Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries

Introduction: Tobacco presence in outdoor children's playgrounds is concerning not only because it leads to secondhand smoke (SHS) exposure, but also cigarette butt pollution and tobacco normalization. Objectives: This study aimed to assess SHS exposure in children's playgrounds, according...

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Autores: Henderson, Elisabet|||0000-0002-4114-943X, Continente, Xavier|||0000-0003-4888-2754, Fernández, Esteve|||0000-0003-4239-723X, Tigova, Olena|||0000-0002-4002-116X, Cortés-Francisco, Nuria|||0000-0002-1627-9718, Gallus, Silvano|||0000-0002-8967-0400, Lugo, Alessandra|||0000-0002-4297-6496, Semple, Sean|||0000-0002-0462-7295, O'Donnell, Rachel|||0000-0003-2713-1847, Clancy, Luke|||0000-0003-2407-2263, Keogan, Sheila, Ruprecht, Ario Alberto, Borgini, Alessandro|||0000-0002-5167-4297, Tzortzi, Anna S.|||0000-0003-2420-7922, Vyzikidou, Vergina Konstantina, Gorini, Giuseppe|||0000-0002-1413-5948, López-Nicolás, Ángel|||0000-0003-3112-7779, Soriano, Joan B.|||0000-0001-9740-2994, Geshanova, Gergana, Osman, Joseph, Mons, Ute|||0000-0003-1764-6783, Przewozniak, Krzysztof, Precioso, José|||0000-0002-7889-8290, Brad, Ramona, López Medina, María José|||0000-0003-4402-2239
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:269896
Acceso en línea:https://ddd.uab.cat/record/269896
https://dx.doi.org/urn:doi:10.1016/j.envint.2020.105775
Access Level:acceso abierto
Palabra clave:Tobacco smoke pollution
Child
Playground
Socioeconomic status
Smoke-free regulations
id ES_78aebbf9ea5f2f0d2edbaa07cc6906b9
oai_identifier_str oai:ddd.uab.cat:269896
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries
title Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries
spellingShingle Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries
Henderson, Elisabet|||0000-0002-4114-943X
Tobacco smoke pollution
Child
Playground
Socioeconomic status
Smoke-free regulations
title_short Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries
title_full Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries
title_fullStr Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries
title_full_unstemmed Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries
title_sort Secondhand smoke exposure in outdoor children's playgrounds in 11 European countries
dc.creator.none.fl_str_mv Henderson, Elisabet|||0000-0002-4114-943X
Continente, Xavier|||0000-0003-4888-2754
Fernández, Esteve|||0000-0003-4239-723X
Tigova, Olena|||0000-0002-4002-116X
Cortés-Francisco, Nuria|||0000-0002-1627-9718
Gallus, Silvano|||0000-0002-8967-0400
Lugo, Alessandra|||0000-0002-4297-6496
Semple, Sean|||0000-0002-0462-7295
O'Donnell, Rachel|||0000-0003-2713-1847
Clancy, Luke|||0000-0003-2407-2263
Keogan, Sheila
Ruprecht, Ario Alberto
Borgini, Alessandro|||0000-0002-5167-4297
Tzortzi, Anna S.|||0000-0003-2420-7922
Vyzikidou, Vergina Konstantina
Gorini, Giuseppe|||0000-0002-1413-5948
López-Nicolás, Ángel|||0000-0003-3112-7779
Soriano, Joan B.|||0000-0001-9740-2994
Geshanova, Gergana
Osman, Joseph
Mons, Ute|||0000-0003-1764-6783
Przewozniak, Krzysztof
Precioso, José|||0000-0002-7889-8290
Brad, Ramona
López Medina, María José|||0000-0003-4402-2239
author Henderson, Elisabet|||0000-0002-4114-943X
author_facet Henderson, Elisabet|||0000-0002-4114-943X
Continente, Xavier|||0000-0003-4888-2754
Fernández, Esteve|||0000-0003-4239-723X
Tigova, Olena|||0000-0002-4002-116X
Cortés-Francisco, Nuria|||0000-0002-1627-9718
Gallus, Silvano|||0000-0002-8967-0400
Lugo, Alessandra|||0000-0002-4297-6496
Semple, Sean|||0000-0002-0462-7295
O'Donnell, Rachel|||0000-0003-2713-1847
Clancy, Luke|||0000-0003-2407-2263
Keogan, Sheila
Ruprecht, Ario Alberto
Borgini, Alessandro|||0000-0002-5167-4297
Tzortzi, Anna S.|||0000-0003-2420-7922
Vyzikidou, Vergina Konstantina
Gorini, Giuseppe|||0000-0002-1413-5948
López-Nicolás, Ángel|||0000-0003-3112-7779
Soriano, Joan B.|||0000-0001-9740-2994
Geshanova, Gergana
Osman, Joseph
Mons, Ute|||0000-0003-1764-6783
Przewozniak, Krzysztof
