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BioMed Research International
Volume 2014, Article ID 382345, 8 pages
Research Article

Addressing Parental Smoking in Pediatric Settings of Chinese Hospitals: A Qualitative Study of Parents

1School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China
2Boston Medical Center, Boston University School of Medicine, Boston, MA 02118, USA
3Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
4MGH Center for Child and Adolescent Health Research and Policy, Harvard Medical School, Boston, MA 02114, USA

Received 19 February 2014; Accepted 17 May 2014; Published 29 May 2014

Academic Editor: Giuseppe La Torre

Copyright © 2014 Abu S. Abdullah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study explored factors associated with SHS exposure from parental smoking in Chinese families and assessed nature of antismoking discussions parents had with their children’s pediatricians and how pediatricians might best engage with parents in an effort to reduce children’s exposure to SHS. Six focus group discussions (FGDs) were conducted among 33 Chinese parents attending six major hospitals in Guangxi province, China. Most participants (32/33) had family members who smoke, and only 21% had strict restriction on smoking at home. Some parents did not know about health consequences of smoking and effects of SHS exposure on children. Situations that made it especially hard to avoid the child’s SHS exposure were having an elderly smoker at home and having a visitor who smoked. Only few parents were asked by pediatricians about child’s exposure to SHS at home, but only when child’s illness was related to smoking. Parents believed that suggestions coming from pediatricians about smoke-free home and parental quitting would be acceptable to parents and other household members. The findings provide insight into SHS exposure reduction effort among Chinese parents and underscore the demand for pediatrician’s engagement in addressing parental tobacco use.