England's legislation on smoking in indoor public places and work‐places: impact on the most exposed children

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Název: England's legislation on smoking in indoor public places and work‐places: impact on the most exposed children
Autoři: Sims, Michelle, Bauld, Linda, Gilmore, Anna
Přispěvatelé: University of Bath, Institute for Social Marketing
Zdroj: Addiction. 107:2009-2016
Informace o vydavateli: Wiley, 2012.
Rok vydání: 2012
Témata: Male, Adolescent, second-hand smoke, Child Welfare, 03 medical and health sciences, Smoking/legislation & jurisprudence, smoking ban, 0302 clinical medicine, Environmental Exposure/statistics & numerical data, Air Pollution, Child Welfare/legislation & jurisprudence, Humans, cotinine, Preschool, Child, Workplace, Children, intervention, passive smoke, Tobacco Smoke Pollution/legislation & jurisprudence, Housing/statistics & numerical data, Smoking, Environmental Exposure, 3. Good health, Public Facilities/legislation & jurisprudence, Cross-Sectional Studies, England, Air Pollution, Indoor, Child, Preschool, Workplace/legislation & jurisprudence, Housing, Female, Tobacco Smoke Pollution, Public Facilities, Indoor/legislation & jurisprudence, Smokefree
Popis: AimsTo examine whether English legislation to make virtually all indoor public places and work‐places smoke‐free on 1 July 2007 displaced smoking into the home and hence increased the proportion of children exposed to levels of second‐hand smoke known to be detrimental to health.DesignRepeated cross‐sectional study with data from 10 annual surveys undertaken from 1996 to 2008.SettingEngland.ParticipantsNationally representative samples of non‐smoking children aged 4–15 years old living in private households.MeasurementsSalivary cotinine, parental smoking status, whether smoking is allowed within the house, socio‐demographic variables.FindingsThe proportion of children exposed to damaging levels of second‐hand smoke (defined as those with cotinine levels >1.7 ng/ml) has fallen over time, from 23.5% in 1996 to 12.6% in 2008. The legislation was not associated with further changes in the proportion of children above this threshold—the odds of having cotinine >1.7 ng/ml did not change after adjustment for the pre‐legislative trend and confounders (odds ratio: 1.0, 95% confidence interval: 0.78, 1.4). Non‐significant associations were also found when examining children by parental or household smoking status.ConclusionsLegislation to prohibit smoking in indoor public places and work‐places does not increase the proportion of children exposed to damaging levels of second‐hand smoke. Even in a country with a strong tobacco control climate, a significant proportion of children remain highly exposed to second‐hand smoke and future policies need to include interventions to reduce exposure among these children.
Druh dokumentu: Article
Popis souboru: application/pdf
Jazyk: English
ISSN: 1360-0443
0965-2140
DOI: 10.1111/j.1360-0443.2012.03924.x
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/22524434
http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2012.03924.x/abstract
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1360-0443.2012.03924.x
https://dspace.stir.ac.uk/handle/1893/11508
https://researchportal.bath.ac.uk/en/publications/englands-legislation-on-smoking-in-indoor-public-places-and-workp
https://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2012.03924.x/abstract
https://www.ncbi.nlm.nih.gov/pubmed/22524434
Rights: Wiley Online Library User Agreement
rioxx Under Embargo All Rights Reserved
Přístupové číslo: edsair.doi.dedup.....46559ea5473b37a98f85233c470155b4
Databáze: OpenAIRE
Popis
Abstrakt:AimsTo examine whether English legislation to make virtually all indoor public places and work‐places smoke‐free on 1 July 2007 displaced smoking into the home and hence increased the proportion of children exposed to levels of second‐hand smoke known to be detrimental to health.DesignRepeated cross‐sectional study with data from 10 annual surveys undertaken from 1996 to 2008.SettingEngland.ParticipantsNationally representative samples of non‐smoking children aged 4–15 years old living in private households.MeasurementsSalivary cotinine, parental smoking status, whether smoking is allowed within the house, socio‐demographic variables.FindingsThe proportion of children exposed to damaging levels of second‐hand smoke (defined as those with cotinine levels >1.7 ng/ml) has fallen over time, from 23.5% in 1996 to 12.6% in 2008. The legislation was not associated with further changes in the proportion of children above this threshold—the odds of having cotinine >1.7 ng/ml did not change after adjustment for the pre‐legislative trend and confounders (odds ratio: 1.0, 95% confidence interval: 0.78, 1.4). Non‐significant associations were also found when examining children by parental or household smoking status.ConclusionsLegislation to prohibit smoking in indoor public places and work‐places does not increase the proportion of children exposed to damaging levels of second‐hand smoke. Even in a country with a strong tobacco control climate, a significant proportion of children remain highly exposed to second‐hand smoke and future policies need to include interventions to reduce exposure among these children.
ISSN:13600443
09652140
DOI:10.1111/j.1360-0443.2012.03924.x