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Dissertation/Thesis Abstract

Self-Efficacy and Support for Environmental Change Strategies Aimed at Reducing Exposure to Secondhand Smoke: A Cross-sectional Study of Pregnant and Non-Pregnant Women in Nigeria
by Otuonye, Adaku O., Ph.D., Trident University International, 2017, 114; 10637592
Abstract (Summary)

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.

Indexing (document details)
Advisor: Gomez, Frank, Marin, Traci
Commitee: Nazarchuk, Sharon, Rhynders, Patricia
School: Trident University International
Department: Health Sciences
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
Publication Number: 10637592
ISBN: 978-0-355-36291-6
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