Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries

Henderson, Elisabet; Continente, Xavier G. (Xavier Garcia); Fernández Muñoz, Esteve; Tigova, Olena; Cortés Francisco, Nuria; Gallus, Silvano; Lugo, Alessandra; Semple, Sean; Dobson, Ruaraidh; Clancy, Luke; Keogan, Sheila; Ruprecht, Ario; Borgini, Alessandro; Tzortzi, Anna; Vyzikidou, Vergina K.; Gorini, Giuseppe; López Nicolás, Ángel; Soriano, Joan B.; Geshanova, Gergana; Osman, Joseph; Mons, Ute; Przewoźniak, Krzysztof; Precioso, José; Brad, Ramona; López, Maria J.

Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries

Objective: Due to partial or poorly enforced restrictions secondhand tobacco smoke (SHS) is still present in outdoor hospitality venues in many European countries. This study aimed to assess SHS concentrations in outdoor hospitality venues across Europe and identify contextual exposure determinants....

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Autores:	Henderson, Elisabet, Continente, Xavier G. (Xavier Garcia), Fernández Muñoz, Esteve, Tigova, Olena, Cortés Francisco, Nuria, Gallus, Silvano, Lugo, Alessandra, Semple, Sean, Dobson, Ruaraidh, Clancy, Luke, Keogan, Sheila, Ruprecht, Ario, Borgini, Alessandro, Tzortzi, Anna, Vyzikidou, Vergina K., Gorini, Giuseppe, López Nicolás, Ángel, Soriano, Joan B., Geshanova, Gergana, Osman, Joseph, Mons, Ute, Przewoźniak, Krzysztof, Precioso, José, Brad, Ramona, López, Maria J.
Tipo de recurso:	artículo
Estado:	Versión publicada
Fecha de publicación:	2021
País:	España
Institución:	Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:	Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:	oai:recercat.cat:2445/179985
Acceso en línea:	https://hdl.handle.net/2445/179985
Access Level:	acceso abierto
Palabra clave:	Hàbit de fumar Normes Hospitals Smoking Social norms

