Secondhand smoke in outdoor settings : Smokers' consumption, non-smokers' perceptions, and attitudes towards smoke-free legislation in Spain
Sureda, Xisca (Institut d'Investigació Biomèdica de Bellvitge)
Fernández, Esteve (Institut d'Investigació Biomèdica de Bellvitge)
Martínez-Sánchez, José M. (Institut d'Investigació Biomèdica de Bellvitge)
Fu, Marcela (Institut d'Investigació Biomèdica de Bellvitge)
López, María J. (Institut d'Investigació Biomèdica Sant Pau)
Martínez, Cristina (Institut d'Investigació Biomèdica de Bellvitge)
Saltó, Esteve (Institut d'Investigació Biomèdica de Bellvitge)
Universitat Autònoma de Barcelona

Date:	2015
Abstract:	Objective: To describe where smokers smoke outdoors, where non-smokers are exposed outdoors to secondhand smoke (SHS), and attitudes towards smoke-free outdoor areas after the implementation of national smoke-free legislation. Design: This cross-sectional study was conducted between June 2011 and March 2012 (n=1307 participants). Setting: Barcelona, Spain. Participants: Representative, random sample of the adult (≥16 years) population. Primary and secondary outcomes: Proportion of smoking and prevalence of exposure to SHS in the various settings according to type of enclosure. Percentages of support for outdoor smoke-free policies according to smoking status. Results: Smokers reported smoking outdoors most in bars and restaurants (54. 8%), followed by outdoor places at work (46. 8%). According to non-smokers, outdoor SHS exposure was highest at home (42. 5%) and in bars and restaurants (33. 5%). Among non-smoking adult students, 90% claimed exposure to SHS on university campuses. There was great support for banning smoking in the majority of outdoor areas, which was stronger among non-smokers than smokers. Over 70% of participants supported smoke-free playgrounds, school and high school courtyards, and the grounds of healthcare centres. Conclusions: Extending smoking bans to selected outdoor settings should be considered in further tobacco control interventions to protect non-smokers from SHS exposure and to establish a positive model for youth. The majority of public support for some outdoor smoke-free areas suggests that it is feasible to extend smoking bans to additional outdoor settings.
Grants:	Generalitat de Catalunya 2009SGR192 Ministerio de Economía y Competitividad RD12/0036/0053 Ministerio de Sanidad y Consumo RD06/0020/0089
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Attitude to Health ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Public Opinion ; Self Report ; Smoke-Free Policy ; Smoking ; Spain ; Tobacco Smoke Pollution ; Young Adult
Published in:	BMJ open, Vol. 5 Núm. 4 (2015) , p. e007554, ISSN 2044-6055

DOI: 10.1136/bmjopen-2014-007554
PMID: 25854974

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
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