Globally, the implementation of environmental change strategies, such as smoke-free policies, has been found to reduce exposure to secondhand smoke (SHS) among women and children (Faber, Been, Reiss, Mackenbach, & Sheikh, 2016). However, implementation of such strategies in Nigeria must first be supported by data indicative of need and feasibility within the local community. In this cross-sectional descriptive study, the self-efficacy construct was used as a theoretical framework to explore the self-efficacy and support for environmental change strategies among pregnant and non-pregnant women living in Kaura Namoda, Nigeria. A self-administered questionnaire survey was adapted and completed by 300 women (age 18 – 67 years) in August 2016. Descriptive statistical analyses and logistic regression were performed. The non-pregnant respondents (47%) reported greater self-efficacy in reducing children’s exposure to SHS than the pregnant respondents (53%). Among the pregnant respondents, higher self-efficacy was predictive of the support for the following environmental change strategies: smoke-free cars (OR = 4.18, 95% CI [2.25, 7.77]), smoke-free homes (OR = 1.69, 95% CI [1.14, 2.52]), smoke-free indoor public places (OR = 2.40, 95% CI [1.53, 3.76]), and smoke-free outdoor public places (OR = 1.60, 95% CI [1.09, 2.34]). However, self-efficacy was only significantly different on the demographic variable of the decision maker at home (F (2, 246) = 10.87, p < 0.001). These findings support the promotion of self-efficacy among pregnant women and the implementation of smoke-free policies in Nigeria. More research is also needed to fully understand the contextual factors that promote self-efficacy in reducing exposure to SHS in Nigeria.
|Advisor:||Gomez, Frank, Marin, Traci|
|Commitee:||Nazarchuk, Sharon, Rhynders, Patricia|
|School:||Trident University International|
|School Location:||United States -- California|
|Source:||DAI-B 79/02(E), Dissertation Abstracts International|
|Subjects:||Health sciences, Public health|
|Keywords:||Environmental change strategies, Nigeria, Secondhand smoke, Self-efficacy, Smoke free policies, Sub-saharan africa|
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