Secondhand smoke exposure and other signs of tobacco consumption at outdoor entrances of primary schools in 11 European countries
Henderson, Elisabet (Consorcio Español de Investigación en Epidemiología y Salud Pública (CIBERESP))
Continente, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Fernández, Esteve (Consorcio para la Investigación Biomédica en Enfermedades Respiratorias (CIBERES))
Tigova, Olena (Consorcio para la Investigación Biomédica en Enfermedades Respiratorias (CIBERES))
Cortés-Francisco, Nuria (Institut d'Investigació Biomèdica Sant Pau)
Gallus, Silvano (Istituto di Ricerche Farmacologiche Mario Negri IRCCS)
Lugo, Alessandra (Istituto di Ricerche Farmacologiche Mario Negri IRCCS)
Semple, Sean (University of Stirling)
O'Donnell, Rachel (University of Stirling)
Clancy, Luke (TobaccoFree Research Institute Ireland)
Keogan, Sheila (TobaccoFree Research Institute Ireland)
Ruprecht, Ario (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 K. (George D. Behrakis Research Lab-Hellenic Cancer Society)
Gorini, Giuseppe (la Prevenzione e la Rete Oncologica (ISPRO))
López-Nicolás, Angel (Universidad Politécnica de Cartagena)
Soriano, Joan B. (Hospital Universitario La Princesa (IISP))
Geshanova, Gergana (Smoke-free Life Coalition)
Osman, Joseph (Office Français de santé et bien-être au Travail)
Mons, Ute (German Cancer Research Center (DKFZ))
Przewozniak, Krzysztof (Collegium Civitas)
Precioso, José (Universidade do Minho)
Brad, Ramona (Healthy Romania Generation 2035 Association)
López, Maria J. (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Fecha:	2020
Resumen:	Although smoking restrictions at child-related settings are progressively being adopted, school outdoor entrances are neglected in most smoke-free policies across Europe. To describe secondhand smoke (SHS) exposure and tobacco-related signs in outdoor entrances of primary schools in Europe according to area-level socioeconomic status (SES), smoke-free policy, national smoking prevalence, and geographical region. In this cross-sectional study we monitored vapor-phase nicotine concentrations at 220 school outdoor entrances in 11 European countries (March 2017-October 2018). To account for nicotine presence, we used the laboratory's limit of quantification of 0. 06 μg/m as point threshold. We also recorded the presence of smell of smoke, people smoking, cigarette butts, and ashtrays. Half of the schools were in deprived areas. We grouped countries according to their Tobacco Control Scale (TCS) score, smoking prevalence (2017-2018), and United Nations M49 geographical region. There were detectable levels of nicotine in 45. 9% of the outdoor entrances, in 29. 1% smell of smoke, in 43. 2% people smoking, in 75. 0% discarded butts, and in 14. 6% ashtrays. Median nicotine concentration was below the laboratory's limit of quantification <0. 06 μg/m (Interquartile range:<0. 06-0. 119). We found higher SHS levels in countries with lower TCS scores, higher national smoking prevalence, and in the Southern and Eastern European regions. People smoking were more common in schools from lower area-level SES and in countries with lower TCS scores (p<0. 05). Smoking at school outdoor entrances is a source of SHS exposure in Europe. These findings support the extension of smoking bans with a clear perimeter to the outdoor entrances of schools.
Ayudas:	Ministerio de Economía y Competitividad INT16/00211
Derechos:	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.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Child ; Educational center ; Smoke-free regulations ; Tobacco smoke pollution
Publicado en:	Science of the total environment, Vol. 743 (15 2020) , p. 140743, ISSN 1879-1026

DOI: 10.1016/j.scitotenv.2020.140743
PMID: 32758838

8 p, 517.0 KB

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