Support to smoking regulation in private vehicles and public outdoor spaces
e201907056
Keywords:
Private vehicles, Public outdoor spaces, Smoking regulation, Second-Hand SmokeAbstract
Background: To know the support of tobacco regulation is a very important issue to advance in the tobacco control policies and reduce the passive exposure to tobacco. The aim of this study was to describe the attitudes towards forbidding smoking in private vehicles and public outdoor spaces.
Methods: This is a cross-sectional study of a representative sample (n=736) of the adult population (24+ years old) from Barcelona, Spain in 2013-2014. We calculated the percentages of individuals who had a favourable attitude towards smoking regulation in private vehicles and public outdoor spaces, their adjusted Odds ratios (aOR) and their 95% confidence intervals (95%CI) according to sex, age, educational level and smoking status through logistic regression. We used weighted data for all analyses in order to keep the representativeness of the population of Barcelona in 2013-2014.
Results: 61.7% of participants supported forbidding smoking in private vehicles and 89.5% supported forbidding it only in the presence of minors. The support to smoking regulation in public outdoor spaces varied from 42.5% to 84.7% in different settings. Smokers showed a less favourable attitude towards an extension of the smoking regulation to other settings: outdoor areas of university centres, outdoor areas of shopping centres and beaches and outdoor pools.
Conclusions: A wide support exists to extend the smoking regulation to private vehicles, especially in the presence of children, and public outdoor spaces. This wide support could favour the extension of smoking regulation to these places to improve the population’s health and to contribute to denormalise tobacco use among the population.
Downloads
References
Gobierno de España. Ley 42/2010 , de 30 de diciembre , por la que se modifica la Ley 28/2005 , de 26 de diciembre , de medidas sanitarias frente al tabaquismo y reguladora de la venta , el suministro , el consumo y la publicidad de los productos del tabaco. Bol. Of. del Estado (2010).
Martínez-Sánchez, J. M. et al. Do smoke-free policies in work and public places increase smoking in private venues? Tob. Control 23, 204–207 (2014).
Lidón-Moyano, C. et al. Impact of the Spanish smoking legislations in the adoption of smoke-free rules at home: a longitudinal study in Barcelona (Spain). Tob. Control 26, 557 LP-562 (2017).
Lletjós, P. et al. Asociación entre el humo ambiental de tabaco y el estado de salud en la población infantil. Gac. Sanit. (2018). doi:10.1016/J.GACETA.2018.10.006.
Curto, A., Martínez-Sánchez, J. M. & Fernández, E. Tobacco consumption and secondhand smoke exposure in vehicles: a cross-sectional study. BMJ Open 1, e000418 (2011).
Grupo de Trabajo sobre Tabaquismo de la Sociedad Española de Epidemiología. Evaluación de las políticas de control del tabaquismo en España (Leyes 28/2005 y 42/2010) Revisión de la evidencia. (2017).
Northcross, A. L. et al. Particulate mass and polycyclic aromatic hydrocarbons exposure from secondhand smoke in the back seat of a vehicle. Tob. Control 23, 14–20 (2014).
Díez-Izquierdo, A. et al. Smoke-free homes and attitudes towards banning smoking in vehicles carrying children in Spain (2016). Environ. Res. 158, 590–597 (2017).
Montreuil, A. et al. Social disparities in children’s exposure to secondhand smoke in privately owned vehicles. Tob. Control 26, 663–668 (2017).
Bartholomew, K. S. Policy options to promote smokefree environments for children and adolescents. Curr. Probl. Pediatr. Adolesc. Health Care 45, 146–181 (2015).
Joossens, L. & Raw, M. The Tobacco Control Scale 2016 in Europe. (2017). Available at: www.tobaccocontrolscale.org. (Accessed: 21st January 2019)
Sureda, X. et al. Secondhand smoke in outdoor settings: Smokers’ consumption, non-smokers’ perceptions, and attitudes towards smoke-free legislation in Spain. BMJ Open 5, 1–9 (2015).
U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 709. (2006). doi:10.1088/0953-8984/27/15/154205.
Cheng, K. W., Okechukwu, C. A., McMillen, R. & Glantz, S. A. Association between clean indoor air laws and voluntary smokefree rules in homes and cars. Tob. Control 24, 168–174 (2015).
Martínez-Sánchez, J. M. et al. Smoking Behaviour, Involuntary Smoking, Attitudes towards Smoke-Free Legislations, and Tobacco Control Activities in the European Union. PLoS One 5, (2010).
Lidón-Moyano, C. et al. Impact of the Spanish smoking laws on tobacco consumption and secondhand smoke exposure: A longitudinal population study. Addict. Behav. 75, 30–35 (2017).
Fu, M. et al. Stages of change, smoking characteristics, and cotinine concentrations in smokers: Setting priorities for smoking cessation. Prev. Med. (Baltim). 52, 139–145 (2011).
