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A cross sectional study on levels of secondhand smoke in restaurants and bars in five cities in China
  1. Ruiling Liu1,*,
  2. Yan Yang2,
  3. Mark J Travers3,
  4. Yi Nan2,
  5. Xiurong Liu4,
  6. Ailing Chang5,
  7. Jie Gong6,
  8. Tao Liu7,
  9. Baifan Zhao8,
  10. Zuoze Feng2,
  11. Andrew Hyland3,
  12. Qiang Li9,
  13. Yuan Jiang2
  1. 1 University of California, Berkely, United States;
  2. 2 China CDC, China;
  3. 3 Roswell Park Cancer Institute, United States;
  4. 4 Beijing CDC, China;
  5. 5 Shaanxi Health Education Institution, China;
  6. 6 Wuhan CDC, China;
  7. 7 Guizhou CDC, China;
  8. 8 Yunnan Health Education Institution, China;
  9. 9 University of Waterloo, Canada
  1. Correspondence to: Ruiling Liu, Environmental health science, University of California Berkeley, 351 Mulford Hall, University of California, Berkeley, Berkeley, 94720, United States; ruiling_liu{at}berkeley.edu

Abstract

Objectives: To assess indoor secondhand smoke (SHS) exposure in restaurants and bars via PM2.5 level measurements in five cities in China.

Methods: The study was conducted from July to September in 2007 in Beijing, Xi fan, Wuhan, Kunming, and Guiyang. TSI SIDEPAK™ AM510 Personal Aerosol Monitors were used to measure PM2.5 concentrations in 404 restaurants and bars. The occupant density and the active smoker density were calculated for each venue sampled.

Results: Among the 404 surveyed venues, 23 had complete smoking bans, 9 had partial smoking bans, and 313 (77.5%) had smoking observed during sampling. The geometric mean of indoor PM2.5 levels in venues with smoking observed was 208µg/m3, and 99µg/m3 in venues without observed smoking. When outdoor PM2.5 levels were adjusted, indoor PM2.5 levels in venues with smoking observed were consistently significantly higher than in venues without smoking observed (F=80.49, p < 0.001). Indoor PM2.5 levels were positively correlated with outdoor PM2.5 levels (partial rho=0.37 p <0.001) and active smoker density (partial rho=0.34, p <0.001).

Conclusions: Consistent with findings in other countries, PM2.5 levels in smoking places are significantly higher than those in smoke-free places and are strongly related to the number and density of active smokers. These findings document the high levels of SHS in hospitality venues in China and point to the urgent need for comprehensive smoke-free laws in China to protect the public from SHS hazards, as called for in Article 8 of the Framework Convention on Tobacco Control, which was ratified by China in 2005.

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