ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2020
Secondhand Smoking and Obesity Among Nonsmoking Adolescents Aged 12-15 Years From 38 Low- and Middle-Income Countries.
Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 14 citations in OpenAlex.
- Associations of smoking and second-hand smoke exposure with obesity and obstructive sleep apnoea risk in Tuvalu.Journal of global health · 2026Article
- Serum cotinine-assessed tobacco exposure, cadmium co-exposure, and childhood obesity: a cross-sectional study.Environmental health : a global access science source · 2026Article
- Smoking as a causative factor in chronic kidney disease: a two-sample Mendelian randomization study.Renal failure · 2025Article
- Association between the urine tobacco metabolite levels and physical health in Chinese primary school students with secondhand smoke exposure.Frontiers in public health · 2025Article
- Parental smoking is associated with adolescent loneliness: evidence from 71 low- and middle-income countries.Frontiers in public health · 2025Article
- Secondhand Smoke Exposure and Its Impact on Pediatric Lung Function, Aerobic Fitness, and Body Mass: Evidence from a Cross-Sectional Study.Children (Basel, Switzerland) · 2024Article
- The association between obesity and glaucoma in older adults: evidence from the China Health and Retirement Longitudinal Study.Epidemiology and health · 2023Article
- Secondhand smoke exposure among never-smoking adolescents in Wuhan, China.Scientific reports · 2022Article
- Linking Global Youth Tobacco Survey (GYTS) data to the WHO Framework Convention on Tobacco Control (FCTC): The case for Tunisia.Tobacco induced diseases · 2022Article
- DENTISTS IN AFRICA SHOULD COMMIT TO IDENTIFYING AND ASSISTING PATIENTS EXPOSED TO SECONDHAND TOBACCO SMOKE.Annals of Ibadan postgraduate medicine · 2021Article
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9 authors at 9 institutions in 6 countries.
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No grant is acknowledged in the PubMed record.
Abstract
introductionSecondhand smoking (SHS) may be a risk factor for obesity in adolescence, but data on the association between SHS and obesity are scarce, especially from low- and middle-income countries (LMICs). Therefore, the aim of this study was to assess the association between SHS and obesity among adolescents aged 12-15 years from 38 LMICs.
methodsCross-sectional data from 38 LMICs that participated in the Global School-based Student Health Survey (GSHS) were analyzed. Body mass index was calculated based on measured weight and height. The 2007 WHO Child Growth reference was used to define obesity. SHS was categorized as no exposure, non-daily exposure (ie, 1-6 days), and daily exposure (ie, 7 days) based on the number of days exposed to secondhand smoke in the past 7 days. Multivariable logistic regression and meta-analyses were conducted to assess the associations.
resultsThe analyzed sample consisted of 88 209 adolescents aged 12-15 years who never smoked. The overall prevalence of non-daily and daily SHS was 34.2% and 15.7%, respectively. After adjustment for potential confounders, compared with no SHS, there was no significant association between non-daily SHS and obesity (odds ratio [OR] = 0.94; 95% confidence interval [CI] = 0.86-1.02), but adolescents who reported daily SHS were significantly more likely to have obesity (OR = 1.19; 95% CI = 1.06-1.34).
conclusionsThe prevalence of SHS was high among adolescents in LMICs, and daily SHS was associated with a significant increase in odds of obesity. Future studies with longitudinal designs are warranted to assess causality and whether prevention of SHS can reduce the risk of obesity in adolescence. IMPLICATIONS: In the present large multi-country study on adolescents aged 12-15 years from LMICs, nearly half of the students were exposed to non-daily or daily secondhand smoke. Overall, while non-daily SHS was not significantly associated with obesity, adolescents who reported daily SHS had a significant 1.19 (95% CI = 1.06-1.34) times higher odds of obesity than those who reported no exposure to secondhand smoke. To the best of our knowledge, this is the first multi-country study on SHS and obesity from LMICs, and also the largest study on this topic to date.
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