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Implementation of smoke-free homes in Poland

100%

Kaleta D., Fronczak A., Usidame B., Dziankowska-Zaborszczyk E., Makowiec-Dąbrowska T., Wojtysiak P.

International Journal of Occupational Medicine and Environmental Health

2015

vol. 29

issue 1

137-148

Objectives Exposure to environmental tobacco smoke (ETS) constitutes a threat to the health of many people. In order to diminish ETS exposure, countries (including Poland) implemented legal restrictions of smoking in public places and worksites. Currently more attention is also paid to reduce overall and residential ETS exposure by voluntary smoke-free home policy adoption. The aim of current analysis was to evaluate the prevalence and determinants of implementing smoking bans at place of residence among economically active males and females in Poland. Material and Methods Data from cross-sectional, household study – Global Adult Tobacco Survey (GATS 2009–2010) were analyzed. The logistic regression model was applied for appropriate calculations. Results Out of 3696 studied subjects only 37.1% adopted total smoking ban within the home. Decreased likelihood of adopting total smoking bans was associated with current smoker status, low education attainment, lack of awareness on adverse health consequences of ETS, low level of support for tobacco control policies, and cohabitation with a smoker in both genders. Having smoke-free homes was also linked with age in women, place of residence and work smoking policy in indoor areas in men. Conclusions Targeted activities to encourage adopting voluntary smoke-free rules among groups least likely to implement 100% smoking bans in the home and activities to decrease social acceptance of smoking in the presence of nonsmokers, children, pregnant woman are urgently needed.

Residential exposure to environmental tobacco smoke, and its associates: Findings from the Global Adult Tobacco Survey in Poland

100%

Kaleta D., Wojtysiak P., Usidame B., Dziankowska-Zaborszczyk E., Fronczak A., Makowiec-Dąbrowska T.

International Journal of Occupational Medicine and Environmental Health

2015

vol. 28

issue 3

557-570

Objectives Expanding the information on exposure to environmental tobacco smoke (ETS) at home and its associates is of great public health importance. The aim of the current analysis was to evaluate associates of exposure to environmental tobacco smoke among economically active male and female adults in Poland in their place of residence. Material and Methods Data on the representative sample of 7840 adults from the Global Adult Tobacco Survey (GATS) carried out in Poland in the years 2009 and 2010 were applied. The Global Adult Tobacco Survey is a nationally representative household study. The logistic regression model was used for relevant calculations. Results The exposure to environmental tobacco smoke in the place of living affected 59% of studied subjects. Out of non-smokers 42% of males and 46% females were exposed to the ETS in the at home. Increased risk of residential ETS exposure was associated with low education attainment, lack of awareness on adverse health consequences of second hand smoke (SHS), low level of support for tobacco control policies, living with a smoker. One of the factors associated with the ETS exposure was also the approval for smoking at home of both genders. The residential ETS exposure risk was the highest among males (odds ratio (OR) = 7.1, 95% confidence interval (CI): 6.1–13.8, p < 0.001) and females (OR = 8.1, 95% CI 6.5–11.8, p < 0.001) who declared that smoking was allowed in their place of residence compared to respondents who implemented smoking bans at their place of residence. Conclusions Campaigns to decrease social acceptance of smoking and encourage adopting voluntary smoke-free rules at home might decrease the ETS exposure and reduce related risks to the health of the Polish population. Educational interventions to warn about adverse health effects of the ETS should be broadly implemented particularly in high risk subpopulations.

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2 International Journal of Occupational Medicine and Environmental Health

2 Dziankowska-Zaborszczyk E.

2 Fronczak A.

2 Kaleta D.

2 Makowiec-Dąbrowska T.

2 Usidame B.

2 Wojtysiak P.

2 2015

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Implementation of smoke-free homes in Poland

Residential exposure to environmental tobacco smoke, and its associates: Findings from the Global Adult Tobacco Survey in Poland