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SHS exposure among high school students in Taiwan
Authors:Chih-Yen Chang  Yen-Ping Hsieh  Shou-Jen Lan
Affiliation:1. Department of Medical Education and Research, Jen-Ai Hospital, Taichung, Taiwan R.O.C;2. Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan R.O.C;3. Department of Long-term Care, National Quemoy University, Kinmen, Taiwan R.O.C;4. Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan, R.O.C;5. Department of Healthcare Administration, Asia University, Taichung, Taiwan, R.O.C
Abstract:ABSTRACT

Objective: This study evaluated the frequency and risk factors of secondhand tobacco smoke (SHS) among high school students in Taiwan.

Methods: Data from the General Tobacco Hazard Proficiency Test were investigated for 4,671 students during 2017. The SHS exposure was divided into four groups with the intensity of exposure. The chi-square test and ordinal logistic regression were used for inferential statistical analysis.

Results: 9.9% of students are exposed to SHS every day; the highest exposure rate was found in people living in urban areas (≥100,000 people per kilometer), male and family members smoking or with betel chewing habits. Boys were less likely exposed to SHS than female students (aOR 0.769, 95% CI 0.682 to 0.868). The areas with less than 49,999 people per kilometer have the lowest SHS exposure rate (aOR 0.713, 95% CI 0.533 to 0.954), and students with smoking or betel chewing family members proved a higher SHS exposure rate (aOR 5.332, 95% CI 4.641 to 6.126 and aOR 1.422, 95% CI 1.232 to 1.642, respectively).

Conclusions: These findings not only highlight the risk factors of SHS exposure in high school students, but also show a direction for developing effective intervention programs for the prevention of SHS exposure.
Keywords:SHS exposure  urbanization level  betel chewing  high school students  Taiwan
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