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Secondhand smoke exposure inside the house and low birth weight in Indonesia: Evidence from a demographic and health survey

Andriani, H., Rahmawati, N. D., Ahsan, A. & Kusuma, D. ORCID: 0000-0002-1909-9341 (2023). Secondhand smoke exposure inside the house and low birth weight in Indonesia: Evidence from a demographic and health survey. Population Medicine, 5(June), pp. 1-7. doi: 10.18332/popmed/168620


Secondhand smoke (SHS) exposure during pregnancy among non-smoking women is associated with mortality and morbidity risks in infants. However, little is known about SHS inside the house and low birth weight in newborns. This study aims to assess the prevalence, level, and frequency of SHS exposure inside the house and investigate their associations with low birth weight.

We used the Indonesian Demographic and Health Survey (IDHS) 2017, a large-scale, nationally representative survey. Women aged 15–49 years who had given birth in the last five years before the study and their husbands were interviewed (n=19935). Two dependent variables included low birth weight (LBW) and birth weight.

In all, 78.4% of mothers were exposed to SHS inside the home, of whom 7.2% had LBW children. Compared to non-exposed to SHS mothers, those exposed to SHS were younger, had their first birth before the age of 20 years, were married, lower educated, non-workers, lived in rural areas, were grand multipara, had pollution from cooking fuel, cooked in a separate building, and had a higher risk of delivering a lower birth weight (AOR=1.16; 95% CI: 1.02– 1.33).

Exposure to SHS inside the home was significantly associated with LBW. Given the high prevalence of smoking, relevant policies and health promotion are needed.

Publication Type: Article
Additional Information: Published by European Publishing. © 2023 Andriani H. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License. (
Publisher Keywords: secondhand smoke, tobacco control, low birth weight, Indonesia
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Departments: School of Health & Psychological Sciences > Healthcare Services Research & Management
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