Precioso, José|||0000-0002-7889-8290
Brad, Ramona
López Medina, María José|||0000-0003-4402-2239
author_role author
author2 Continente, Xavier|||0000-0003-4888-2754
Fernández, Esteve|||0000-0003-4239-723X
Tigova, Olena|||0000-0002-4002-116X
Cortés-Francisco, Nuria|||0000-0002-1627-9718
Gallus, Silvano|||0000-0002-8967-0400
Lugo, Alessandra|||0000-0002-4297-6496
Semple, Sean|||0000-0002-0462-7295
O'Donnell, Rachel|||0000-0003-2713-1847
Clancy, Luke|||0000-0003-2407-2263
Keogan, Sheila
Ruprecht, Ario Alberto
Borgini, Alessandro|||0000-0002-5167-4297
Tzortzi, Anna S.|||0000-0003-2420-7922
Vyzikidou, Vergina Konstantina
Gorini, Giuseppe|||0000-0002-1413-5948
López-Nicolás, Ángel|||0000-0003-3112-7779
Soriano, Joan B.|||0000-0001-9740-2994
Geshanova, Gergana
Osman, Joseph
Mons, Ute|||0000-0003-1764-6783
Przewozniak, Krzysztof
Precioso, José|||0000-0002-7889-8290
Brad, Ramona
López Medina, María José|||0000-0003-4402-2239
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Tobacco smoke pollution
Child
Playground
Socioeconomic status
Smoke-free regulations
topic Tobacco smoke pollution
Child
Playground
Socioeconomic status
Smoke-free regulations
description Introduction: Tobacco presence in outdoor children's playgrounds is concerning not only because it leads to secondhand smoke (SHS) exposure, but also cigarette butt pollution and tobacco normalization. Objectives: This study aimed to assess SHS exposure in children's playgrounds, according to area-level socioeconomic status (SES), smoke-free regulations, national smoking prevalence, and SHS exposure prevalence in playgrounds (2017-2018). Methods: We monitored vapor-phase nicotine concentration and tobacco-related variables in 20 different playgrounds in 11 European countries (n = 220 measurements) from March 2017 to April 2018. Playgrounds were selected according to area-level SES. Data on the number of people smoking, and cigarette butts inside the playground and on playground surroundings (<1 m away) were recorded. Playground smoking bans, the Tobacco Control Scale (TCS) score, national smoking prevalence and SHS exposure prevalence in playgrounds were used to group countries. To determine nicotine presence, we dichotomized concentrations using the limit of quantification as a cut-off point (0.06 μg/m). Nicotine median concentrations were compared using non-parametric tests, and nicotine presence and tobacco-related observational variables using the Chi-squared test. Results: Airborne nicotine presence was found in 40.6% of the playgrounds. Median nicotine concentration was <0.06 μg/m (Interquartile range: <0.06-0.125) and higher median concentrations were found in more deprived neighborhoods, non-regulated playgrounds, in countries with lower overall TCS scores, higher national smoking prevalence and higher SHS exposure prevalence in playgrounds. Overall, people were smoking in 19.6% of the playgrounds. More than half of playgrounds had cigarette butts visible inside (56.6%) and in the immediate vicinity (74.4%). Presence of butts inside playgrounds was higher in sites from a low area-level SES, in countries with low TCS scores, and greater smoking prevalence and SHS exposure prevalence (p<0.05). Conclusions: There is evidence of SHS exposure in children's playgrounds across Europe. These findings confirm the need for smoking bans in playgrounds and better enforcement in those countries with smoking bans in playgrounds.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/269896
https://dx.doi.org/urn:doi:10.1016/j.envint.2020.105775
url https://ddd.uab.cat/record/269896
https://dx.doi.org/urn:doi:10.1016/j.envint.2020.105775
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2017/SGR-1526
Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2017/SGR-319
European Commission https://doi.org/10.13039/501100000780 681040
Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 INT16/00211
Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 INT17/00103
