Where do smokers in Singapore smoke? A latent class analysis to classify smokers based on smoking location

  • 0Saw Swee Hock School of Public Health, National University of Singapore and National University Health System.

Summary

This summary is machine-generated.

Researchers identified three smoker groups in Singapore: those who smoke at work, outside the home, or everywhere. Findings support targeted interventions to reduce secondhand smoke (SHS) exposure and aid smoking cessation.

Area Of Science

  • Public Health
  • Behavioral Science
  • Epidemiology

Background

  • Secondhand smoke (SHS) exposure is a significant health risk.
  • Understanding where smokers choose to smoke is crucial for effective public health interventions.
  • Limited research exists on smoking locations in urban, multi-ethnic Asian populations.

Purpose Of The Study

  • To identify distinct classes of smokers in Singapore based on their smoking locations.
  • To characterize these smoker classes using demographic and behavioral factors.
  • To inform targeted strategies for smoking cessation and SHS exposure reduction.

Main Methods

  • Latent class analysis (LCA) of data from 1,546 participants in the 2021 Singapore Smokers' Survey.
  • Classified smokers based on reported locations for smoking at home and outside the home.
  • Multinomial logistic regression used to analyze predictors of class membership.

Main Results

  • Three distinct smoker classes were identified: 'smoke at work' (75.7%), 'smoke outside home' (14.0%), and 'smoke everywhere' (10.2%).
  • Significant predictors of class membership included ethnicity, housing type, marital status, hardcore smoking status, and family norms.
  • Smokers in the 'smoke everywhere' class were more likely to be Malay, hardcore smokers, and to smoke their first cigarette within 30 minutes of waking.

Conclusions

  • The heterogeneity in smoking locations supports tailored interventions for smoking cessation and SHS protection.
  • Culturally sensitive interventions addressing social norms, familial influence, and environmental factors are recommended.
  • Targeted strategies could focus on workplace smoking, promoting smoke-free homes, and intensive interventions for high-risk groups.

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