Universität zu Köln

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:	Creators Email ORCID ORCID Put Code Nogueira, Sarah O. UNSPECIFIED orcid.org/0000-0002-4780-2436 UNSPECIFIED Fernandez, Esteve UNSPECIFIED UNSPECIFIED UNSPECIFIED Driezen, Pete UNSPECIFIED UNSPECIFIED UNSPECIFIED Fu, Marcela UNSPECIFIED orcid.org/0000-0002-4962-0927 UNSPECIFIED Tigova, Olena UNSPECIFIED UNSPECIFIED UNSPECIFIED Castellano, Yolanda UNSPECIFIED UNSPECIFIED UNSPECIFIED Mons, Ute UNSPECIFIED UNSPECIFIED UNSPECIFIED Herbec, Aleksandra UNSPECIFIED UNSPECIFIED UNSPECIFIED Kyriakos, Christina N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Demjen, Tibor UNSPECIFIED UNSPECIFIED UNSPECIFIED Trofor, Antigona C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Przewozniak, Krzysztof UNSPECIFIED UNSPECIFIED UNSPECIFIED Katsaounou, Paraskevi A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Vardavas, Constantine, I UNSPECIFIED UNSPECIFIED UNSPECIFIED Fong, Geoffrey T. UNSPECIFIED UNSPECIFIED UNSPECIFIED
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:	Keywords Language ATTENTIONAL BIAS; CUES Multiple languages Substance Abuse; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/60491