Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/11508
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: England's legislation on smoking in indoor public places and work-places: impact on the most exposed children
Authors: Sims, Michelle
Bauld, Linda
Gilmore, Anna
Contact Email: linda.bauld@stir.ac.uk
Keywords: Children
cotinine
intervention
passive smoke
smoking ban
Smokefree
second-hand smoke
Issue Date: Nov-2012
Publisher: Wiley-Blackwell for the University of Bath
Citation: Sims M, Bauld L & Gilmore A (2012) England's legislation on smoking in indoor public places and work-places: impact on the most exposed children, Addiction, 107 (11), pp. 2009-2016.
Abstract: Aims: To examine whether English legislation to make virtually all indoor public places and work-places smoke-free on 1 July 2007 displaced smoking into the home and hence increased the proportion of children exposed to levels of second-hand smoke known to be detrimental to health. Design: Repeated cross-sectional study with data from 10 annual surveys undertaken from 1996 to 2008. Setting: England. Participants: Nationally representative samples of non-smoking children aged 4-15 years old living in private households. Measurements: Salivary cotinine, parental smoking status, whether smoking is allowed within the house, socio-demographic variables. Findings: The proportion of children exposed to damaging levels of second-hand smoke (defined as those with cotinine levels greater than 1.7 ng/ml) has fallen over time, from 23.5% in 1996 to 12.6% in 2008. The legislation was not associated with further changes in the proportion of children above this threshold -- the odds of having cotinine greater than 1.7 ng/ml did not change after adjustment for the pre-legislative trend and confounders (odds ratio: 1.0, 95% confidence interval: 0.78, 1.4). Non-significant associations were also found when examining children by parental or household smoking status. Conclusions: Legislation to prohibit smoking in indoor public places and work-places does not increase the proportion of children exposed to damaging levels of second-hand smoke. Even in a country with a strong tobacco control climate, a significant proportion of children remain highly exposed to second-hand smoke and future policies need to include interventions to reduce exposure among these children.
Type: Journal Article
URI: http://hdl.handle.net/1893/11508
DOI Link: http://dx.doi.org/10.1111/j.1360-0443.2012.03924.x
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Bath
Institute for Social Marketing
University of Bath

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