International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 15 , ISSUE 6 ( November-December, 2022 ) > List of Articles


Knowledge about the Harmful Effects of Environmental Tobacco Smoke, Perceptions toward Initiation of Smoking and Factors Influencing Smoking in Adolescents: A Cross-sectional Study

Umapathy Thimmegowda, Susan Kattimani, Navin Hadadi Krishnamurthy

Keywords : Adolescents, Environmental tobacco smoke, Factors affecting smoking, Knowledge, Parents

Citation Information : Thimmegowda U, Kattimani S, Krishnamurthy NH. Knowledge about the Harmful Effects of Environmental Tobacco Smoke, Perceptions toward Initiation of Smoking and Factors Influencing Smoking in Adolescents: A Cross-sectional Study. Int J Clin Pediatr Dent 2022; 15 (6):667-671.

DOI: 10.5005/jp-journals-10005-2467

License: CC BY-NC 4.0

Published Online: 14-02-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Background: The main hope of a nation lies in the proper education of its adolescents because the youths of today are the leaders of tomorrow. About 15% of children of ages 13–15 years are ingesting tobacco in certain forms and are getting addicted to tobacco. Hence, tobacco has become a burden in our society. Similarly, environmental tobacco smoking (ETS) is more dangerous than smoking and is common among young adolescents. Aim: This study is aimed to explore the knowledge about the hazards of ETS and the factors which are responsible for adolescents to initiate tobacco smoking among parents visiting the pediatric dental clinic. Materials and methods: A cross-sectional survey on the knowledge about the harmful effects of ETS and factors influencing the initiation of tobacco use among adolescents was assessed using a self-administered questionnaire. A sample size of 400 parents of adolescents aged between 10 and 16 years visiting the pediatric clinics was included in the study; data thus obtained was subjected to statistical analysis. Results: The effect of ETS in increasing the risk of cancer was known to be 64.4%. But the effect on premature babies was least known by 37% of the parent population, which is statistically significant. About 14% of parents perceive that children initiate smoking to experiment or relax, which is statistically significant. Conclusion: Parents have very little knowledge regarding the effects of ETS on children. They can be counseled regarding types of smoking and smokeless tobacco products, health hazards, the deleterious health effects of ETS, and passive smoking, particularly in children with respiratory diseases.

PDF Share
  1. Chadda RK, Sengupta SN. Tobacco use by Indian adolescents. Tob Induc Dis 2002;1(2):111–119. DOI: 10.1186/1617-9625-1-8
  2. Kaur J, Jain DC. Tobacco control policies in India: implementation and challenges. Indian J Public Health 2011;55(3):220–227. DOI: 10.4103/0019-557X.89941
  3. Kyrlesi A, Soteriades ES, Warren CW, et al. Tobacco use among students aged 13–15 years in Greece: the GYTS project. BMC Public Health 2007;7(1):3. DOI: 10.1186/1471-2458-7-3
  4. Perry CL, Stigler MH, Arora M, et al. Preventing tobacco use among young people in India: project MYTRI. Am J Public Health 2009;99(5):899–906. DOI: 10.2105/AJPH.2008.145433
  5. Ruiz, Pedro. Comprehensive textbook of psychiatry. Eds. Benjamin J. Sadock, and Virginia A. Sadock. Vol. 1. Philadelphia: Lippincott Williams & Wilkins, 2000.
  6. Shulman L. Knowledge and teaching: foundations of the new reform. Harv Edu Rev 1987;57(1):1–23. DOI: 10.17763/haer.57.1.j463w79r56455411
  7. Desalu OO, Onyedum CC, Adewole OO, et al. Secondhand smoke exposure among non-smoking adults in two Nigerian cities. Ann Afr Med 2011;10(2):103–111. DOI: 10.4103/1596-3519.82069
  8. Verma A, Goswami M, Dhillon JK. Tobacco use among school going children. Indian J Dent Res 2019;30(6):839–843. DOI: 10.4103/ijdr.ijdr_27_18
  9. Magidson JF. Examining the Effect of the LET'S ACT Behavioral Activation Treatment for Depression on Substance Abuse Treatment Dropout (Doctoral dissertation).
  10. Haustein KO, Groneberg D. Passive smoking. In: Tobacco or Health? Physiological and Social Damages Caused by Tobacco Smoking. 2010;247–288.
  11. Louik C, Lin AE, Werler MM, et al. First-trimester use of selective serotonin-reuptake inhibitors and the risk of birth defects. N Engl J Med 2007;356(26):2675–2683. DOI: 10.1056/NEJMoa067407
  12. Moritsugu K. The 2006 report of the Surgeon General: the health consequences of involuntary exposure to tobacco smoke. Am J Prev Med 2007;32(6):542–543. DOI: 10.1016/j.amepre.2007.02.026
  13. Öberg M, Jaakkola MS, Woodward A, et al. Worldwide burden of disease from exposure to secondhand smoke: a retrospective analysis of data from 192 countries. Lancet 2011;377(9760):139–146. DOI: 10.1016/S0140-6736(10)61388-8
  14. Heck JE, Wu J, Lombardi C, et al. Childhood cancer and traffic-related air pollution exposure in pregnancy and early life. Environ Health Perspect 2013;121(11–12):1385–1391. DOI: 10.1289/ehp.1306761
  15. Gaysina D, Fergusson DM, Leve LD, et al. Maternal smoking during pregnancy and offspring conduct problems: evidence from 3 independent genetically sensitive research designs. JAMA Psychiatry 2013;70(9):956–963. DOI: 10.1001/jamapsychiatry. 2013.127
  16. Committee on Substance Abuse. Tobacco's toll: implications for the pediatrician. Pediatrics 2001;107(4):794–798. DOI: 10.1542/peds.107.4.794
  17. Charlton A. Children and smoking: the family circle. Br Med Bull 1996;52(1):90–107. DOI: 10.1093/oxfordjournals.bmb.a011535
  18. Biraghi E, Tortorano AM. Tobacco smoking habits among nursing students and the influence of family and peer smoking behaviour. J Adv Nurs 2010;66(1):33–39. DOI: 10.1111/j.1365-2648.2009.05135.x
  19. Marschall-Lévesque S, Castellanos-Ryan N, Vitaro F, et al. Moderators of the association between peer and target adolescent substance use. Addict Behav 2014;39(1):48–70. DOI: 10.1016/j.addbeh.2013.09.025
  20. Gray M. Drug crazy: How we got into this mess and how we can get out. Psychology Press 1999 Dec.
  21. World Health Organization. Manual on tobacco control in schools. WHO Regional Office for South-East Asia; 2006.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.