Martínez-Sánchez, J. M. et al. Smoking while driving and public support for car smoking bans in Italy. Tob. Control 23, 238–243 (2014).
Ayo-Yusuf, O. A., Olufajo, O. & Agaku, I. T. Exposure to secondhand smoke and voluntary adoption of smoke-free home and car rules among non-smoking South African adults. BMC Public Health 14, 1–8 (2014).
Raoof, S. A., Agaku, I. T. & Vardavas, C. I. A systematic review of secondhand smoke exposure in a car: Attributable changes in atmospheric and biological markers. Chron. Respir. Dis. 12, 120–131 (2015).
Roberts, C., Wagler, G. & Carr, M. M. Environmental Tobacco Smoke: Public Perception of Risks of Exposing Children to Second- and Third-Hand Tobacco Smoke. J. Pediatr. Heal. Care 31, e7–e13 (2017).
Lidón-Moyano, C. et al. Secondhand smoke risk perception and smoke-free rules in homes: a cross-sectional study in Barcelona (Spain). BMJ Open 7, e014207 (2017).
Martínez, C., Méndez, C., Sánchez, M. & Martínez-Sánchez, J. M. Actitudes de los estudiantes de una universidad de ciencias de la salud sobre la extensión de las políticas de espacios sin humo en los campus universitarios de Barcelona (España). Gac. Sanit. 31, 132–138 (2017).
Kungskulniti, N., Charoenca, N., Mock, J. & Hamann, S. L. Secondhand smoke point-source exposures assessed by particulate matter at two popular public beaches in Thailand. J. Public Health (Oxf). 40, 527–532 (2018).
Asensio-Montesinos, F., Anfuso, G. & Williams, A. T. Beach litter distribution along the western Mediterranean coast of Spain. Mar. Pollut. Bull. 141, 119–126 (2019).
CIS. Barómetro sanitario 2014. (2014). Available at: http://www.cis.es/cis/export/sites/default/-Archivos/Marginales/Globales/8814/es8814mar.pdf. (Accessed: 15th July 2019).
Moore, G. F. et al. Prevalence of smoking restrictions and child exposure to secondhand smoke in cars and homes: A repeated crosssectional survey of children aged 10-11 years in Wales. BMJ Open 5, (2015).
Sacks, J. J. & Nelson, D. E. Smoking and Injuries: An Overview. Prev. Med. (Baltim). 23, 515–520 (1994).
Wen, C. P. et al. Excess injury mortality among smokers: a neglected tobacco hazard. Tob. Control 14, i28 LP-i32 (2005).
Granados, J. M. B. et al. Smoking and nonfatal traffic accidents. Aten Primaria 31, 349–355 (2003).
Brison, R. J. Risk of automobile accidents in cigarette smokers. in CLINICAL AND INVESTIGATIVE MEDICINE-MEDECINE CLINIQUE ET EXPERIMENTALE 10, B78–B78 (CANADIAN MEDICAL ASSOCIATION 1867 ALTA VISTA DR, OTTAWA ON K1G 3Y6, CANADA, 1987).
Prat, F., Planes, M., Gras, M. E. & Sullman, M. J. M. An observational study of driving distractions on urban roads in Spain. Accid. Anal. Prev. 74, 8–16 (2015).
Huemer, A. K., Schumacher, M., Mennecke, M. & Vollrath, M. Systematic review of observational studies on secondary task engagement while driving. Accid. Anal. Prev. 119, 225–236 (2018).
Gallus, S. et al. Attitudes towards the extension of smoking restrictions to selected outdoor areas in Italy. Tob. Control 21, 59–62 (2011).
Gobierno Vasco. Boletín Oficial del País Vasco. (2016). Available at: https://www.euskadi.eus/y22-bopv/es/bopv2/datos/2016/04/1601527a.shtml. (Accessed: 14th July 2019).
de Granda-Orive, J. I., Jiménez-Ruiz, C. A. & Solano-Reina, S. Posicionamiento de la Organización Mundial de la Salud. Impacto del tabaco en el medio ambiente: cultivo, curado, manufactura, transporte y tabaquismo de tercera y cuarta mano. Arch. Bronconeumol. 54, 357–358 (2018).
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2019 Àurea Cartanyà-Hueso, Cristina Lidón-Moyano, Marcela Fu, Montse Ballbè, Juan Carlos Martín-Sánchez, Adrián González-Marrón, Nuria Matilla-Santander, Jose M. Martínez-Sánchez

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.








![¿Cómo evaluar para la RESP? [PARA REVISORES]](https://ojs.sanidad.gob.es/public/site/images/rmartinb/pastilla-revisores-0eaa113abcbc4fc554c7c6c7840ca4c6.jpg)
![¿Cómo recibir avisos sobre nuevos artículos de la RESP? [PARA LECTORES]](https://ojs.sanidad.gob.es/public/site/images/rmartinb/pastilla-lectores-aa689338e95aab07df45b4b0d583188f.jpg)

