Perceptions of parents of under-5-year-old children with pneumonia on the effects of tobacco smoke: a phenomenology study in Manggarai, Eastern Indonesia

Date Icon Publish Date
  • Paskaliana Hilpriska Danal
    Faculty of Health and Agricultural Science, Universitas Katolik Santu Paulus Ruteng, Flores, Indonesia.
  • Nani Nurhaeni
    Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.
    https://orcid.org/0000-0003-4880-7439
  • Nur Agustini
    Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.

ABSTRACT

Background: In Eastern Indonesia, the incidence of pneumonia in under-5-year-old children is mostly predicted by environmental factors, such as exposure to household smoke and tobacco smoke. Sociocultural ideas shape the perception of parents on the effect of tobacco smoke thus influence their behaviour on reducing the smoke exposure on their child. The present study aimed to explore the perceptions of parents of under-5-year-old children with pneumonia about the effects of exposure to tobacco smoke.

Design and Methods
: This qualitative study was conducted using a phenomenological approach. The study participants were 11 parents of under-5-year-old children with pneumonia in Manggarai, Eastern Indonesia. The data were collected through in-depth interviews and then analyzed using the Colaizzi method.

Results
: The themes identified in the present study were i) “I know the risk of smoke, I can’t help it” various perceptions on tobacco smoke effect; ii) tobacco causes shortness of breath on under-5-year-old children; and iii) tobacco smoke taking tolls on family’s health and economy.

Conclusions
: The findings revealed that parent view tobacco smoke endanger children’s health and hamper the socio-economic well-being of the family. It is necessary to improve parent’s awareness about the effects of tobacco smoke through effective nursing communication that suits the family’s needs and conditions.

REFERENCES

Watkins K, Wright S, Le Nestour A, et al. Fighting for breath: a call to action on childhood pneumonia. London: Save the Children; 2017. Available from: https://resourcecentre.savethechildren.net/library/fighting-breath-call-action-childhood-pneumonia

World Health Organization. Pneumonia. World Health Organization. 2019. Available from: https://www.who.int/news-room/fact-sheets/detail/pneumonia

Ministry of Health of the Republic of Indonesia. [Hasil utama riset kesehatan dasar 2018 (Main results of basic health research 2018)].[in Indonesian]. Jakarta: Ministry of Health of the Republic of Indonesia; 2018. Available from: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf

Ministry of Health of the Republic of Indonesia. Data dan informasi: profil kesehatan Indonesia 2018 (Data and information: Indonesia's health profile 2018)].[in Indonesian]. Jakarta: Ministry of Health of the Republic of Indonesia; 2019. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Data-dan-Informasi_Profil-Kesehatan-Indonesia-2018.pdf

Ministry of Health of the Republic of Indonesia. [Pedoman penyelenggaraan manajemen terpadu balita sakit berbasis masyarakat (MTBS-M) (Guidelines for implementing community-based integrated management of under-five sick children (MTBS-M)].[in Indonesian]. Jakarta: Ministry of Health of the Republic of Indonesia; 2014.

Shibata T, Wilson JL, Watson LM, et al. Childhood acute respiratory infections and household environment in an Eastern Indonesian urban setting. Int J Environ Res Public Health 2014;11:12190-203. DOI: https://doi.org/10.3390/ijerph111212190

de Carvalho Ribeiro FA, de Moraes MKR, de Morais Caixeta JC, et al. Perception of parents about second hand smoke on the health of their children: an ethnographic study. Rev Paul Pediatr 2015;33:394-9. DOI: https://doi.org/10.1016/j.rppede.2015.08.010

Wipfli H, Avila-Tang E, Navas-Acien A, et al. Secondhand smoke exposure among women and children: evidence from 31 countries. Am J Public Health 2008;98:672-9. DOI: https://doi.org/10.2105/AJPH.2007.126631

Surya E. [Makna simbolik dan fungsi tarian caci di Kabupaten Manggarai Nusa Tenggara Timur (The symbolic meaning and function of the caci dance in Manggarai Regency, East Nusa Tenggara)].[Thesis in Indonesian]. Yogyakarta: Universitas Sanata Dharma; 2009.

Firdaus F. Puar cama untuk anak cucu: kearifan lokal untuk sustainability forest di Manggarai Barat (Puar cama for posterity: local wisdom for sustainability forest in West Manggarai)].[Article in Indonesian]. Jurnal Ilmu Sosial Mamangan 2015;1:39-50.

