Secondhand smoke exposure in bars and restaurants in Guatemala City: before and after smoking ban evaluation

Barnoya, Joaquín; Arvizu, Mariel; Jones, Miranda R.; Hernández, Juan Carlos; Breysse, Patrick N.; Navas‐Acien, Ana

doi:10.1007/s10552-010-9673-8

Cited by 25 publications

(24 citation statements)

References 19 publications

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“…The results from this study are consistent with other research showing that comprehensive smoke-free policies are more effective in reducing SHS exposure than weaker policies that allow for exceptions, whether exposure is based on self-report (Borland et al 2006; Haw and Gruer 2007; Thrasher et al 2010a), air monitoring methods (Navas-Acien et al 2004; Connolly et al 2009; Blanco-Marquizo et al 2010; Callinan et al 2010; Erazo et al 2010; Schoj et al 2010; Semple et al 2010; Barnoya et al 2011; Gotz et al 2011; Nafees et al 2011; López et al 2012) or interviews with key informants (WHO 2009). In our study, this pattern was most evident for restaurants, where reported SHS exposure was generally stable and low across Uruguay (6–9%) and in Mexico City (5–7%), where comprehensive policies were implemented.…”

Section: Discussionsupporting

confidence: 89%

Tobacco smoke exposure in public places and workplaces after smoke-free policy implementation: a longitudinal analysis of smoker cohorts in Mexico and Uruguay

Thrasher

Abad-Vivero

Sebrié

et al. 2012

Health Policy and Planning

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Objective: To determine the prevalence, correlates and changes in secondhand smoke (SHS) exposure over the period after comprehensive smoke-free policy implementation in two Latin American countries.Methods: Data were analysed from population-based representative samples of adult smokers and recent quitters from the 2008 and 2010 waves of the International Tobacco Control Policy Evaluation Survey in Mexico (n = 1766 and 1840, respectively) and Uruguay (n = 1379 and 1411, respectively). Prevalence of SHS exposure was estimated for regulated venues, and generalized estimating equations were used to determine correlates of SHS exposure.Results: Workplace SHS exposure in the last month was similar within and across countries (range: Mexico 20–25%; Uruguay 14–29%). At the most recent restaurant visit, SHS exposure was lower where comprehensive smoke-free policies were implemented (range: Uruguay 6–9%; Mexico City 5–7%) compared with Mexican cities with weaker policies, where exposure remained higher but decreased over time (32–17%). At the most recent bar visit, SHS exposure was common (range: Uruguay 8–36%; Mexico City 23–31%), although highest in jurisdictions with weaker policies (range in other Mexican cities: 74–86%). In Uruguay, males were more likely than females to be exposed to SHS across venues, as were younger compared with older smokers in Mexico.Conclusions: Comprehensive smoke-free policies are more effective than weaker policies, although compliance in Mexico and Uruguay is not as high as desired.

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Section: Discussionsupporting

confidence: 89%

Tobacco smoke exposure in public places and workplaces after smoke-free policy implementation: a longitudinal analysis of smoker cohorts in Mexico and Uruguay

Thrasher

Abad-Vivero

Sebrié

et al. 2012

Health Policy and Planning

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“…The dramatic benefits for heart disease and lung cancer burden due to SHS, coupled with the lack of any economic impact on the hospitality industry, have also contributed to the rapid spread of this policy. In Guatemala and Uruguay, smoke-free policies represent a clear example of knowledge translation and evidence-based policymaking in which researchers, tobacco control advocates and policymakers have all worked together to move the issue forward 30 42 43…”

Section: The Presentmentioning

confidence: 99%

Smoke-free air policies: past, present and future

2012

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Smoke-free policies have been an important tobacco control intervention. As recently as 20 years ago, few communities required workplaces and hospitality venues to be smoke-free, but today approximately 11% of the world's population live in countries with laws that require these places to be smoke-free. This paper briefly summarises important milestones in the history of indoor smoke-free policies, the role of scientific research in facilitating their adoption, a framework for smoke-free policy evaluation and industry efforts to undermine regulations. At present, smoke-free policies centre on workplaces, restaurants and pubs. In addition, many jurisdictions are now beginning to implement policies in outdoor areas and in shared multiunit housing settings. The future of smoke-free policy development depends on credible scientific data that documents the health risks of secondhand smoke exposure. Over the next 20 years smoke-free policies will very likely extend to outdoor and private areas, and changes in the types of tobacco products that are consumed may also have implications for the nature and scope of the smoke-free policies of the future.

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“…Given the costs we would not recommend a government-funded smoking cessation medication programme in Guatemala, as it would be more reasonable to focus the limited resources on more cost-effective population-based strategies. As of May 2011, the government has taken only one step in the right direction, a comprehensive smoke-free law 23. Other population-based strategies that have been shown to increase quit attempts and success rates could be implemented (eg, a tobacco quitline, behavioural counselling, taxation).…”

Section: Discussionmentioning

confidence: 99%

Smoking cessation medications and cigarettes in Guatemala pharmacies

et al. 2011

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Secondhand smoke exposure in bars and restaurants in Guatemala City: before and after smoking ban evaluation

Abstract: Six months after the implementation of a smoke-free law in Guatemala, nicotine levels were significantly decreased in bars and restaurants and workers' support for the law substantially increased.

Cited by 25 publications

References 19 publications

Tobacco smoke exposure in public places and workplaces after smoke-free policy implementation: a longitudinal analysis of smoker cohorts in Mexico and Uruguay

Tobacco smoke exposure in public places and workplaces after smoke-free policy implementation: a longitudinal analysis of smoker cohorts in Mexico and Uruguay

Smoke-free air policies: past, present and future

Smoking cessation medications and cigarettes in Guatemala pharmacies

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