faculty of Medicine Sam Ratulangi University Manado Indonesia

Aim: The aim of this mixed methods research was to develop an educational comic booklet to prevent pregnant women’s exposure to secondhand smoke. Methods: We assessed the suitability of the comic booklet by measuring participant response to content, literacy demand, graphics, layout and typography, learning stimulation, motivation, and cultural appropriateness. The participants were 17 Indonesians living in Japan who were recruited through Respondent-Driven-Sampling and met all criteria for the survey. Means and standard deviations were used to determine the suitability of the educational comic. Results: About 80% of participants rated the comic as “superior” on a rating scale with options of “superior”, “adequate”, “not suitable”, or “not applicable”. The most successful aspects of the comic were content and cultural appropriateness, as it provided clear contents and the graphics showed realistic Indonesian smoking behavior. The least successful aspect of the comic was the literacy demand because there were long sentences using difficult words. Conclusions: The results of this study may be used to conduct a randomized controlled trial using this comic booklet with some modifications.

关键词： Comic Booklet Health Education Indonesia Pregnant Women secondhand smoke

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Awareness of Tobacco-Related Health Hazards among Adults in China

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Biomedical and Environmental Sciences 2010年第6期23卷 437-444页

作者： YAN YANG JI-JIANG WANG CONG-XIAO WANG QIANG LI GONG-HUAN YANG National Office for Tobacco Control China Center for Disease Control and Prevention Beijing 100050 China Universtty of Waterloo Waterloo Ontario Canada

Objective To determine the level of awareness of the hazards of tobacco smoking and secondhand smoke inhalation among adults in China. Methods Household surveys were conducted with a total of 13 354 respondents aged 15 years or over from 100 counties of 28 Chinese provinces using a stratified multi-stage geographically clustered sample design. Results The findings revealed that 81.8% of the population was aware that smoking causes serious diseases, and 27.2% and 38.7% were aware that smoking causes stroke and heart attack, respectively. Only 64.3% of respondents were aware that secondhand smoke can cause serious diseases, and 27.5%, 51.0%, and 52.6% were aware that secondhand smoke causes heart disease in adults, lung disease in children and lung cancer in adults, respectively. Awareness regarding smoking-related hazards across all participants was significantly associated with several factors, including gender, smoking status, urban/rural residency, education level and exposure to tobacco control publicity in the last 30 days. Awareness regarding tobacco-related hazards in smokers was significantly associated with urban/rural residency, education level, exposure to tobacco control publicity in the last 30 days, and physician＇s advice. Awareness relating to the hazards of inhaling secondhand smoke was associated with smoking status, urban/rural residency, age, education level, and exposure to tobacco control publicity in the last 30 days. Medical professionals were found to know more about the health hazards of tobacco compared with people in other types of employment. Conclusions Overall awareness of the health hazards of tobacco has improved in the last 15 years in China, but is still relatively poor. Improved means of communicating information and more effective warning labels on cigarette packaging are necessary for increasing public awareness of tobacco hazards, particularly among rural residents and people with less education.

关键词： Smoking secondhand smoke Awareness Knowledge

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