Parental perceptions of children’s exposure to tobacco smoke and parental smoking behaviour

Vicki Myers*, Laura J. Rosen, David M. Zucker, Shoshana Shiloh

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Around 40% of children are exposed to tobacco smoke, increasing their risk of poor health. Previous research has demonstrated misunderstanding among smoking parents regarding children’s exposure. The parental perceptions of exposure (PPE) measure uses visual and textual vignettes to assess awareness of exposure to smoke. The study aimed to determine whether PPE is related to biochemical and reported measures of exposure in children with smoking parents. Families with at least one smoking parent and a child ≤ age 8 were recruited. In total, 82 parents completed the PPE questionnaire, which was assessed on a scale of 1–7 with higher scores denoting a broader perception of exposure. Parents provided a sample of their child’s hair and a self-report of parental smoking habits. Parents who reported smoking away from home had higher PPE ratings than parents who smoke in and around the home (p = 0.026), constituting a medium effect size. PPE corresponded with home smoking frequency, with rare or no home exposure associated with higher PPE scores compared to daily or weekly exposure (p < 0.001). PPE was not significantly related to hair nicotine but was a significant explanatory factor for home smoking location. PPE was significantly associated with parental smoking behaviour, including location and frequency. High PPE was associated with lower exposure according to parental report. This implies that parental understanding of exposure affects protective behaviour and constitutes a potential target for intervention to help protect children.

Original languageAmerican English
Article number3397
JournalInternational Journal of Environmental Research and Public Health
Issue number10
StatePublished - 2 May 2020

Bibliographical note

Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.


  • Children
  • Parents
  • Perceptions
  • Smoking behaviour
  • Tobacco smoke exposure


Dive into the research topics of 'Parental perceptions of children’s exposure to tobacco smoke and parental smoking behaviour'. Together they form a unique fingerprint.

Cite this