Haque, Md Imdadul, Ullah, Abu Naser Zafar, Akter, Tasnim, Chowdhury, ABM Alauddin, Mamun, Abdullah al, Tamanna, Tabassum, Hossain, Md. Kamrul, Khan, Hafiz T.A. ORCID: https://orcid.org/0000-0002-1817-3730 and Harun, Md. Golam Dostogir (2020) Familial and socio-cultural barriers in maintaining tobacco-free homes in Bangladesh: a comparative cross-sectional study. BMJ Open, 10 (12).

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Abstract

Objectives: Children, pregnant women and the elderly at a global level are all being dangerously exposed to tobacco use in the household (HH). However, there is no understanding of the familial and socio-cultural factors that provide barriers to ensuring tobacco-free homes in Bangladesh either in urban or rural areas (U&RAs). This study therefore investigates those barriers to help enable a move towards tobacco free homes in Bangladesh.

Design: Comparative cross-sectional study.

Settings: Data were collected from both urban and rural settings in Bangladesh.

Participants: A probability proportional sampling procedure was used to select 808 participants in U&RAs out of a total of 3,715 tobacco users.

Results: The prevalence of tobacco use at home was 25.7% in urban areas and 47.6% in rural areas. In urban areas: marital status (AOR=3.23, 95%CI=1.37-6.61), education (AOR=2.14, 95%CI=1.15-3.99), the smoking habits of elderly family members (AOR=1.81, 95%CI=0.91-2.89), offering tobacco as a traditional form of leisure activity at home (AOR=1.85, 95%CI=.94-2.95), and lack of religious practices (AOR=2.39, 95%CI=1.27-4.54) were identified as significant socio-cultural predictors associated with tobacco use at home. In rural areas: age (AOR=5.11, 95%CI=2.03-12.83), extended family (AOR=3.08, 95%CI=1.28-7.38), lack of religious practices (AOR=4.23, 95%CI=2.32-7.72), using children to buy or carry tobacco (AOR=3.33, 95%CI=1.11-9.99), lack of family guidance (AOR=4.27, 95%CI=2.45-41 7.42), and offering tobacco as a traditional form of leisure activity at home (AOR=3.81, 95%CI=2.23-6.47) were identified as significant determinants for tobacco use at home.

Conclusion: This study concludes that socio-cultural traditions and familial norms in Bangladesh provide significant barriers for enabling tobacco-free homes. The identification of these barriers can aid policy makers and programme planners in Bangladesh in devising appropriate measures to mitigate the deadly consequences of tobacco use in the home. The consequences also include the dangers involved in family members being exposed to second48 hand smoke.

Item Type:	Article
Identifier:	10.1136/bmjopen-2020-039787
Additional Information:	© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. Please note: DOI link is currently not resolving correctly. This has been reported. Please follow the BMA's link to the final version: https://bmjopen.bmj.com/content/10/12/e039787
Subjects:	Medicine and health > Health promotion and public health Medicine and health
Related URLs:	Publisher
Depositing User:	Hafiz T.A. Khan
Date Deposited:	08 Dec 2020 09:05
Last Modified:	04 Nov 2024 11:46
URI:	https://repository.uwl.ac.uk/id/eprint/7538

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