Passive smoking and adults: new evidence for adverse effects.

Leaderer, Brian P.; Samet, Jonathan M.

doi:10.1164/ajrccm.150.5.7952542

Cited by 11 publications

(5 citation statements)

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“…7 By contrast, the more immediate impact of ETS exposure on adult respiratory health has received less attention. 8 Although household ETS exposure is a known cause of respiratory symp-toms in children, 2,9 studies examining the effect of ETS on adult respiratory symptoms have yielded conflicting results. 2,[10][11][12][13][14][15][16][17][18] While most epidemiologic studies have focused on household ETS, 1,2,11,19 the workplace is now recognized as a major site of exposure.…”

mentioning

confidence: 99%

Bartenders' Respiratory Health After Establishment of Smoke-Free Bars and Taverns

Eisner

Smith²,

Blanc³

1998

JAMA

297

205

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Context.-The association between environmental tobacco smoke (ETS) exposure and respiratory symptoms has not been well established in adults. Objective.-To study the respiratory health of bartenders before and after legislative prohibition of smoking in all bars and taverns by the state of California. Design.-Cohort of bartenders interviewed before and after smoking prohibition. Setting and Participants.-Bartenders at a random sample of bars and taverns in San Francisco. Main Outcome Measures.-Interviews assessed respiratory symptoms, sensory irritation symptoms, ETS exposure, personal smoking, and recent upper respiratory tract infections. Spirometric assessment included forced expiratory volume in 1 second (FEV 1) and forced vital capacity (FVC) measurements. Results.-Fifty-three of 67 eligible bartenders were interviewed. At baseline, all 53 bartenders reported workplace ETS exposure. After the smoking ban, selfreported ETS exposure at work declined from a median of 28 to 2 hours per week (PϽ.001). Thirty-nine bartenders (74%) initially reported respiratory symptoms. Of those symptomatic at baseline, 23 (59%) no longer had symptoms at follow-up (PϽ.001). Forty-one bartenders (77%) initially reported sensory irritation symptoms. At follow-up, 32 (78%) of these subjects had resolution of symptoms (PϽ.001). After prohibition of workplace smoking, we observed improvement in mean FVC (0.189 L; 95% confidence interval [CI], 0.082-0.296 L; 4.2% change) and, to a lesser extent, mean FEV 1 (0.039 L; 95% CI, −0.030 to 0.107 L; 1.2% change). Complete cessation of workplace ETS exposure (compared with continued exposure) was associated with improved mean FVC (0.287 L; 95% CI, 0.088-0.486; 6.8% change) and mean FEV 1 (0.142 L; 95% CI, 0.020-0.264 L; 4.5% change), after controlling for personal smoking and recent upper respiratory tract infections. Conclusion.-Establishment of smoke-free bars and taverns was associated with a rapid improvement of respiratory health.

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confidence: 99%

Bartenders' Respiratory Health After Establishment of Smoke-Free Bars and Taverns

Eisner

Smith²,

Blanc³

1998

JAMA

297

205

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“…4 Because of the time spent at the workplace and in the residential setting, these environments are considered to be the most important places of involuntary tobacco smoke exposure. 5 Especially for those without exposure to tobacco smoke in the home environment, the workplace is the major contributor to passive smoke exposure. 6 While data on the association between passive smoke exposure during childhood and respiratory health are consistent, [7][8][9][10][11] the evidence for the development and exacerbation of asthma and chronic bronchitis by chronic exposure to ETS in adults is limited and inconclusive.…”

mentioning

confidence: 99%

“…6 While data on the association between passive smoke exposure during childhood and respiratory health are consistent, [7][8][9][10][11] the evidence for the development and exacerbation of asthma and chronic bronchitis by chronic exposure to ETS in adults is limited and inconclusive. 2,[12][13][14][15][16][17][18] Although epidemiologic studies 2,5,15,16,19,20 on the association between exposure to passive smoke and asthma support the hypothesis that ETS exposure may increase the risk of asthma in adults, the results of controlled exposure studies 12,21,22 among asthmatic patients were inconsistent.…”

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confidence: 99%

Passive Smoking Exposure

Radon

Büsching

Heinrich

et al. 2002

Chest

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“…Im internationalen Vergleich lag Deutschland bezüglich der Passivrauchexposition im beruflichen Bereich von 38 Zentren auf Platz 13 (Hamburg) und 17 (Erfurt) (16). Der Arbeitsplatz ist gleichzeitig auch meist der Ort mit der höchsten Exposition, da hier mehr Raucher pro Raum zu finden sind und die Aufenthaltsdauer meist länger ist als an anderen Orten (24). Neben dem häuslichen und beruflichen Bereich spielt die Exposition in Bars und Restaurants oder Verkehrsmitteln eine untergeordnete Rolle.…”

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Passivrauchen - aktueller Stand des Wissens

2004

Dtsch med Wochenschr

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Among all indoor pollutants, environmental tobacco smoke (ETS) might be the most important. In population-based studies 30 to 60 % of the participants reported regular exposure to ETS. ETS has been classified as carcinogenic by several national and international agencies. In 2002, a paragraph on restriction of smoking at the workplace has been added to the German Workplaces Ordinance. International meta-analyses have been published on the potential health effects of ETS exposure. In these studies, the pooled relative risk (RR) for lung cancer has been estimated between 1.1 and 1.3. The pooled risk estimate for coronary heart disease (CHD) was slightly higher (1.25 - 1.35). The RR in the group with the highest exposure might be as high as 2. An increased risk has also be shown consistently for respiratory symptoms, asthma, and COPD. Because of the high incidence of CHD the public health impact of ETS exposure on CHD might be higher than the impact due to additional lung cancer cases.

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Passive smoking and adults: new evidence for adverse effects.

Cited by 11 publications

References 0 publications

Bartenders' Respiratory Health After Establishment of Smoke-Free Bars and Taverns

Bartenders' Respiratory Health After Establishment of Smoke-Free Bars and Taverns

Passive Smoking Exposure

Passivrauchen - aktueller Stand des Wissens

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