Legislation for smoke-free workplaces and health of bar workers in ireland: before and after study
| Autor: | Maureen D'Eath, Lisa Pursell, James P. McLaughlin, Bernie J. Mullally, Birgit A. Greiner, Shane Allwright, Gillian Paul, Diarmuid O'Donovan, Brendan Bonner, Bill McConnell, Eamon O’Kane, Alan K. Kelly, Ivan J. Perry |
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| Rok vydání: | 2005 |
| Předmět: |
Restaurants
Passive smoking genetic structures Cross-sectional study population Smoking Prevention medicine.disease_cause Occupational safety and health chemistry.chemical_compound environmental tobacco-smoke Smoke-free workplace legislation Secondhand smoke effects Workplace law General Environmental Science education.field_of_study Smoking General Engineering Smoking -- Law and legislation -- Ireland General Medicine Papers medicine.medical_specialty Self Disclosure Population Northern Ireland Environmental health medicine Humans cotinine Saliva education Occupational Health Smoke Smoking in the workplace -- Government policy -- Ireland passive smoking business.industry Public health hospitality workers Cross-Sectional Studies Smoking cessation -- Health aspects chemistry exposure General Earth and Planetary Sciences Indicators and Reagents Tobacco Smoke Pollution Smoking ban business Cotinine Ireland nicotine |
| Popis: | Objectives To compare exposure to secondhand smoke and respiratory health in bar staff in the Republic of Ireland and Northern Ireland before and after the introduction of legislation for smoke-free workplaces in the Republic. Design Comparisons before and after the legislation in intervention and control regions. Setting Public houses in three areas in the Republic (intervention) and one area in Northern Ireland (control). Participants 329 bar staff enrolled in baseline survey; 249 (76%) followed up one year later. Of these, 158 were non-smokers both at baseline and follow-up. Main outcome measures Salivary cotinine concentration, self reported exposure to secondhand smoke, and respiratory and sensory irritation symptoms. Results In bar staff in the Republic who did not themselves smoke, salivary cotinine concentrations dropped by 80% after the smoke-free law (from median 29.0 nmol/l (95% confidence interval 18.2 to 43.2 nmol/l)) to 5.1 nmol/l (2.8 to 13.1 nmol/l) in contrast with a 20% decline in Northern Ireland over the same period (from median 25.3 nmol/l (10.4 to 59.2 nmol/l) to 20.4 nmol/l (13.2 to 33.8 nmol/l)). Changes in self reported exposure to secondhand smoke were consistent with the changes in cotinine concentrations. Reporting any respiratory symptom declined significantly in the Republic (down 16.7%, −26.1% to −7.3%) but not in Northern Ireland (0% difference, −32.7% to 32.7%). After adjustment for confounding, respiratory symptoms declined significantly more in the Republic than in Northern Ireland and the decline in cotinine concentration was twice as great. Conclusion The smoke-free law in the Republic of Ireland protects non-smoking bar workers from exposure to secondhand smoke. |
| Databáze: | OpenAIRE |
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