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spelling	Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countriesHenderson, ElisabetContinente, Xavier G. (Xavier Garcia)Fernández Muñoz, EsteveTigova, OlenaCortés Francisco, NuriaGallus, SilvanoLugo, AlessandraSemple, SeanDobson, RuaraidhClancy, LukeKeogan, SheilaRuprecht, ArioBorgini, AlessandroTzortzi, AnnaVyzikidou, Vergina K.Gorini, GiuseppeLópez Nicolás, ÁngelSoriano, Joan B.Geshanova, GerganaOsman, JosephMons, UtePrzewoźniak, KrzysztofPrecioso, JoséBrad, RamonaLópez, Maria J.Hàbit de fumarNormesHospitalsSmokingSocial normsHospitalsObjective: Due to partial or poorly enforced restrictions secondhand tobacco smoke (SHS) is still present in outdoor hospitality venues in many European countries. This study aimed to assess SHS concentrations in outdoor hospitality venues across Europe and identify contextual exposure determinants. Methods: Cross-sectional study. We measured airborne nicotine and evidence of tobacco use in terraces of bars, cafeterias, and pubs from 11 European countries in 2017-2018. Sites were selected considering area-level socioeconomic indicators and half were visited during nighttime. We noted the smell of smoke, presence of smokers, cigarette butts, ashtrays, and number of physical covers. Contextual determinants included national smoke-free policies for the hospitality sector, the Tobacco Control Scale score (2016), and the national smoking prevalence (2017-2018). We computed medians and interquartile ranges (IQR) of nicotine concentrations and used multivariate analyses to characterize the exposure determinants. Results: Nicotine was present in 93.6% of the 220 sites explored. Overall concentrations were 0.85 (IQR:0.30-3.74) μg/m3 and increased during nighttime (1.45 IQR:0.65-4.79 μg/m3), in enclosed venues (2.97 IQR:0.80-5.80 μg/m3), in venues with more than two smokers (2.79 IQR:1.03-6.30 μg/m3), in venues in countries with total indoor smoking bans (1.20 IQR:0.47-4.85 μg/m3), and in venues in countries with higher smoking prevalence (1.32 IQR:0.49-5.34 μg/m3). In multivariate analyses, nicotine concentrations were also positively associated with the observed number of cigarette butts. In venues with more than two smokers, SHS levels did not significantly vary with the venues' degree of enclosure. Conclusions: Our results suggest that current restrictions in outdoor hospitality venues across Europe have a limited protective effect and justify the adoption of total smoking bans in outdoor areas of hospitality venues.Elsevier BV2021202120212021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion9 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/179985Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1016/j.envres.2021.111355Environmental Research, 2021, vol. 200, p. 111355https://doi.org/10.1016/j.envres.2021.111355cc by-nc-nd (c) Henderson, Elisabet et al, 2021http://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1799852026-05-29T05:05:01Z
dc.title.none.fl_str_mv	Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries
title	Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries
spellingShingle	Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries Henderson, Elisabet Hàbit de fumar Normes Hospitals Smoking Social norms Hospitals
title_short	Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries
title_full	Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries
title_fullStr	Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries
title_full_unstemmed	Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries
title_sort	Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries
dc.creator.none.fl_str_mv	Henderson, Elisabet Continente, Xavier G. (Xavier Garcia) Fernández Muñoz, Esteve Tigova, Olena Cortés Francisco, Nuria Gallus, Silvano Lugo, Alessandra Semple, Sean Dobson, Ruaraidh Clancy, Luke Keogan, Sheila Ruprecht, Ario Borgini, Alessandro Tzortzi, Anna Vyzikidou, Vergina K. Gorini, Giuseppe López Nicolás, Ángel Soriano, Joan B. Geshanova, Gergana Osman, Joseph Mons, Ute Przewoźniak, Krzysztof Precioso, José Brad, Ramona López, Maria J.
author	Henderson, Elisabet
author_facet	Henderson, Elisabet Continente, Xavier G. (Xavier Garcia) Fernández Muñoz, Esteve Tigova, Olena Cortés Francisco, Nuria Gallus, Silvano Lugo, Alessandra Semple, Sean Dobson, Ruaraidh Clancy, Luke Keogan, Sheila Ruprecht, Ario Borgini, Alessandro Tzortzi, Anna Vyzikidou, Vergina K. Gorini, Giuseppe López Nicolás, Ángel Soriano, Joan B. Geshanova, Gergana Osman, Joseph Mons, Ute Przewoźniak, Krzysztof Precioso, José Brad, Ramona López, Maria J.
author_role	author
author2	Continente, Xavier G. (Xavier Garcia) Fernández Muñoz, Esteve Tigova, Olena Cortés Francisco, Nuria Gallus, Silvano Lugo, Alessandra Semple, Sean Dobson, Ruaraidh Clancy, Luke Keogan, Sheila Ruprecht, Ario Borgini, Alessandro Tzortzi, Anna Vyzikidou, Vergina K. Gorini, Giuseppe López Nicolás, Ángel Soriano, Joan B. Geshanova, Gergana Osman, Joseph Mons, Ute Przewoźniak, Krzysztof Precioso, José Brad, Ramona López, Maria J.
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	Hàbit de fumar Normes Hospitals Smoking Social norms Hospitals
topic	Hàbit de fumar Normes Hospitals Smoking Social norms Hospitals
description	Objective: Due to partial or poorly enforced restrictions secondhand tobacco smoke (SHS) is still present in outdoor hospitality venues in many European countries. This study aimed to assess SHS concentrations in outdoor hospitality venues across Europe and identify contextual exposure determinants. Methods: Cross-sectional study. We measured airborne nicotine and evidence of tobacco use in terraces of bars, cafeterias, and pubs from 11 European countries in 2017-2018. Sites were selected considering area-level socioeconomic indicators and half were visited during nighttime. We noted the smell of smoke, presence of smokers, cigarette butts, ashtrays, and number of physical covers. Contextual determinants included national smoke-free policies for the hospitality sector, the Tobacco Control Scale score (2016), and the national smoking prevalence (2017-2018). We computed medians and interquartile ranges (IQR) of nicotine concentrations and used multivariate analyses to characterize the exposure determinants. Results: Nicotine was present in 93.6% of the 220 sites explored. Overall concentrations were 0.85 (IQR:0.30-3.74) μg/m3 and increased during nighttime (1.45 IQR:0.65-4.79 μg/m3), in enclosed venues (2.97 IQR:0.80-5.80 μg/m3), in venues with more than two smokers (2.79 IQR:1.03-6.30 μg/m3), in venues in countries with total indoor smoking bans (1.20 IQR:0.47-4.85 μg/m3), and in venues in countries with higher smoking prevalence (1.32 IQR:0.49-5.34 μg/m3). In multivariate analyses, nicotine concentrations were also positively associated with the observed number of cigarette butts. In venues with more than two smokers, SHS levels did not significantly vary with the venues' degree of enclosure. Conclusions: Our results suggest that current restrictions in outdoor hospitality venues across Europe have a limited protective effect and justify the adoption of total smoking bans in outdoor areas of hospitality venues.
publishDate	2021
dc.date.none.fl_str_mv	2021 2021 2021 2021
dc.type.none.fl_str_mv	info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion
format	article
status_str	publishedVersion
dc.identifier.none.fl_str_mv	https://hdl.handle.net/2445/179985
url	https://hdl.handle.net/2445/179985
dc.language.none.fl_str_mv	Inglés
language_invalid_str_mv	Inglés
dc.relation.none.fl_str_mv	Reproducció del document publicat a: https://doi.org/10.1016/j.envres.2021.111355 Environmental Research, 2021, vol. 200, p. 111355 https://doi.org/10.1016/j.envres.2021.111355
dc.rights.none.fl_str_mv	cc by-nc-nd (c) Henderson, Elisabet et al, 2021 http://creativecommons.org/licenses/by-nc-nd/3.0/es/ info:eu-repo/semantics/openAccess
rights_invalid_str_mv	cc by-nc-nd (c) Henderson, Elisabet et al, 2021 http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	9 p. application/pdf application/pdf
dc.publisher.none.fl_str_mv	Elsevier BV
publisher.none.fl_str_mv	Elsevier BV
dc.source.none.fl_str_mv	Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str	Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str	Recercat. Dipósit de la Recerca de Catalunya
collection	Recercat. Dipósit de la Recerca de Catalunya
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repository.mail.fl_str_mv
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Secondhand smoke exposure assessment in outdoor hospitality venues across 11 European countries

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