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February 8, 2026SHILAP Revista de lepidopterología0 citationsOpen Access

Perceptions, knowledge and beliefs of women regarding second-hand smoke exposure: a qualitative study to identify approaches for change

HBHatice BulutGNGamze NalbantZHZeinab M. Hassanein

Key Points

  • This study aims to assess women's perceptions, knowledge, and beliefs about second-hand smoke exposure and identify their protective strategies.
  • Conducted qualitative interviews with ten women in Türkiye
  • Participants were mostly university graduates aged 30-42
  • Data analyzed using thematic analysis from audio recordings
  • Participants reported regular exposure to second-hand smoke despite not being smokers
  • Identified themes include awareness of harm, gender dynamics, and strategies to create smoke-free environments
  • Women actively resist SHS by creating smoke-free homes and educating their children, but face limitations from cultural norms and inadequate support

Abstract

Purpose This study aims to reveal women’s perceptions, knowledge levels, beliefs, and exposure experiences regarding second-hand smoke (SHS) and to examine their protective strategies accordingly. Method The research was conducted in Türkiye between March and August 2025. Ten women, mostly university graduates and aged between 30 and 42 (mean age = 34.7), participated in the study. Data were collected using a semi-structured interview form, audio recordings were analysed, and thematic analysis was used. Findings Although none of the participants smoked, they were found to be regularly exposed to SHS through their spouses, family members, or public spaces. The analysis revealed five main themes: (1) Awareness of and Perceived Harm from SHS, (2) Gender, Patriarchal Structure, and Silence, (3) The Permeability of Boundaries: “Smoke is Everywhere,” (4) Resistance Strategies: Creating Smoke-Free Sanctuaries, and (5) The System’s Response: From the Visible to the Deeper Issues. Findings indicate that women demonstrate active resistance by making their homes smoke-free and raising awareness among their children; however, patriarchal relations, cultural norms, and lack of counselling in the healthcare system limit these efforts. Conclusion SHS exposure continues to be a significant public health problem for women and children. For women’s individual awareness and resistance efforts to be effective, the role of counselling by health professionals must be strengthened, public awareness campaigns must be increased, and more comprehensive policies must be developed to include domestic and private spaces.

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Cite This Study

Bulut et al. (2026) studied this question.

synapsesocial.com/papers/698828010fc35cd7a8847243https://doi.org/10.3389/fpubh.2026.1716775
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