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Exposure of minority ethnic groups to second-hand smoke, in England

Exposure of minority ethnic groups to second-hand smoke, in England. Sarwat Shah Team: Kamran Siddiqi, Amanda Amos, Helen Tilbrook , Aziz Sheikh, Caroline Fairhurst Funding: Medical Research Council. Outline. Background to research Where are we now?

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Exposure of minority ethnic groups to second-hand smoke, in England

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  1. Exposure of minority ethnic groups to second-hand smoke, in England Sarwat Shah Team: Kamran Siddiqi, Amanda Amos, Helen Tilbrook, Aziz Sheikh, Caroline Fairhurst Funding: Medical Research Council

  2. Outline • Background to research • Where are we now? • Gaps • Our approach • Findings • Conclusions

  3. SHS- Background to research 1% GBD Cardiovascular Lung diseases Middle ear infections Asthma ALRI • 600000 deaths

  4. Where we are now?

  5. Gaps

  6. Why are we conducting this research? • Significant health inequalities – minority ethnic groups • South Asians - high susceptibility to cardiovascular diseases • Higher levels of smoking among Bangladeshi- and Pakistani-origin men compared with national average (Sprotson and Mindell 2004) • 51% households with at least one smoker (Alwanet al)

  7. Our approach- Smoke free homes Modalities Target Output

  8. Imam guide - the delivery

  9. MCLASS-pilot cluster Clusters recruited (min N = 14) Participants (households) approached, eligibility assessed Participants (households) recruited Household baseline data collection (Questionnaire and saliva sample collection) Cluster Randomisation (Minimisation) Control Group (N = 7) Do not deliver ‘Smoke Free Homes’ Intervention Group (N = 7) Deliver ‘Smoke Free Homes’ Household follow up data collection (Questionnaire and saliva sample collection)

  10. Data collection Type of households • Households with at least one child resident • Adult only Study participants • Household survey • Lead adult • Saliva sample • Non smoking adult OR • Child

  11. Data collection Outcome • Salivary cotinine • Exposed to SHS= 0.1- 12ng/ml • Unexposed= <0.1 ng/ml

  12. Findings • Households recruited= 209 • Saliva samples=89% (187/209) • Exposed to SHS=61% (114/187:95% CI 54-68)

  13. Findings

  14. Mediators/moderators

  15. characteristics of person giving saliva sample

  16. Characteristics of smoker

  17. Conclusions • Exposure of ethnic minorities to SHS is high • 85% children living with a smoker are exposed as compared to 35% (whose parents are smokers) in general population

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