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Impact of smoke-free legislation on children's exposure to secondhand smoke: cotinine data from the Health Survey for England

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Title: Impact of smoke-free legislation on children's exposure to secondhand smoke: cotinine data from the Health Survey for England
Authors: Jarvis, Martin J, Sims, Michelle, Gilmore, Anna, Mindell, Jenny
Contributors: Peer, Hal
Source: Tobacco Control. 21:18-23
Publisher Information: BMJ, 2011.
Publication Year: 2011
Subject Terms: Parents, Surveillance and monitoring, Adolescent, Public policy, Smoking Prevention, 03 medical and health sciences, 0302 clinical medicine, Family Health/statistics & numerical data, Air Pollution, Humans, England/epidemiology, Preschool, Child, Cotinine, Saliva, Family Health, Tobacco Smoke Pollution/legislation & jurisprudence, Housing/statistics & numerical data, Smoking, Saliva/chemistry, Smoking/epidemiology, Health Surveys, Indoor/analysis, 3. Good health, Cross-Sectional Studies, Environmental Tobacco Smoke, England, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Air Pollution, Indoor, Child, Preschool, Epidemiological Monitoring, Housing, Tobacco Smoke Pollution, Environmental Monitoring/methods, Cotinine/analysis, Parents/psychology, Environmental Monitoring
Description: ObjectiveTo examine the impact of the ban on smoking in enclosed public places implemented in England in July 2007 on children's exposure to secondhand tobacco smoke.DesignRepeated cross-sectional surveys of the general population in England.SettingThe Health Survey for England.ParticipantsConfirmed non-smoking children aged 4–15 with measured saliva cotinine participating in surveys from 1998 to 2008, a total of 10 825 children across years.Main outcome measuresThe proportion of children living in homes reported to be smoke-free; the proportion of children with undetectable concentrations of cotinine; geometric mean cotinine as an objective indicator of overall exposure.ResultsSignificantly more children with smoking parents lived in smoke-free homes in 2008 (48.1%, 95% CI 43.0% to 53.1%) than in either 2006 (35.5%, 95% CI 29.7% to 41.7%) or the first 6 months of 2007, immediately before the ban came into effect (30.5%, 95% CI 19.7% to 43.9%). A total of 41.1% (95% CI 38.9% to 43.4%) of children had undetectable cotinine in 2008, up from 34.0% (95% CI 30.8% to 37.3%) in 2006. Geometric mean cotinine in all children combined was 0.21 ng/ml (95% CI 0.20 to 0.23) in 2008, slightly lower than in 2006, 0.24 ng/ml (95% CI 0.21 to 0.26).ConclusionsPredictions that the 2007 legislative ban on smoking in enclosed public places would adversely affect children's exposure to tobacco smoke were not confirmed. While overall exposure in children has not been greatly affected by the ban, the trend towards the adoption of smoke-free homes by parents who themselves smoke has received fresh impetus.
Document Type: Article
File Description: application/pdf
Language: English
ISSN: 1468-3318
0964-4563
DOI: 10.1136/tc.2010.041608
Access URL: https://hal.archives-ouvertes.fr/hal-00677619/file/PEER_stage2_10.1136%252Ftc.2010.041608.pdf
https://pubmed.ncbi.nlm.nih.gov/21527405
https://hal.science/hal-00677619v1/document
https://doi.org/10.1136/tc.2010.041608
https://hal.science/hal-00677619v1
https://tobaccocontrol.bmj.com/lookup/doi/10.1136/tc.2010.041608
https://hal.archives-ouvertes.fr/hal-00677619
https://tobaccocontrol.bmj.com/content/tobaccocontrol/21/1/18.full.pdf
https://tobaccocontrol.bmj.com/content/21/1/18
https://researchportal.bath.ac.uk/en/publications/impact-of-smoke-free-legislation-on-childrens-exposure-to-second-
https://core.ac.uk/display/2809391
Accession Number: edsair.doi.dedup.....05de5b6eff244808e6097e646b2b0a5e
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  Data: Impact of smoke-free legislation on children's exposure to secondhand smoke: cotinine data from the Health Survey for England
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  Data: <i>Tobacco Control</i>. 21:18-23
