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The European Journal of Public Health Advance Access originally published online on October 9, 2007
The European Journal of Public Health 2008 18(3):306-311; doi:10.1093/eurpub/ckm098
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© The Author 2007. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Infant, Child and Adolescent Health

Home smoking bans in Finland and the association with child smoking

Susanna U. Rainio1,2 and Arja H. Rimpelä1

1Tampere School of Public Health, University of Tampere, Finland
2Research Unit, Tampere University Hospital, Tampere, Finland

Correspondence: Susanna Rainio, Tampere School of Public Health, FIN-33014 University of Tampere, Finland, tel: +358-3-3551-7997, fax: +358-3-3551-6057, e-mail: susanna.rainio{at}uta.fi

Received June 14, 2007 , accepted September 4, 2007

Background: Few studies in Europe have investigated home smoking bans and their association with child smoking. Methods: A nationwide survey of 12 to 18-year olds in 2005 (n = 6503, response rate 66%) was used to study home smoking bans in Finland. Multinomial logistic regression analyses were used to study association of home smoking bans and child smoking. Results: Of the respondents, 58% reported a total ban, 27% a partial ban, 4% reported no ban and 10% chose the option ‘I cannot say’. The lack of total ban was strongly associated with living in non-intact families, parents’ lower educational level, parental smoking and parents’ permissive attitude towards child smoking. Moreover, partial or no ban increased the likelihood of being a daily smoker. In the multinomial logistic regression model, the odds ratios (ORs) for children's daily smoking, adjusted for sociodemographic factors, parental smoking and their permissive attitude, were OR 2.9 [95% confidence interval (CI) 2.3–3.6] for partial ban and OR 14.3 (8.6–23.7) for no ban. In families where both parents smoked, the adjusted ORs were correspondingly 1.5 (95% CI 0.7–3.0) and 2.9 (95% CI 1.1–7.8). Conclusions: Home smoking bans will contribute towards a reduced risk of child smoking even when parents smoke. Tobacco control legislation needs to be enhanced with measures promoting awareness of the benefits achievable through strict home smoking bans. Families characterized by lower socioeconomic status and smoking parents are particular target groups.

Keywords: children, home smoking ban, smoking


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