Outdoor hospitality venues: a real challenge for tobacco control policies

Background After the implementation of smoke-free policies in indoor hospitality venues, smokers may have displaced to their outdoor areas. Authors aimed to describe smoking visibility and second-hand smoke (SHS) exposure in outdoor hospitality venues. Methods An observational study was conducted i...

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Main Authors: Xisca Sureda, Rocio Santuy, Usama Bilal, Roberto Valiente, Ana Navas-Acien, Esteve Fernández, Francisco J Escobar, Manuel Franco
Format: Article
Language:English
Published: European Publishing 2018-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Outdoor-hospitality-venues-a-real-challenge-for-tobacco-control-policies,84445,0,2.html
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author Xisca Sureda
Rocio Santuy
Usama Bilal
Roberto Valiente
Ana Navas-Acien
Esteve Fernández
Francisco J Escobar
Manuel Franco
author_facet Xisca Sureda
Rocio Santuy
Usama Bilal
Roberto Valiente
Ana Navas-Acien
Esteve Fernández
Francisco J Escobar
Manuel Franco
author_sort Xisca Sureda
collection DOAJ
description Background After the implementation of smoke-free policies in indoor hospitality venues, smokers may have displaced to their outdoor areas. Authors aimed to describe smoking visibility and second-hand smoke (SHS) exposure in outdoor hospitality venues. Methods An observational study was conducted in Madrid city. We collected information, through direct observation, on signs of tobacco consumption on entrances and terraces of hospitality venues. We also measured airborne nicotine in terraces with a monitor by active sampling during 30 minutes. We calculated the medians and the interquartile ranges (IQR) of nicotine concentrations. We computed an analysis stratified by the possible explanatory variables and compared the nicotine concentration using the Kruskal-Wallis test for independent samples. Results We characterized 256 entrances of hospitality venues, 174 measured between May and September 2016 (hot season) and 82 between October and December 2016 (mild season). 204 entrances showed signs of tobacco consumption: 97 had ashtrays; 166 had cigarettes butts; in 66, tobacco smell was perceived; and, in 67 entrances, smokers were observed. There were no differences in signs of tobacco consumption observed between seasons (p=0.155). We measured nicotine concentration in 92 terraces with an overall median of 0.42 μg/m 3 (IQR: 0.14-1.59 μg/m 3 ). Nicotine concentration in terraces increased with number of cigarettes smoked from 0.03 μg/m 3 (IQR: 0.03-0.91 μg/m 3 ) when no cigarette was litten to 3.83 μg/m 3 (0.97-4.70 μg/m 3 ) when more than eight cigarettes were lighted (p = 0.001). We observed differences in nicotine concentration according to the number of covers from 0.37 μg/m 3 (IQR: 0.15-1.59 μg/m 3 ) in terraces with no cover to 2.40 μg/m 3 (IQR: 0.64-13.36 μg/m 3 ) on closed terraces (p=0.006). Conclusions Outdoor hospitality venues are areas where non-smoking population continues to be highly exposed to SHS. These spaces should be considered in future tobacco control interventions.
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spelling doaj.art-140314952b514178a0e9e0f005c5f9bd2022-12-21T19:05:38ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8444584445Outdoor hospitality venues: a real challenge for tobacco control policiesXisca Sureda0Rocio Santuy1Usama Bilal2Roberto Valiente3Ana Navas-Acien4Esteve Fernández5Francisco J Escobar6Manuel Franco7University of Alcalá, Social and Cardiovascular Epidemiology Research Group, School of Medicine, SpainUniversity of Alcalá, Social and Cardiovascular Epidemiology Research Group, School of Medicine, SpainDrexel Dornsife School of Public Health, United States of AmericaUniversity of Alcalá, Social and Cardiovascular Epidemiology Research Group, School of Medicine, SpainColumbia University Mailman School of Public Health, Department of Environmental Health Sciences, United States of AmericaInstitut Català d'Oncologia, Tobacco Control Unit, Cancer Control and Prevention Programme, SpainUniversity of Alcalá, Department of Geology, Geography and Environmental Sciences, SpainUniversity of Alcalá, Social and Cardiovascular Epidemiology Research Group, School of Medicine, SpainBackground After the implementation of smoke-free policies in indoor hospitality venues, smokers may have displaced to their outdoor areas. Authors aimed to describe smoking visibility and second-hand smoke (SHS) exposure in outdoor hospitality venues. Methods An observational study was conducted in Madrid city. We collected information, through direct observation, on signs of tobacco consumption on entrances and terraces of hospitality venues. We also measured airborne nicotine in terraces with a monitor by active sampling during 30 minutes. We calculated the medians and the interquartile ranges (IQR) of nicotine concentrations. We computed an analysis stratified by the possible explanatory variables and compared the nicotine concentration using the Kruskal-Wallis test for independent samples. Results We characterized 256 entrances of hospitality venues, 174 measured between May and September 2016 (hot season) and 82 between October and December 2016 (mild season). 204 entrances showed signs of tobacco consumption: 97 had ashtrays; 166 had cigarettes butts; in 66, tobacco smell was perceived; and, in 67 entrances, smokers were observed. There were no differences in signs of tobacco consumption observed between seasons (p=0.155). We measured nicotine concentration in 92 terraces with an overall median of 0.42 μg/m 3 (IQR: 0.14-1.59 μg/m 3 ). Nicotine concentration in terraces increased with number of cigarettes smoked from 0.03 μg/m 3 (IQR: 0.03-0.91 μg/m 3 ) when no cigarette was litten to 3.83 μg/m 3 (0.97-4.70 μg/m 3 ) when more than eight cigarettes were lighted (p = 0.001). We observed differences in nicotine concentration according to the number of covers from 0.37 μg/m 3 (IQR: 0.15-1.59 μg/m 3 ) in terraces with no cover to 2.40 μg/m 3 (IQR: 0.64-13.36 μg/m 3 ) on closed terraces (p=0.006). Conclusions Outdoor hospitality venues are areas where non-smoking population continues to be highly exposed to SHS. These spaces should be considered in future tobacco control interventions.http://www.journalssystem.com/tid/Outdoor-hospitality-venues-a-real-challenge-for-tobacco-control-policies,84445,0,2.htmlWCTOH
spellingShingle Xisca Sureda
Rocio Santuy
Usama Bilal
Roberto Valiente
Ana Navas-Acien
Esteve Fernández
Francisco J Escobar
Manuel Franco
Outdoor hospitality venues: a real challenge for tobacco control policies
Tobacco Induced Diseases
WCTOH
title Outdoor hospitality venues: a real challenge for tobacco control policies
title_full Outdoor hospitality venues: a real challenge for tobacco control policies
title_fullStr Outdoor hospitality venues: a real challenge for tobacco control policies
title_full_unstemmed Outdoor hospitality venues: a real challenge for tobacco control policies
title_short Outdoor hospitality venues: a real challenge for tobacco control policies
title_sort outdoor hospitality venues a real challenge for tobacco control policies
topic WCTOH
url http://www.journalssystem.com/tid/Outdoor-hospitality-venues-a-real-challenge-for-tobacco-control-policies,84445,0,2.html
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