"While it is not possible to be sure where exposure occurred, the findings suggest that the children's reports of [second-hand smoke] exposure in the home were likely to be more accurate than the parental reports indicated," the study said.
It said there were some explanations for under-reporting by parents, including that they may not be aware that other adults or the children's friends sometimes smoked in the home.
"Parents' definition of a smokefree home may have been 'generous' or parents have given the answer they thought to be 'right'," the report said.
The study concludes that the findings could impact further research into second-hand smoke.
It also says clinicians should consider advising parents presenting with children with any smoke-related illness that their child may be exposed to more smoke than the parents realise.
The study was conducted predominantly by researchers at the University of Auckland, with funding by the Health Research Council of New Zealand.
Today is World Smokefree Day.
• Exposure to second-hand smoke is a serious health hazard for children
• Exposure is associated with a number of respiratory conditions, including pneumonia, poor heart health, allergic diseases, and middle-ear infections
• Exposure to adults who smoke also increases the likelihood of smoking uptake among children
• 16.5 per cent of New Zealanders aged over 15 smoke
• Children are still exposed to second-hand smoke at home and in cars despite mass media campaigns to raise awareness of the harms
Source: The New Zealand Medical Journal