Measurement of airborne nicotine, as a marker of secondhand smoke exposure, in homes with residents who smoke in 9 European countries
Henderson, Elisabet (Agència de Salut Pública de Barcelona)
Rodriguez Guerrero, Luis A. (Agència de Salut Pública de Barcelona)
Continente, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Fernández, Esteve (Institut d'Investigació Biomèdica de Bellvitge)
Tigova, Olena (Institut d'Investigació Biomèdica de Bellvitge)
Cortés-Francisco, Nuria (Institut d'Investigació Biomèdica Sant Pau)
Semple, Sean (University of Stirling (UNISTIR))
Dobson, Ruaraidh (University of Stirling (UNISTIR))
Tzortzi, Anna (Hellenic Cancer Society - George D. Behrakis Research Lab (HCS))
Vyzikidou, Vergina Konstantina (Hellenic Cancer Society - George D. Behrakis Research Lab (HCS))
Gorini, Giuseppe (Istituto per lo Studio. la Prevenzione. e la Rete Oncologica (ISPRO))
Geshanova, Gergana (Smoke-free Life Coalition)
Mons, Ute (German Cancer Research Center (DKFZ))
Przewozniak, Krzysztof (Collegium Civitas)
Precioso, José (University of Minho)
Brad, Ramona (Healthy Romania Generation 2035 Association)
López, Maria J. (Agència de Salut Pública de Barcelona)
Castellano, Yolanda (Institut d'Investigació Biomèdica de Bellvitge)
Fu, Marcela (Institut d'Investigació Biomèdica de Bellvitge)
Ballbè, Montse (Institut d'Investigació Biomèdica de Bellvitge)
Amalia, Beladenta (Institut d'Investigació Biomèdica de Bellvitge)
López, Maria J. (Agència de Salut Pública de Barcelona)
Arechavala, Teresa (Agència de Salut Pública de Barcelona)
Gallus, Silvano (IRCCS Istituto Giannina Gaslini (Gènova, Itàlia))
Lugo, Alessandra (IRCCS Istituto Giannina Gaslini (Gènova, Itàlia))
Liu, Xiaoqiu (IRCCS Istituto Giannina Gaslini (Gènova, Itàlia))
Borroni, Elisa (IRCCS Istituto Giannina Gaslini (Gènova, Itàlia))
Colombo, Paolo (Istituto DOXA. Worldwide Independent Network/Gallup International Association)
O'Donnell, Rachel (University of Stirling (Escòcia))
Clancy, Luke (TobaccoFree Research Institute Ireland (TFRI))
Keogan, Sheila (TobaccoFree Research Institute Ireland (TFRI))
Byrne, Hannah (TobaccoFree Research Institute Ireland (TFRI))
Behrakis, Panagiotis (Hellenic Cancer Society - George D. Behrakis Research Lab (HCS))
Vardavas, Constantine (Hellenic Cancer Society - George D. Behrakis Research Lab (HCS))
Vyzikidou, Vergina Konstantina (Hellenic Cancer Society - George D. Behrakis Research Lab (HCS))
Bakelas, Gerasimos (Hellenic Cancer Society - George D. Behrakis Research Lab (HCS))
Mattiampa, George (Hellenic Cancer Society - George D. Behrakis Research Lab (HCS))
Boffi, Roberto (Fondazione IRCCS Istituto Nazionale dei Tumori)
Ruprecht, Ario Alberto (Fondazione IRCCS Istituto Nazionale dei Tumori)
De Marco, Cinzia (Fondazione IRCCS Istituto Nazionale dei Tumori)
Borgini, Alessandro (Fondazione IRCCS Istituto Nazionale dei Tumori)
Veronese, Chiara (Fondazione IRCCS Istituto Nazionale dei Tumori)
Bertoldi, Martina (Fondazione IRCCS Istituto Nazionale dei Tumori)
Tittarelli, Andrea (Fondazione IRCCS Istituto Nazionale dei Tumori)
Carreras, Giulia (Istituto per lo Studio. la Prevenzione. e la Rete Oncologica (ISPRO))
Cortini, Barbara (Istituto per lo Studio. la Prevenzione. e la Rete Oncologica (ISPRO))
Verdi, Simona (Istituto per lo Studio. la Prevenzione. e la Rete Oncologica (ISPRO))
Lachi, Alessio (Istituto per lo Studio. la Prevenzione. e la Rete Oncologica (ISPRO))
Chellini, Elisabetta (Istituto per lo Studio. la Prevenzione. e la Rete Oncologica (ISPRO))
Nicolás, Ángel López (Universidad Politécnica de Cartagena)
