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AJPH First Look, published online ahead of print Feb 28, 2008
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October 2008, Vol 98, No. 10 | American Journal of Public Health 1824-1826
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.119289

RESEARCH AND PRACTICE

Paternal Smoking and Increased Risk of Infant and Under-5 Child Mortality in Indonesia

Richard D. Semba, MD, MPH, Saskia de Pee, PhD, Kai Sun, MS, Cora M. Best, MHS, Mayang Sari, MSc and Martin W. Bloem, MD, PhD

Richard D. Semba and Kai Sun are with the Johns Hopkins University School of Medicine, Baltimore, Md. Saskia de Pee, Cora M. Best, and Martin W. Bloem are with the Nutrition Service, Policy, Strategy and Programme Support Division, World Food Programme, Rome, Italy. Mayang Sari is with Helen Keller International Asia Pacific, Singapore.

Correspondence: Requests for reprints should be sent to Richard D. Semba, Johns Hopkins School of Medicine, 550 N Broadway, Suite 700, Baltimore, MD 21205 (e-mail: rdsemba{at}jhmi.edu).

We examined the relationship between paternal smoking and child mortality. Among 361 021 rural and urban families in Indonesia, paternal smoking was associated with increased infant mortality (rural, odds ratio [OR] = 1.30; 95% confidence interval [CI] = 1.24, 1.35; urban, OR = 1.10; 95% CI = 1.01, 1.20), and under-5 child mortality (rural, OR = 1.32; 95% CI = 1.26, 1.37; urban, OR = 1.14; 95% CI = 1.05, 1.23). Paternal smoking diverts money from basic necessities to cigarettes and adversely affects child health; tobacco control should therefore be considered among strategies to improve child survival.






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