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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spelling Secondhand smoke exposure in outdoor children's playgrounds in 11 European countriesHenderson, Elisabet|||0000-0002-4114-943XContinente, Xavier|||0000-0003-4888-2754Fernández, Esteve|||0000-0003-4239-723XTigova, Olena|||0000-0002-4002-116XCortés-Francisco, Nuria|||0000-0002-1627-9718Gallus, Silvano|||0000-0002-8967-0400Lugo, Alessandra|||0000-0002-4297-6496Semple, Sean|||0000-0002-0462-7295O'Donnell, Rachel|||0000-0003-2713-1847Clancy, Luke|||0000-0003-2407-2263Keogan, SheilaRuprecht, Ario AlbertoBorgini, Alessandro|||0000-0002-5167-4297Tzortzi, Anna S.|||0000-0003-2420-7922Vyzikidou, Vergina KonstantinaGorini, Giuseppe|||0000-0002-1413-5948López-Nicolás, Ángel|||0000-0003-3112-7779Soriano, Joan B.|||0000-0001-9740-2994Geshanova, GerganaOsman, JosephMons, Ute|||0000-0003-1764-6783Przewozniak, KrzysztofPrecioso, José|||0000-0002-7889-8290Brad, RamonaLópez Medina, María José|||0000-0003-4402-2239Tobacco smoke pollutionChildPlaygroundSocioeconomic statusSmoke-free regulationsIntroduction: Tobacco presence in outdoor children's playgrounds is concerning not only because it leads to secondhand smoke (SHS) exposure, but also cigarette butt pollution and tobacco normalization. Objectives: This study aimed to assess SHS exposure in children's playgrounds, according to area-level socioeconomic status (SES), smoke-free regulations, national smoking prevalence, and SHS exposure prevalence in playgrounds (2017-2018). Methods: We monitored vapor-phase nicotine concentration and tobacco-related variables in 20 different playgrounds in 11 European countries (n = 220 measurements) from March 2017 to April 2018. Playgrounds were selected according to area-level SES. Data on the number of people smoking, and cigarette butts inside the playground and on playground surroundings (<1 m away) were recorded. Playground smoking bans, the Tobacco Control Scale (TCS) score, national smoking prevalence and SHS exposure prevalence in playgrounds were used to group countries. To determine nicotine presence, we dichotomized concentrations using the limit of quantification as a cut-off point (0.06 μg/m). Nicotine median concentrations were compared using non-parametric tests, and nicotine presence and tobacco-related observational variables using the Chi-squared test. Results: Airborne nicotine presence was found in 40.6% of the playgrounds. Median nicotine concentration was <0.06 μg/m (Interquartile range: <0.06-0.125) and higher median concentrations were found in more deprived neighborhoods, non-regulated playgrounds, in countries with lower overall TCS scores, higher national smoking prevalence and higher SHS exposure prevalence in playgrounds. Overall, people were smoking in 19.6% of the playgrounds. More than half of playgrounds had cigarette butts visible inside (56.6%) and in the immediate vicinity (74.4%). Presence of butts inside playgrounds was higher in sites from a low area-level SES, in countries with low TCS scores, and greater smoking prevalence and SHS exposure prevalence (p<0.05). Conclusions: There is evidence of SHS exposure in children's playgrounds across Europe. These findings confirm the need for smoking bans in playgrounds and better enforcement in those countries with smoking bans in playgrounds. 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/269896https://dx.doi.org/urn:doi:10.1016/j.envint.2020.105775reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengAgència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2017/SGR-1526Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2017/SGR-319European Commission https://doi.org/10.13039/501100000780 681040Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 INT16/00211Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 INT17/00103open accesshttp://purl.org/coar/access_right/c_abf2Aquest 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.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2698962026-06-06T12:50:31Z
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