Trapero-Bertran, Marta (Universidad Politécnica de Cartagena)
Celdrán Guerrero, Daniel (Universidad Politécnica de Cartagena)
Radu-Loghin, Cornel (European Network on Smoking and Tobacco Prevention (ENSP))
Nguyen, Dominick (European Network on Smoking and Tobacco Prevention (ENSP))
Starchenko, Polina (European Network on Smoking and Tobacco Prevention (ENSP))
Soriano, Joan B.. (Hospital Universitario La Princesa (IISP))
Ancochea, Julio (Hospital Universitario La Princesa (IISP))
Alonso, Tamara (Hospital Universitario La Princesa (IISP))
Pastor, María Teresa (Hospital Universitario La Princesa (IISP))
Erro, Marta (Hospital Universitario La Princesa (IISP))
Roca, Ana (Hospital Universitario La Princesa (IISP))
Pérez, Patricia (Hospital Universitario La Princesa (IISP))
Castillo, Elena García (Hospital Universitario La Princesa (IISP))
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Smoke-free policies are effective in preventing secondhand smoke (SHS) exposure, but their adoption at home remains largely voluntary. This study aimed to quantify SHS exposure in homes with residents who smoke in Europe according to households' characteristics, tobacco consumption habits, and national contextual factors. Cross-sectional study (March 2017-September 2018) based on measurements of air nicotine inside 162 homes with residents who smoke from nine European countries. We installed passive samplers for seven consecutive days to monitor nicotine concentrations. Through self-administered questionnaires, we collected sociodemographic information and the number of individuals who smoke, smoking rules, frequency, location, and quantity of tobacco use in households. Country-level factors included the overall score in the Tobacco Control Scale 2016, the smoking prevalence, and self-reported SHS exposure prevalence. Nicotine concentrations were analyzed as continuous and dichotomous variables, categorized based on the limit of quantification of 0. 02 μg/m. Overall, median nicotine concentration was 0. 85 μg/m (interquartile range (IQR):0. 15-4. 42), and there was nicotine presence in 93% of homes. Participants reported that smoking was not permitted in approximately 20% of households, 40% had two or more residents who smoked, and in 79% residents had smoked inside during the week of sampling. We found higher nicotine concentrations in homes: with smell of tobacco smoke inside (1. 45 μg/m IQR: 0. 32-6. 34), where smoking was allowed (1. 60 μg/m IQR: 0. 68-7. 63), with two or more residents who smoked (2. 42 μg/m IQR: 0. 58-11. 0), with more than 40 cigarettes smoked (2. 92 μg/m IQR: 0. 97-10. 61), and where two or more residents smoked inside (4. 02 μg/m IQR: 1. 58-11. 74). Household nicotine concentrations were significantly higher in countries with higher national smoking prevalence and self-reported SHS exposure prevalence (p < 0. 05). SHS concentrations in homes with individuals who smoke were approximately twenty times higher in homes that allowed smoking compared to those reporting smoke-free household rules. Evidence-based interventions promoting smoke-free homes should be implemented in combination with strengthening other MPOWER measures.
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:	Airborne nicotine ; Home ; National-level factors ; Questionnaire ; Smoke-free policies ; Tobacco smoke pollution
Publicat a:	Environmental research, Vol. 219 (15 2023) , p. 115118, ISSN 1096-0953

DOI: 10.1016/j.envres.2022.115118
PMID: 36566961

10 p, 521.0 KB

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