Lon YS, Widyawati F. Cultural aspects on child’s development and parenting in Manggarai, East Nusa Tenggara, Indonesia. GUIDENA: Jurnal Ilmu Pendidikan, Psikologi, Bimbingan dan Konseling 2017;7:130-9. DOI: https://doi.org/10.24127/gdn.v7i1.959

Rosen L, Kostjukovsky I. Parental risk perceptions of child exposure to tobacco smoke. BMC Public Health 2015;15:90. DOI: https://doi.org/10.1186/s12889-015-1434-x

Myers V, Shiloh S, Rosen L. Parental perceptions of children’s exposure to tobacco smoke: development and validation of a new measure. BMC Public Health 2018;18:1031. DOI: https://doi.org/10.1186/s12889-018-5928-1

Halterman JS, Borrelli B, Conn KM, et al. Motivation to quit smoking among parents of urban children with asthma. Patient Educ Couns 2010;79:152-5. DOI: https://doi.org/10.1016/j.pec.2009.09.004

Sundler AJ, Lindberg E, Nilsson C, Palmér L. Qualitative thematic analysis based on descriptive phenomenology. Nurs Open 2019;6:733-9. DOI: https://doi.org/10.1002/nop2.275

Chen YT, Hsiao FH, Miao NF, Chen PL. Factors associated with parents’ perceptions of parental smoking in the presence of children and its consequences on children. Int J Environ Res Public Health 2013;10:192-209. DOI: https://doi.org/10.3390/ijerph10010192

Poornima KS, Reddy PP, Anjum MS, et al. Parental perceptions towards passive smoking: a cross-sectional survey in Vikarabad town, India. Sri Lanka J Child Health 2016;45:24-31. DOI: https://doi.org/10.4038/sljch.v45i1.8081

Orton S, Jones LL, Cooper S, et al. Predictors of children’s secondhand smoke exposure at home: a systematic review and narrative synthesis of the evidence. PLoS One 2014;9:e112690. DOI: https://doi.org/10.1371/journal.pone.0112690

Hargiana G, Keliat BA, Mustikasari M. The effects of cognitive behavioral therapy on heads of families' smoking behavior and anxiety. Jurnal Keperawatan Indonesia 2018;21:117-26. DOI: https://doi.org/10.7454/jki.v21i2.770

Myers V, Shiloh S, Zucker DM, Rosen LJ. Changing exposure perceptions: a randomized controlled trial of an intervention with smoking parents. Int J Environ Res Public Health 2020;17:3349. DOI: https://doi.org/10.3390/ijerph17103349

Zhuge Y, Qian H, Zheng X, et al. Effects of parental smoking and indoor tobacco smoke exposure on respiratory outcomes in children. Sci Rep 2020;10:4311. DOI: https://doi.org/10.1038/s41598-020-60700-4

Groner JA, Huang H, Joshi MS, et al. Secondhand smoke exposure and preclinical markers of cardiovascular risk in toddlers. J Pediatr 2017;189:155-61. DOI: https://doi.org/10.1016/j.jpeds.2017.06.032

Wang X, Wang MP, Viswanath K, et al. Smoking and secondhand smoke exposure at home were associated with poor perceived family well-being: findings of FAMILY project. PLoS One 2016;11:e0161761. DOI: https://doi.org/10.1371/journal.pone.0161761

Iloh GUP, Collins PI. Awareness of health effects of exposure to secondhand smoke from cigarettes: a cross-sectional study of never-smoked adult primary care patients in Eastern Nigeria. Avicenna J Med 2017;7:164-70. DOI: https://doi.org/10.4103/ajm.AJM_23_17

Vanker A, Barnett W, Workman L, et al. Early-life exposure to indoor air pollution or tobacco smoke and lower respiratory tract illness and wheezing in African infants: a longitudinal birth cohort study. Lancet Planet Health 2017;1:e328-36. DOI: https://doi.org/10.1016/S2542-5196(17)30134-1

Homa DM, Neff LJ, King BA, et al. Vital signs: disparities in nonsmokers’ exposure to secondhand smoke — United States, 1999–2012. MMWR Morb Mortal Wkly Rep 2015;64:103-8.

Toukan AM. The economic impact of cigarette smoking on the poor in Jordan. Value Health Reg Issues 2016;10:61-6. DOI: https://doi.org/10.1016/j.vhri.2016.06.001

Letuna S. Torok: puisi ritual orang Manggarai – kajian terhadap ritus, makna dan fungsi (Torok: ritual poetry of the Manggarai people – a study of rites, meanings and functions)].[Thesis in Indonesian]. Yogyakarta: Universitas Sanata Dharma; 2015.

Saito J, Shibanuma A, Yasuoka J, et al. Education and indoor smoking among parents who smoke: the mediating role of perceived social norms of smoking. BMC Public Health 2018;18:211. DOI: https://doi.org/10.1186/s12889-018-5082-9

Our most popular topics on Journal of Public Health Research

Leave a Reply

Your email address will not be published.