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Young people’s exposure to and perceptions of smoking in cars and associated harms in the UK. Laura Jones, Crawford Moodie , Anne-Marie MacKintosh and Linda Bauld UKNSCC London 27 th June 2013. Introduction. Source of secondhand smoke (SHS) exposure
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Young people’s exposure to and perceptions of smoking in cars and associated harms in the UK Laura Jones, Crawford Moodie, Anne-Marie MacKintoshand Linda BauldUKNSCC London 27th June 2013
Introduction • Source of secondhand smoke (SHS) exposure • SHS particulate level (PM2.5) much greater in cars than other spaces • No legislation around smoking in private vehicles in the UK • 76% of UK adults (including 54% of daily smokers) support a ban on smoking in cars carrying children under 18 years • 86% of 8-15 year olds want the government to stop people smoking in cars carrying children • Populus Survey 2009; YouGov 2009
Prevalence of exposure in the UK • 15% of UK adult smokers report smoking in cars when travelling with children (ITC 2007/8) • 15% of Irish 13-14 year olds self-reported exposure to SHS in cars (2007) • 35% of English 8-13 year olds self-reported their parent/s smoked in the car with them (2009) • 51% of English 8-15 years olds self-reported being in a car with a smoker (BLF 2011) • Populus Survey 2009; Kabir et al 2009; European Commission 2007; Jarrold et al 2011
Health risks • General SHS exposure risks well established • Some evidence for specific risks from exposure in cars • allergic & respiratory symptoms • persistent wheeze • hay fever symptoms • symptoms of nicotine dependence (at adolescence) • early initiation of smoking • Sly et al 2007; Kabir et al 2009; Belanger et al 2008 ; Glover et al 2011
Youth views on smoking in cars • 1009 English 8-13 year olds • 76% worried that their parents smoking in the car was damaging to their own health • When travelling with smokers • 73% don’t like it and wished their parents would stop • 31% would ask the smoker to stop • 24% were too embarrassed to say anything • 9% were too scared to say anything • Populus Survey 2009; Jarrold et al 2011
Sample Aim • To explore UK adolescents’ perceptions of smoking in cars and awareness of the potential harms associated with such exposure • Wave 6 Youth Tobacco Policy Survey • 11-16 year olds from UK households • Face to face interviews & self-complete questionnaire
Analysis Measures • Smoking status • Age; sex; social grade; smoking by parents, siblings and friends • Frequency of exposure • Tolerance • Perceived risk of harm • Support for a ban • Descriptive data weighted for age, gender & social grade • Bivariate analysis (chi square) • Logistic regression
Sample characteristics • Total n = 1373 • 51% 11-13 years/ 49% 14-16 years • 50% female • 66% low SES (C2DE) • Smoking status • 9% regular smoker • 17% occasional/tried/used to smoke • Smoking network • 46% had one or more parent that smokes • 22% had siblings that smoke • 46% had friends that smoke
Exposed vs. never exposed • Adjusted for all other variables in the model
Dislike vs. don’t mind/indifferent • Adjusted for all other variables in the model
Perceived risk of harm • Composite harm score based on four items: • Perceived effect on health of non-smokers • Perceived effect on health from breathing others smoke in the car (windows closed) • Perceived effect on health from breathing others smoke in the car (windows open) • Extent to which smoking in cars increases the risk • of having a road accident
Harmful vs. not harmful/indifferent • Adjusted for all other variables in the model
Supportive of ban vs. not supportive/indifferent • Adjusted for all other variables in the model
Results summary • 47% of UK adolescents reported being exposed to smoking in cars • 73% disliked travelling with smokers • 86% perceived exposure to be harmful • 84% support a ban on smoking in cars carrying children < 16 years
Discussion • Adolescent smoking status significantly influenced likelihood of exposure, perceived risk of harm and support for a ban • Encircled by a social network of smokers • Social acceptability of smoking in cars may be increased • Conditioned to social norm of smoking therefore perceive less harm
Summary • Many UK adolescents report exposure • Health risks well established • Adolescents’ oppose exposure in cars, perceive it to be harmful and support a ban • Need for further consideration to be given to legislative options
l.l.jones@bham.ac.uk This study was supported by Cancer Research UK grant number C312/A8721