Impact of tobacco control policies in hospitals: Evaluation of a national smoke-free campus ban in Spain

Introduction: On January 2, 2011, the Spanish government passed a new smoking law that banned smoking in hospital campuses. The objective of this study was to evaluate the implementation of smoke-free campuses in the hospitals of Catalonia based on both airborne particulate matter and observational...

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Main Authors: Xisca Sureda, Montse Ballbè, Cristina Martínez, Marcela Fu, Esther Carabasa, Esteve Saltó, Jose M. Martínez-Sánchez, Esteve Fernández
Format: Article
Language:English
Published: Elsevier 2014-01-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335514000114
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author Xisca Sureda
Montse Ballbè
Cristina Martínez
Marcela Fu
Esther Carabasa
Esteve Saltó
Jose M. Martínez-Sánchez
Esteve Fernández
author_facet Xisca Sureda
Montse Ballbè
Cristina Martínez
Marcela Fu
Esther Carabasa
Esteve Saltó
Jose M. Martínez-Sánchez
Esteve Fernández
author_sort Xisca Sureda
collection DOAJ
description Introduction: On January 2, 2011, the Spanish government passed a new smoking law that banned smoking in hospital campuses. The objective of this study was to evaluate the implementation of smoke-free campuses in the hospitals of Catalonia based on both airborne particulate matter and observational data. Methods: This cross-sectional study included the hospitals registered in the Catalan Network of Smoke-free Hospitals. We measured the concentration of particulate matter < 2.5 µm in μg/m3 at different locations, both indoors and outdoors before (2009) and after (2011) the implementation of the tobacco law. During 2011, we also assessed smoke-free zone signage and indications of smoking in the outdoor areas of hospital campuses. Results: The overall median particulate matter < 2.5 µm concentration fell from 12.22 μg/m3 (7.80–19.76 μg/m3) in 2009 to 7.80 μg/m3 (4.68–11.96 μg/m3) in 2011. The smoke-free zone signage within the campus was moderately implemented after the legislation in most hospitals, and 55% of hospitals exhibited no indications of tobacco consumption around the grounds. Conclusions: After the law, particulate matter < 2.5 µm concentrations were much below the values obtained before the law and below the annual guideline value recommended by the World Health Organization for outdoor settings (10 μg/m3). Our data showed the feasibility of implementing a smoke-free campus ban and its positive effects.
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spelling doaj.art-b717368cf12f4327a2327073ac2453a22022-12-21T19:11:05ZengElsevierPreventive Medicine Reports2211-33552014-01-011C566110.1016/j.pmedr.2014.10.002Impact of tobacco control policies in hospitals: Evaluation of a national smoke-free campus ban in SpainXisca Sureda0Montse Ballbè1Cristina Martínez2Marcela Fu3Esther Carabasa4Esteve Saltó5Jose M. Martínez-Sánchez6Esteve Fernández7Tobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d'Oncologia-ICO, L'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d'Oncologia-ICO, L'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d'Oncologia-ICO, L'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d'Oncologia-ICO, L'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d'Oncologia-ICO, L'Hospitalet de Llobregat, Barcelona, SpainPublic Health Agency, Ministry of Health, Generalitat de Catalunya, SpainTobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d'Oncologia-ICO, L'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d'Oncologia-ICO, L'Hospitalet de Llobregat, Barcelona, SpainIntroduction: On January 2, 2011, the Spanish government passed a new smoking law that banned smoking in hospital campuses. The objective of this study was to evaluate the implementation of smoke-free campuses in the hospitals of Catalonia based on both airborne particulate matter and observational data. Methods: This cross-sectional study included the hospitals registered in the Catalan Network of Smoke-free Hospitals. We measured the concentration of particulate matter < 2.5 µm in μg/m3 at different locations, both indoors and outdoors before (2009) and after (2011) the implementation of the tobacco law. During 2011, we also assessed smoke-free zone signage and indications of smoking in the outdoor areas of hospital campuses. Results: The overall median particulate matter < 2.5 µm concentration fell from 12.22 μg/m3 (7.80–19.76 μg/m3) in 2009 to 7.80 μg/m3 (4.68–11.96 μg/m3) in 2011. The smoke-free zone signage within the campus was moderately implemented after the legislation in most hospitals, and 55% of hospitals exhibited no indications of tobacco consumption around the grounds. Conclusions: After the law, particulate matter < 2.5 µm concentrations were much below the values obtained before the law and below the annual guideline value recommended by the World Health Organization for outdoor settings (10 μg/m3). Our data showed the feasibility of implementing a smoke-free campus ban and its positive effects.http://www.sciencedirect.com/science/article/pii/S2211335514000114Second-hand smokeParticulate matterSmoke-free campusesHospitalsTobacco smoke pollution
spellingShingle Xisca Sureda
Montse Ballbè
Cristina Martínez
Marcela Fu
Esther Carabasa
Esteve Saltó
Jose M. Martínez-Sánchez
Esteve Fernández
Impact of tobacco control policies in hospitals: Evaluation of a national smoke-free campus ban in Spain
Preventive Medicine Reports
Second-hand smoke
Particulate matter
Smoke-free campuses
Hospitals
Tobacco smoke pollution
title Impact of tobacco control policies in hospitals: Evaluation of a national smoke-free campus ban in Spain
title_full Impact of tobacco control policies in hospitals: Evaluation of a national smoke-free campus ban in Spain
title_fullStr Impact of tobacco control policies in hospitals: Evaluation of a national smoke-free campus ban in Spain
title_full_unstemmed Impact of tobacco control policies in hospitals: Evaluation of a national smoke-free campus ban in Spain
title_short Impact of tobacco control policies in hospitals: Evaluation of a national smoke-free campus ban in Spain
title_sort impact of tobacco control policies in hospitals evaluation of a national smoke free campus ban in spain
topic Second-hand smoke
Particulate matter
Smoke-free campuses
Hospitals
Tobacco smoke pollution
url http://www.sciencedirect.com/science/article/pii/S2211335514000114
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