Haque, Imdadul, Chowdhury, Alauddin, Hassan, Muhammad Shaikh, Khan, Hafiz T.A. ORCID: https://orcid.org/0000-0002-1817-3730 and Harun, Golam Dostogir (2019) Prevailing familial, social and cultural obstacles in keeping tobacco-free homes in urban areas of Bangladesh: a mixed-method study. Plos One, 14 (8).

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Abstract

Background
Millions of children and others across the world are being dangerously exposed to tobacco smoke and toxins in their own homes. There is limited interest in laws and interventions controlling tobacco use in public places in Bangladesh, but no attention has been given to preventing tobacco use inside homes. This study explores the familial and socio-cultural factors that provide obstacles for ensuring tobacco-free homes in urban residential areas in Bangladesh.

Materials and methods A mixed-method design was adopted and from among the 1,436 tobacco users identified in a population of 11,853, 400 (tobacco users) were selected for cross-sectional survey. This survey involved a probability proportional sampling procedure, and 24 In-Depth Interviews. Survey data were analyzed using multivariate logistic regression followed by thematic content analysis on the qualitative data, and then inferences were drawn out collectively.
Results This study revealed that the prevalence of tobacco use in the home was 25.7% in urban residential areas in Bangladesh. Multivariate logistic regression analysis identified that familial and socio-cultural factors were significantly associated with tobacco use at home: marital status (OR 3.23, 95% CI: 1.37-6.61), education (OR 2.14, 95% CI: 1.15-3.99), smoking habits of older family members (OR 1.81 95% CI: 0.91-2.89), tobacco being offered as hospitality and for entertainment (OR 1.85, 95% CI: .94-2.95) and lack of religiosity practice (OR 2.39, 95% CI: 1.27-4.54). Qualitative findings indicated that social customs, lack of religious practice, tobacco use of older family members, and lack of family guidance were key obstacles for enabling tobacco-free homes in urban areas.

Conclusion
Use of tobacco at home is continuing as part of established familial and socio-cultural traditions. If tobacco use at home is not addressed seriously by the authorities then the emerging threat of second-hand smoke exposure and harmful consequences of tobacco use will be exacerbated.

Item Type:	Article
Identifier:	10.1371/journal.pone.0220777
Additional Information:	Data Availability Statement: The data underlying this study may be freely accessed at https://figshare.com/s/b3a297b5b6654edaa7ac (DOI: 10.6084/m9.figshare.7502702).
Subjects:	Medicine and health > Health promotion and public health Social sciences > Social work
Related URLs:	https://figshare.com/s/b3a297b5b6654edaa... https://10.6084/m9.figshare.7502702
Depositing User:	Hafiz T.A. Khan
Date Deposited:	27 Jul 2019 09:15
Last Modified:	04 Nov 2024 11:52
URI:	https://repository.uwl.ac.uk/id/eprint/6298

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