Patterns of parents’ perspectives on protecting young children from secondhand smoke exposure: A Q-methodology study

Chiu Mieh Huang, Jung Yu Liao, Su Fei Huang, Yi Ting Hsu, Hsiao Pei Hsu, Jong Long Guo*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Aims: To identify and describe the various patterns of parents’ perspectives on avoiding secondhand smoke exposure. Design: Q methodology was applied to investigate the parental perspectives of 50 parents. Methods: The study was implemented from September–December 2016. Forty-two Q-statements were constructed based on the literature related to parental attitudes and prevention practices regarding preventing young children from experiencing secondhand smoke exposure. A series of Q-sorts was performed by the participants to rank the statements into a Q-sort grid. PQMethod 2.35 software was used to perform principal component analysis to identify different patterns of parents’ perspectives. Results: Five patterns of shared perspectives, which accounted for 62% of the total variance, were derived from the analysis: (a) lack of confidence to confront smokers in non-smoking areas; (b) awareness of health hazards but not ready to take preventive actions; (c) emphasis on parental responsibility and behavioural guidance; (d) awareness of health rights protected by legislation; and (e) strong willingness to take protective actions. Conclusion: Our findings revealed the shared perspectives of five groups of parents. The exploration of clusters of parents could assist healthcare professionals in acknowledging parents’ tendencies related to attitudes and responses towards secondhand smoke exposure. Impact: Using a forced distribution through the Q-sorting technique, the particular perspective patterns of parents’ experiences would be captured. These findings can serve as a useful guide for researchers and practitioners to develop tailored intervention programs for parents with the purpose of reducing secondhand smoke exposure in young children.

Translated title of the contribution父母关于保护幼童免受二手烟危害的观点模式: Q方法论研究
Original languageEnglish
Pages (from-to)2591-2602
Number of pages12
JournalJournal of Advanced Nursing
Issue number11
Publication statusPublished - 2019 Nov 1

ASJC Scopus subject areas

  • General Nursing


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