Tobacco Control

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
[Advanced]

Tobacco Control 2006;15:302-307; doi:10.1136/tc.2005.015073
Copyright © 2006 by the BMJ Publishing Group Ltd.

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow erratum
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this link to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Add article to my folders
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Pickett, M. S
Right arrow Articles by Giovino, G. A
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Pickett, M. S
Right arrow Articles by Giovino, G. A
Related Collections
Right arrow Environmental tobacco smoke

RESEARCH PAPER

Smoke-free laws and secondhand smoke exposure in US non-smoking adults, 1999–2002

Melanie S Pickett1,*, Susan E Schober2, Debra J Brody2, Lester R Curtin2, Gary A Giovino3

1 Brookline, Massachusetts, USA
2 Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Maryland, USA
3 Roswell Park Cancer Institute, Buffalo, New York, USA

Correspondence to:
Debra J Brody
Centers for Disease Control and Prevention, National Center for Health Statistics, 3311 Toledo Road, Room 4215, Hyattsville, MD 20782, USA; sschober{at}cdc.gov

Objectives: To investigate the relationship between smoke-free law coverage and secondhand smoke (SHS) exposure in the United States non-smoking adult population.

Design: We used data from the 1999–2002 National Health and Nutrition Examination Survey, a cross-sectional survey designed to monitor the health and nutritional status of the US population. Serum cotinine levels were available for 5866 non-smoking adults from 57 survey locations. Each location was categorised into one of three groups indicating extensive, limited, and no coverage by a smoke-free law.

Main outcome measures: The proportion of adults with SHS exposure, defined as having serum cotinine levels >= 0.05 ng/ml.

Results: Among non-smoking adults living in counties with extensive smoke-free law coverage, 12.5% were exposed to SHS, compared with 35.1% with limited coverage, and 45.9% with no law. Adjusting for confounders, men and women residing in counties with extensive coverage had 0.10 (95% confidence interval (CI) 0.06 to 0.16) and 0.19 (95% CI 0.11 to 0.34) times the odds of SHS exposure compared to those residing in counties without a smoke-free law.

Conclusions: These results support the scientific evidence suggesting that smoke-free laws are an effective strategy for reducing SHS exposure.


Abbreviations: ANRF, American Nonsmoker’s Rights Foundation; LOD, limit of detection; MEC, mobile examination centre; MVU, masked variance unit; NCHS, National Center for Health Statistics; NHANES, National Health and Nutrition Examination Survey; SHS, secondhand smoke; PSU, primary sampling unit

Keywords: secondhand smoke; cotinine; NHANES, National Health and Nutrition Examination Survey




This article has been cited by other articles:


Home page
CA Cancer J ClinHome page
M. Eriksen and F. Chaloupka
The Economic Impact of Clean Indoor Air Laws
CA Cancer J Clin, November 1, 2007; 57(6): 367 - 378.
[Abstract] [Full Text] [PDF]


Home page
JAMAHome page
Reduced Secondhand Smoke Exposure After Implementation of a Comprehensive Statewide Smoking Ban New York, June 26, 2003 June 30, 2004
JAMA, September 26, 2007; 298(12): 1392 - 1394.
[Full Text] [PDF]


Home page
BMJHome page
P. C Akhtar, D. B Currie, C. E Currie, and S. J Haw
Changes in child exposure to environmental tobacco smoke (CHETS) study after implementation of smoke-free legislation in Scotland: national cross sectional survey
BMJ, September 15, 2007; 335(7619): 545 - 545.
[Abstract] [Full Text] [PDF]


Home page
BMJHome page
S. J Haw and L. Gruer
Changes in exposure of adult non-smokers to secondhand smoke after implementation of smoke-free legislation in Scotland: national cross sectional survey
BMJ, September 15, 2007; 335(7619): 549 - 549.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
Terms and conditions relating to subscriptions purchased online  ¦  Website terms and conditions  ¦  Privacy policy
Copyright © 2006 by the BMJ Publishing Group Ltd.