Cargando…

Parental Smoking and Under-Five Child Mortality in Southeast Asia: Evidence from Demographic and Health Surveys

Smoking remains the main cause of preventable early death. However, little is known about the association between parental smoking and child mortality in under-fives in developing countries. This study assesses the association between parental smoking status, smoking amount and smoking frequency wit...

Descripción completa

Detalles Bibliográficos
Autores principales: Andriani, Helen, Putri, Septiara, Kosasih, Reynaldi Ikhsan, Kuo, Hsien-Wen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926522/
https://www.ncbi.nlm.nih.gov/pubmed/31783665
http://dx.doi.org/10.3390/ijerph16234756
_version_ 1783482109341466624
author Andriani, Helen
Putri, Septiara
Kosasih, Reynaldi Ikhsan
Kuo, Hsien-Wen
author_facet Andriani, Helen
Putri, Septiara
Kosasih, Reynaldi Ikhsan
Kuo, Hsien-Wen
author_sort Andriani, Helen
collection PubMed
description Smoking remains the main cause of preventable early death. However, little is known about the association between parental smoking and child mortality in under-fives in developing countries. This study assesses the association between parental smoking status, smoking amount and smoking frequency with child mortality in under-fives in four Southeast Asian countries (Cambodia, Indonesia, Lao People’s Democratic Republic and Timor Leste). We used the Demographic and Health Survey dataset. The information from couples consisting of fathers and mothers (n = 19,301 couples) in the same household were collected. Under-five child mortality was significantly associated with paternal smoking only (odds ratio (OR) = 1.25, 95% confidence interval (CI): 1.14–1.38), maternal smoking only (OR = 2.40, 95% CI: 1.61–3.59) and both parents smoking (OR = 2.60, 2.08–3.26). Paternal, maternal, both parents’ smoking amount and frequency were also assessed. The estimated association decreased after adjusting for covariates but remained highly significant for smoking in both parents, mothers who smoked 1–10 cigarettes/day, when both parents smoked > 20 cigarettes/day, and in mothers who smoked every day. Future behavioural changes and smoking cessation programmes should engage parents as a catalyst for the reduction of child mortality risk in LMICs in the SEA region.
format Online
Article
Text
id pubmed-6926522
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-69265222019-12-24 Parental Smoking and Under-Five Child Mortality in Southeast Asia: Evidence from Demographic and Health Surveys Andriani, Helen Putri, Septiara Kosasih, Reynaldi Ikhsan Kuo, Hsien-Wen Int J Environ Res Public Health Article Smoking remains the main cause of preventable early death. However, little is known about the association between parental smoking and child mortality in under-fives in developing countries. This study assesses the association between parental smoking status, smoking amount and smoking frequency with child mortality in under-fives in four Southeast Asian countries (Cambodia, Indonesia, Lao People’s Democratic Republic and Timor Leste). We used the Demographic and Health Survey dataset. The information from couples consisting of fathers and mothers (n = 19,301 couples) in the same household were collected. Under-five child mortality was significantly associated with paternal smoking only (odds ratio (OR) = 1.25, 95% confidence interval (CI): 1.14–1.38), maternal smoking only (OR = 2.40, 95% CI: 1.61–3.59) and both parents smoking (OR = 2.60, 2.08–3.26). Paternal, maternal, both parents’ smoking amount and frequency were also assessed. The estimated association decreased after adjusting for covariates but remained highly significant for smoking in both parents, mothers who smoked 1–10 cigarettes/day, when both parents smoked > 20 cigarettes/day, and in mothers who smoked every day. Future behavioural changes and smoking cessation programmes should engage parents as a catalyst for the reduction of child mortality risk in LMICs in the SEA region. MDPI 2019-11-27 2019-12 /pmc/articles/PMC6926522/ /pubmed/31783665 http://dx.doi.org/10.3390/ijerph16234756 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Andriani, Helen
Putri, Septiara
Kosasih, Reynaldi Ikhsan
Kuo, Hsien-Wen
Parental Smoking and Under-Five Child Mortality in Southeast Asia: Evidence from Demographic and Health Surveys
title Parental Smoking and Under-Five Child Mortality in Southeast Asia: Evidence from Demographic and Health Surveys
title_full Parental Smoking and Under-Five Child Mortality in Southeast Asia: Evidence from Demographic and Health Surveys
title_fullStr Parental Smoking and Under-Five Child Mortality in Southeast Asia: Evidence from Demographic and Health Surveys
title_full_unstemmed Parental Smoking and Under-Five Child Mortality in Southeast Asia: Evidence from Demographic and Health Surveys
title_short Parental Smoking and Under-Five Child Mortality in Southeast Asia: Evidence from Demographic and Health Surveys
title_sort parental smoking and under-five child mortality in southeast asia: evidence from demographic and health surveys
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926522/
https://www.ncbi.nlm.nih.gov/pubmed/31783665
http://dx.doi.org/10.3390/ijerph16234756
work_keys_str_mv AT andrianihelen parentalsmokingandunderfivechildmortalityinsoutheastasiaevidencefromdemographicandhealthsurveys
AT putriseptiara parentalsmokingandunderfivechildmortalityinsoutheastasiaevidencefromdemographicandhealthsurveys
AT kosasihreynaldiikhsan parentalsmokingandunderfivechildmortalityinsoutheastasiaevidencefromdemographicandhealthsurveys
AT kuohsienwen parentalsmokingandunderfivechildmortalityinsoutheastasiaevidencefromdemographicandhealthsurveys