{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:38:59Z","timestamp":1792787939761,"version":"4.5.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":114,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"KAU Endowment (WAQF) at King Abdulaziz University","id":[{"id":"https:\/\/ror.org\/02ma4wv74","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Secondhand smoke (SHS) remains a preventable public health hazard that disproportionately affects adolescents. Despite the implementation of tobacco control measures in Saudi Arabia, SHS exposure within homes persists. This study assessed the prevalence of household SHS exposure among adolescents and examined its association with current tobacco\/nicotine product use behaviors, including cigarettes, shisha, and e-cigarettes, using nationally representative data from the 2022 Global Youth Tobacco Survey (GYTS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A secondary analysis was conducted on the 2022 GYTS dataset for Saudi Arabia, comprising 6,983 students aged 11\u201317 years. Complex survey design weighting was applied to ensure national representativeness. SHS exposure was defined as at least one day of exposure to tobacco smoke at home in the past seven days. Weighted prevalence estimates were calculated, followed by Rao\u2013Scott chi-square tests and multivariable logistic regression analyses adjusting for age, sex, parental and peer smoking, and weekly allowance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 18.3% of adolescents reported SHS exposure at home. SHS exposure at home was higher among females (21.8%) than males (14.9%). Adolescents exposed to SHS at home had significantly higher odds of current cigarette use (AOR\u2009=\u20091.78; 95% CI 1.11\u20132.85), shisha use (AOR\u2009=\u20091.69; 95% CI 1.04\u20132.76), e-cigarette use (AOR\u2009=\u20091.74; 95% CI 1.15\u20132.63), and any tobacco\/nicotine product use (AOR\u2009=\u20091.66; 95% CI 1.19\u20132.32) compared with their unexposed peers. Female sex, parental smoking, and having friends who smoked were independently associated with SHS exposure (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nearly one in five Saudi adolescents are exposed to secondhand smoke at home. Household SHS exposure was independently associated with higher odds of current tobacco\/nicotine product use across multiple products. These findings underscore the need for family-centered interventions and strengthened efforts to promote smoke-free home environments to reduce youth tobacco vulnerability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-026-28019-3","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T01:13:53Z","timestamp":1780881233000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Secondhand smoke exposure at home and its association with tobacco use among adolescents in Saudi Arabia: findings from the 2022 global youth tobacco survey"],"prefix":"10.1186","volume":"26","author":[{"given":"Moroj A.","family":"Aldarmasi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"28019_CR1","unstructured":"Institute for Health Metrics and Evaluation. 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Ethical approval for the original survey was obtained from the Saudi Ministry of Health Institutional Review Board (IRB) in accordance with the Declaration of Helsinki. All participants provided informed assent, and parental consent was secured prior to data collection. Permission to use and analyze the dataset for this study was granted by the Unit of Biomedical Ethics at King Abdulaziz University Hospital (Reference No 504\u2009\u2212\u200925).","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declaration"}},{"value":"Not applicable. The manuscript does not include any individual-level data, images, or identifiable information.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declaration"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declaration"}}],"article-number":"2703"}}