Alarming Trend in Under-Five Indian Children's Exposure to Indoor Tobacco Smoke

Bhupendra K Verma1, Mamta Verma2, Mukul Mondal2

  • 1Law, Bimal Chandra College of Law, Murshidabad, IND.

Cureus
|May 16, 2023
PubMed

Insights

Indoor exposure to environmental tobacco smoke (ETS) for children under five in India has increased dramatically, rising 13-fold in a decade. This alarming trend necessitates urgent legislative action to protect children from secondhand smoke indoors.

Area of Science:

  • Public Health
  • Environmental Health
  • Pediatrics

Background:

  • Children exposed to environmental tobacco smoke (ETS) face significant health risks.
  • Indian law protects children from outdoor ETS but lacks indoor protections.
  • A critical need exists to assess indoor ETS exposure trends among young children in India.

Purpose of the Study:

  • To analyze the trend of indoor environmental tobacco smoke (ETS) exposure in Indian children under five.
  • To examine changes in indoor ETS exposure over a decade (2005-2016).

Main Methods:

  • Cross-sectional analysis using National Family and Health Survey (NFHS) data (2005-2006 and 2015-2016).
  • Inclusion of under-five children from India.
  • Bivariate and multivariate logistic regression models to estimate and compare indoor ETS propensity based on sociodemographic factors.

Main Results:

  • Prevalence of indoor ETS exposure among Indian children under five surged from 4.12% to 52.70% between 2005 and 2016.
  • This significant increase was observed across all subgroups, irrespective of age, residence, region, socioeconomic status, or maternal literacy.
  • The incidence of indoor ETS exposure increased 13-fold over the decade.

Conclusions:

  • Indoor ETS exposure among Indian children under five has risen alarmingly, posing a substantial public health threat.
  • Urgent legislative measures are required to ban indoor smoking and protect children.
  • The Indian government must enact laws to safeguard children from the dangers of secondhand smoke.
Abstract

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