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Parental region of birth, socio-economic status and infants' exposure to second-hand smoke
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Allmänpediatrisk forskning/Nordvall)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Allmänpediatrisk forskning/Nordvall)
2008 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, no 11, 1542-1545 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate the impact of parental region of birth on the risk of exposure to second-hand smoke for infants. METHODS: The smoking habits, according to child health records, of parents of 14 431 infants in Uppsala county, Sweden, born during 1997-2001, were investigated with logistic regression in the presence of socio-economic and demographic confounders from national registers. RESULTS: Fathers born outside of Sweden smoked more often than Swedish-born fathers irrespective of region of birth (adjusted odds ratios [ORs] 1.77-3.02). Mothers born in Africa (adjusted OR 0.29, 95% CI 0.15-0.58) and Asia (adjusted OR 0.53, 95% CI 0.40-0.70) smoked less often than Swedish-born mothers. Single parenthood, low income and mother's age <or=24 years increased the risk for parental smoking. CONCLUSION: The present study indicates that the risk of smoking in immigrant parents of infants is influenced by the smoking patterns in the region of birth. Smoke cessation interventions targeting fathers are particularly important in immigrant-dense neighbourhoods in Sweden.

Place, publisher, year, edition, pages
2008. Vol. 97, no 11, 1542-1545 p.
Keyword [en]
Ethnic, Infants, Second-hand smoke, Smoking, Socio-economic status
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-102487DOI: 10.1111/j.1651-2227.2008.00964.xISI: 000260254100012PubMedID: 18702638OAI: oai:DiVA.org:uu-102487DiVA: diva2:216241
Available from: 2009-05-07 Created: 2009-05-07 Last updated: 2012-04-13Bibliographically approved
In thesis
1. Lika för alla?: Social position och etnicitet som determinanter för amning, föräldrars rökvanor och kontakter med BVC
Open this publication in new window or tab >>Lika för alla?: Social position och etnicitet som determinanter för amning, föräldrars rökvanor och kontakter med BVC
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Child Health Services (CHS) in Sweden are offered free of charge to all Swedish parents with children 0-5 years of age.  The regular service schedule includes home visits, health examinations, vaccinations and participation in parenting groups. The CHS should pay extra attention to disadvantaged families.

The aim of this thesis was to investigate to what extent the CHS reaches groups of families with special needs, e.g. immigrant families, low income families, young and single mothers, with universal or selective measures, as well as to investigate the variation of two determinants of child health, second hand smoke and breastfeeding, in these groups of families. The thesis also aimed at investigating validity of data in the county CHS quality database (Basta). The thesis is based on data from Basta together with several national registers.

The CHS equally reached all families with infants with the universal program except for participation in parenting group. Foreign born, young, single and low-income mothers had lower participation rates. Smoking rates were lower in foreign-born than in Swedish-born mothers and higher for foreign-born than in Swedish-born fathers. Smoking was more common among single and low income parents and young mothers. Young and single mothers had lower breastfeeding rates at 6 months. At 12 months the breastfeeding rates were higher among foreign-born mothers. The validity test of data in the Basta database showed sensitivity values for immunizations, breastfeeding and smoking at 90-100 % and for any home visit, participation in parenting group at any time, a minimum number of 6 visits at the Child Health Centre (CHC) and a minimum number of 11 visits at the CHC at 88 - 96 %. The sensitivity value for the exact match of number of CHC visits (+/- 3 visits) was 88 %.

Conclusions: The universal programme was equally distributed in different immigrant and socio-demographic populations. However, the results did not indicate equality according to the assumption that some families need more input than others in order to achieve equity of outcome.

Individual data routinely collected from CHS records to a quality database provides data of good quality that can be used for both quality surveillance and research.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2012. 125 p.
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 752
Ethnic, infants, smoking, socio-economic status, second hand smoke, breastfeeding, child health services, child health care, health services research, mothers, parent participation, supportive care
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
urn:nbn:se:uu:diva-170037 (URN)978-91-554-8305-0 (ISBN)
Public defence
2012-05-04, Sal IX, Universitetshuset, Övre Slottsgatan 2, Uppsala, 09:00 (Swedish)
Available from: 2012-04-12 Created: 2012-03-07 Last updated: 2012-04-19

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