Indoor secondhand tobacco smoke and risk of under-five mortality in 23 sub-Saharan Africa countries: A population based study and meta-analysis
Publication Date
May 23, 2017
Authors
Patrick Opiyo Owili, Miriam Adoyo Muga, Wen Chi Pan & Hsien Wen Kuo
Volume
12
Issue
5
Pages
e0177271
DOI
https://dx.plos.org/10.1371/journal.pone.0177271
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0177271
Scopus
85019551944
Mendeley
http://www.mendeley.com/research/indoor-secondhand-tobacco-smoke-risk-underfive-mortality-23-subsaharan-africa-countries-population-b
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Mendeley | Further Information

{"title"=>"Indoor secondhand tobacco smoke and risk of under-five mortality in 23 sub-Saharan Africa countries: A population based study and meta-analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Patrick Opiyo", "last_name"=>"Owili", "scopus_author_id"=>"56659378100"}, {"first_name"=>"Miriam Adoyo", "last_name"=>"Muga", "scopus_author_id"=>"56708601700"}, {"first_name"=>"Wen Chi", "last_name"=>"Pan", "scopus_author_id"=>"56381889900"}, {"first_name"=>"Hsien Wen", "last_name"=>"Kuo", "scopus_author_id"=>"7201654902"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"616317407", "issn"=>"19326203", "isbn"=>"1932-6203", "doi"=>"10.1371/journal.pone.0177271", "scopus"=>"2-s2.0-85019551944", "pmid"=>"28542166", "sgr"=>"85019551944"}, "id"=>"297dc942-a0ce-3436-8cbf-aee0a889ab85", "abstract"=>"BACKGROUND: Inhalation of secondhand smoke from tobacco results in serious health outcomes among under-five children, and yet, few studies have assessed its effect on under-five mortality. We investigated the association between frequency of exposure to household tobacco smoke and risk of under-five mortality in sub-Saharan Africa (SSA). METHODS: Demographic Health Survey data of under-five children from 23 SSA countries (n = 787,484) were used. Cox proportional hazard models described the association between exposure to tobacco smoke and the risk of under-five mortality in each country, with age as the time-to-event indicator. Meta-analysis was used to investigate the overall effect of tobacco smoke in SSA. RESULTS: The association between tobacco smoke exposure and the risk of under-five mortality attenuated in eight countries (Burkina Faso, Benin, Congo, Gabon, Guinea, Liberia, Togo, and Zambia) after adjustment, while the hazard ratios (HR) of daily exposure to tobacco smoke in Kenya (HR = 1.40; 95% CI, 1.16-1.70) and Namibia (HR = 1.40; 1.07-1.83) grew. The children in rural areas in SSA were 1.08 (95% CI, 1.04-1.13) times more likely to die than their urban peers. In general, the exposure to household tobacco smoke was associated with an increased risk of under-five mortality in SSA (HR = 1.09; 95% CI, 1.06-1.13). CONCLUSIONS: This study provided evidence of a positive association between exposure to household tobacco smoke and risk of under-five mortality in SSA. Policymakers in low- and middle-income countries, where tobacco control as a child health issue is relatively neglected, should integrate tobacco control measures with other child health promotion policies.", "link"=>"http://www.mendeley.com/research/indoor-secondhand-tobacco-smoke-risk-underfive-mortality-23-subsaharan-africa-countries-population-b", "reader_count"=>21, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Researcher"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Student > Master"=>5, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Researcher"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Student > Master"=>5, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>7, "Psychology"=>1, "Social Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>7}, "Social Sciences"=>{"Social Sciences"=>1}, "Psychology"=>{"Psychology"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>5}, "Environmental Science"=>{"Environmental Science"=>1}}, "group_count"=>2}

Scopus | Further Information

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