Nogueira, Sarah O. ORCID: 0000-0002-4780-2436, Fernandez, Esteve, Driezen, Pete, Fu, Marcela ORCID: 0000-0002-4962-0927, Tigova, Olena, Castellano, Yolanda, Mons, Ute, Herbec, Aleksandra, Kyriakos, Christina N., Demjen, Tibor, Trofor, Antigona C., Przewozniak, Krzysztof, Katsaounou, Paraskevi A., Vardavas, Constantine, I and Fong, Geoffrey T. (2022). Secondhand Smoke Exposure in European Countries With Different Smoke-Free Legislation: Findings From the EUREST-PLUS ITC Europe Surveys. Nicotine Tob. Res., 24 (1). S. 85 - 93. OXFORD: OXFORD UNIV PRESS. ISSN 1469-994X

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Abstract

Introduction: Exposure to secondhand smoke (SHS) poses serious and extensive health and economic-related consequences to European society and worldwide. Smoking bans are a key measure to reducing SHS exposure but have been implemented with varying levels of success. We assessed changes in the prevalence of self-reported SHS exposure and smoking behavior in public places among smokers in six European countries and the influence of the country's type of smoking ban (partial or total ban) on such exposure and smoking behavior. Aims and Methods: The EUREST-PLUS ITC Europe Surveys were conducted among adult smokers in Germany, Greece, Hungary, Poland, Romania, and Spain in 2016 (Wave 1, n = 6011) and 2018 (Wave 2, n = 6027). We used generalized estimating equations models to assess changes between Waves 1 and 2 and to test the interaction between the type of smoking ban and (1) self-reported SHS exposure, (2) self-reported smoking in several public places. Results: A significant decrease in self-reported SHS exposure was observed in workplaces, from 19.1% in 2016 to 14.0% in 2018 (-5.1%; 95% CI: -8.0%; -2.2%). Self-reported smoking did not change significantly inside bars (22.7% in Wave 2), restaurants (13.2% in Wave 2) and discos/nightclubs (34.0% in W2). SHS exposure in public places was significantly less likely (adjusted odds ratio = 0.35; 95% CI: 0.26-0.47) in the countries with total bans as compared to those countries with partial bans. Conclusion: The inverse association between smoking in public places and smoking bans indicates an opportunity for strengthening smoke-free legislation and protecting bystanders from exposure to SHS in public places.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Nogueira, Sarah O.UNSPECIFIEDorcid.org/0000-0002-4780-2436UNSPECIFIED
Fernandez, EsteveUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Driezen, PeteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fu, MarcelaUNSPECIFIEDorcid.org/0000-0002-4962-0927UNSPECIFIED
Tigova, OlenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Castellano, YolandaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mons, UteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herbec, AleksandraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kyriakos, Christina N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Demjen, TiborUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Trofor, Antigona C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Przewozniak, KrzysztofUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Katsaounou, Paraskevi A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vardavas, Constantine, IUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fong, Geoffrey T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-604913
DOI: 10.1093/ntr/ntab157
Journal or Publication Title: Nicotine Tob. Res.
Volume: 24
Number: 1
Page Range: S. 85 - 93
Date: 2022
Publisher: OXFORD UNIV PRESS
Place of Publication: OXFORD
ISSN: 1469-994X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ATTENTIONAL BIAS; CUESMultiple languages
Substance Abuse; Public, Environmental & Occupational HealthMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/60491

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