Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries
Henderson, Elisabet (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Continente, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Fernández, Esteve (Centro de Investigación Biomédica en Red de Enfermedades Respiratorias)
Tigova, Olena (Centro de Investigación Biomédica en Red de Enfermedades Respiratorias)
Cortés-Francisco, Nuria (Institut d'Investigació Biomèdica Sant Pau)
Gallus, Silvano (IRCCS Istituto Giannina Gaslini (Gènova, Itàlia))
Lugo, Alessandra (IRCCS Istituto Giannina Gaslini (Gènova, Itàlia))
Semple, Sean (University of Stirling (Escòcia))
O'Donnell, Rachel (University of Stirling (Escòcia))
Clancy, Luke (TobaccoFree Research Institute Ireland)
Keogan, Sheila (TobaccoFree Research Institute Ireland)
Ruprecht, Ario Alberto (Fondazione IRCCS Istituto Nazionale dei Tumori)
Borgini, Alessandro (Fondazione IRCCS Istituto Nazionale dei Tumori)
Tzortzi, Anna S (George D. Behrakis Research Lab-Hellenic Cancer Society)
Vyzikidou, Vergina Konstantina (George D. Behrakis Research Lab-Hellenic Cancer Society)
Gorini, Giuseppe (Istituto per lo Studio. la Prevenzione e la Rete Oncologica)
López-Nicolás, Ángel (Universidad Politécnica de Cartagena)
Soriano, Joan B.. (Hospital Universitario de la Princesa (Madrid))
Geshanova, Gergana (Smoke-free Life Coalition)
Osman, Joseph (OFT Conseil. Office Français de santé et bien-être au Travail)
Mons, Ute (Cancer Prevention Unit & WHO Collaborating Centre for Tobacco Control. German Cancer Research Center (DKFZ))
Przewozniak, Krzysztof (The Foundation Smart Health - Health in 3D)
Precioso, José (Universidade do Minho. Instituto de Educação)
Brad, Ramona (Healthy Romania Generation 2035 Association)
López Medina, María José (Institut d'Investigació Biomèdica Sant Pau)

Data:	2021
Resum:	Introduction: Tobacco presence in outdoor children's playgrounds is concerning not only because it leads to secondhand smoke (SHS) exposure, but also cigarette butt pollution and tobacco normalization. Objectives: This study aimed to assess SHS exposure in children's playgrounds, according to area-level socioeconomic status (SES), smoke-free regulations, national smoking prevalence, and SHS exposure prevalence in playgrounds (2017-2018). Methods: We monitored vapor-phase nicotine concentration and tobacco-related variables in 20 different playgrounds in 11 European countries (n = 220 measurements) from March 2017 to April 2018. Playgrounds were selected according to area-level SES. Data on the number of people smoking, and cigarette butts inside the playground and on playground surroundings (<1 m away) were recorded. Playground smoking bans, the Tobacco Control Scale (TCS) score, national smoking prevalence and SHS exposure prevalence in playgrounds were used to group countries. To determine nicotine presence, we dichotomized concentrations using the limit of quantification as a cut-off point (0. 06 μg/m). Nicotine median concentrations were compared using non-parametric tests, and nicotine presence and tobacco-related observational variables using the Chi-squared test. Results: Airborne nicotine presence was found in 40. 6% of the playgrounds. Median nicotine concentration was <0. 06 μg/m (Interquartile range: <0. 06-0. 125) and higher median concentrations were found in more deprived neighborhoods, non-regulated playgrounds, in countries with lower overall TCS scores, higher national smoking prevalence and higher SHS exposure prevalence in playgrounds. Overall, people were smoking in 19. 6% of the playgrounds. More than half of playgrounds had cigarette butts visible inside (56. 6%) and in the immediate vicinity (74. 4%). Presence of butts inside playgrounds was higher in sites from a low area-level SES, in countries with low TCS scores, and greater smoking prevalence and SHS exposure prevalence (p<0. 05). Conclusions: There is evidence of SHS exposure in children's playgrounds across Europe. These findings confirm the need for smoking bans in playgrounds and better enforcement in those countries with smoking bans in playgrounds.
Ajuts:	Agència de Gestió d'Ajuts Universitaris i de Recerca 2017/SGR-1526 Agència de Gestió d'Ajuts Universitaris i de Recerca 2017/SGR-319 European Commission 681040 Instituto de Salud Carlos III INT16/00211 Instituto de Salud Carlos III INT17/00103
Nota:	Altres ajuts: Fondo Europeo de Desarrollo Regional (FEDER)
Nota:	Altres ajuts: Italian League Against Cancer (LILT)
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Tobacco smoke pollution ; Child ; Playground ; Socioeconomic status ; Smoke-free regulations
Publicat a:	Environment International, Vol. 149 (april 2021) , p. 105775, ISSN 1873-6750

DOI: 10.1016/j.envint.2020.105775
PMID: 33228970

8 p, 488.1 KB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
Articles > Articles de recerca
Articles > Articles publicats