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  Data: <searchLink fieldCode="DE" term="%22Parents%22">Parents</searchLink><br /><searchLink fieldCode="DE" term="%22Surveillance+and+monitoring%22">Surveillance and monitoring</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent%22">Adolescent</searchLink><br /><searchLink fieldCode="DE" term="%22Public+policy%22">Public policy</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking+Prevention%22">Smoking Prevention</searchLink><br /><searchLink fieldCode="DE" term="%2203+medical+and+health+sciences%22">03 medical and health sciences</searchLink><br /><searchLink fieldCode="DE" term="%220302+clinical+medicine%22">0302 clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Health%2Fstatistics+%26+numerical+data%22">Family Health/statistics & numerical data</searchLink><br /><searchLink fieldCode="DE" term="%22Air+Pollution%22">Air Pollution</searchLink><br /><searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22England%2Fepidemiology%22">England/epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Preschool%22">Preschool</searchLink><br /><searchLink fieldCode="DE" term="%22Child%22">Child</searchLink><br /><searchLink fieldCode="DE" term="%22Cotinine%22">Cotinine</searchLink><br /><searchLink fieldCode="DE" term="%22Saliva%22">Saliva</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Health%22">Family Health</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco+Smoke+Pollution%2Flegislation+%26+jurisprudence%22">Tobacco Smoke Pollution/legislation & jurisprudence</searchLink><br /><searchLink fieldCode="DE" term="%22Housing%2Fstatistics+%26+numerical+data%22">Housing/statistics & numerical data</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Saliva%2Fchemistry%22">Saliva/chemistry</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%2Fepidemiology%22">Smoking/epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Surveys%22">Health Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Indoor%2Fanalysis%22">Indoor/analysis</searchLink><br /><searchLink fieldCode="DE" term="%223%2E+Good+health%22">3. Good health</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-Sectional+Studies%22">Cross-Sectional Studies</searchLink><br /><searchLink fieldCode="DE" term="%22Environmental+Tobacco+Smoke%22">Environmental Tobacco Smoke</searchLink><br /><searchLink fieldCode="DE" term="%22England%22">England</searchLink><br /><searchLink fieldCode="DE" term="%22[SDV%2ESPEE]+Life+Sciences+[q-bio]%2FSanté+publique+et+épidémiologie%22">[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</searchLink><br /><searchLink fieldCode="DE" term="%22Air+Pollution%2C+Indoor%22">Air Pollution, Indoor</searchLink><br /><searchLink fieldCode="DE" term="%22Child%2C+Preschool%22">Child, Preschool</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemiological+Monitoring%22">Epidemiological Monitoring</searchLink><br /><searchLink fieldCode="DE" term="%22Housing%22">Housing</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco+Smoke+Pollution%22">Tobacco Smoke Pollution</searchLink><br /><searchLink fieldCode="DE" term="%22Environmental+Monitoring%2Fmethods%22">Environmental Monitoring/methods</searchLink><br /><searchLink fieldCode="DE" term="%22Cotinine%2Fanalysis%22">Cotinine/analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Parents%2Fpsychology%22">Parents/psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Environmental+Monitoring%22">Environmental Monitoring</searchLink>
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  Data: ObjectiveTo examine the impact of the ban on smoking in enclosed public places implemented in England in July 2007 on children's exposure to secondhand tobacco smoke.DesignRepeated cross-sectional surveys of the general population in England.SettingThe Health Survey for England.ParticipantsConfirmed non-smoking children aged 4–15 with measured saliva cotinine participating in surveys from 1998 to 2008, a total of 10 825 children across years.Main outcome measuresThe proportion of children living in homes reported to be smoke-free; the proportion of children with undetectable concentrations of cotinine; geometric mean cotinine as an objective indicator of overall exposure.ResultsSignificantly more children with smoking parents lived in smoke-free homes in 2008 (48.1%, 95% CI 43.0% to 53.1%) than in either 2006 (35.5%, 95% CI 29.7% to 41.7%) or the first 6 months of 2007, immediately before the ban came into effect (30.5%, 95% CI 19.7% to 43.9%). A total of 41.1% (95% CI 38.9% to 43.4%) of children had undetectable cotinine in 2008, up from 34.0% (95% CI 30.8% to 37.3%) in 2006. Geometric mean cotinine in all children combined was 0.21 ng/ml (95% CI 0.20 to 0.23) in 2008, slightly lower than in 2006, 0.24 ng/ml (95% CI 0.21 to 0.26).ConclusionsPredictions that the 2007 legislative ban on smoking in enclosed public places would adversely affect children's exposure to tobacco smoke were not confirmed. While overall exposure in children has not been greatly affected by the ban, the trend towards the adoption of smoke-free homes by parents who themselves smoke has received fresh impetus.
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  Data: 10.1136/tc.2010.041608
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