Health inequalities and children’s exposure to secondhand tobacco smoke: assessing the social determinants of infant and young child exposure in a Romanian sample
SHINE
Children’s exposure to secondhand tobacco smoke (SHS) is an important contributor to increasing health inequalities worldwide. Despite the extensive research being conducted on smoking behaviour, there still is a limited understanding of how these inequalities emerge and widen. Consequently, the proposed research tries to understand the SHS exposure of children aged 3 or younger, in a sample of Romanian families. Romania has a decreasing smoking prevalence in the general population, but the emerging social patterning of this behaviour has not been yet documented. Thus, the study aims to define and understand the inter-relation of structure and agency in children’s exposure (in the context of social, economic and health-related cultural capitals’ interplays) and to assess how life course deprivation and events impact the structure-agency relation within this population. It employs a mixed-methods research strategy, with a sequential implementation of a qualitative followed by a quantitative component. Data is collected through semi-structured, qualitative interviews, as well as through questionnaires (n=251), from a sample of women (mothers of children aged 0-36 months). The study population is recruited from 8 purposively selected medical general practice offices, from rural and urban settings, within a Romanian county.
Specific objectives:
- To assess the prevalence of young children’s SHS exposure, through interviews with mothers of children 0-36 months old;
- To identify and describe the main determinants (structural and behavioural) of children’s SHS exposure;
- To map social, economic and cultural capitals and their direct relation with children’s SHS exposure;
- To explore the relation between capital interplays (transfer, accumulation, conversion) and children’s exposure to SHS.