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Background: This study aimed to examine the association between environmental tobacco smoke (ETS) and avoidance of tobacco smoke among pregnant non-smoking women. Methods: A cross-sectional study was used to obtain a representative sample of nonsmoking pregnant women who attended health clinics (n = 661) six states in Malaysia. The durations of ETS exposure within and outside of the home were obtained by selfreport. Exposure to ETS was assessed by the second-hand smoke (SHS) avoidance subscale. The analyses were conducted using logistic regression adjusted for demographic variables and other variables. Results: Among non-smoking pregnant women, the prevalence of ETS exposure was 66.3%. The overall knowledge of ETS was good (>50%). The odds of ETS exposure were higher among those in the low-salary (RM1000-RM1999) group (OR=2.37; 95% CI=1.22, 4.62) and those with a history of chronic disease (OR=2.47; 95% CI=1.09, 5.62), whereas ETS exposure was significantly lower among those working full time during pregnancy (OR=0.31; 95% CI=0.17, 0.59). In the multivariate model, compared with non-ETS-exposed individuals, ETS-exposed individuals showed significantly different avoidance behaviour in situations that involved speaking to smokers who were smoking in same room (OR=2.31; 95%CI= 1.26, 4.21), sitting in a smoking section on public transport (OR=2.15; 95% CI= 1.07, 4.34) and frequently associating with smokers (OR=3.01; 95% CI=1.14-8.30). Conclusions: Our findings revealed that knowledge about ETS exposure failed to manifest as avoidance behaviour. The knowledge was good but avoidance was poor, especially among women frequently exposed to ETS.

Siti Munira Yasin, Khairul Mizan Taib, Mohammad Idris Zamhuri. (2018) Avoidance of environmental tobacco smoke among nonsmoking pregnant women in Malaysia, Asian Journal of Agriculture and Biology, Volume 6, Special Issue.
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