| Titre : | Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study |
| Auteurs : | S. ALLWRIGHT ; G. PAUL ; B. GREINER ; MULLALLY B. J. ; PURSELL L. ; A. KELLY ; B. BONNER ; D'EATH M. ; B. McCONNELL ; J. P. McLAUGHLIN ; D. O'DONOVAN ; E. O'KANE ; I. J. PERRY |
| Type de document : | Périodique |
| Année de publication : | 2005 |
| Format : | 1117-1122 |
| Note générale : |
British Medical Journal, 2005, 331, (7525), 1117-1122 |
| Langues: | Anglais |
| Discipline : | PRE (Prévention - RdRD / Prevention - Harm reduction) |
| Mots-clés : |
Thésaurus mots-clés TABAC ; INTERDICTION DE FUMER ; DEBIT DE BOISSONS ; LEGISLATION ; INTERVENTION ; COTININE ; MILIEU PROFESSIONNEL ; TABAGISME PASSIFThésaurus géographique IRLANDE ; IRLANDE DU NORD |
| Résumé : |
ENGLISH : 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. (Author' s abstract) |
| Domaine : | Tabac / Tobacco |
| Affiliation : |
Department of Public Health and Primary Care, University of Dublin, Trinity College, Trinity College Centre for Health Sciences, AMNCH, Tallaght, Dublin 24. Email : S Allwright sllwrght@tcd.ie Irlande. Ireland. |
| Centre Emetteur : | 13 OFDT |
| Cote : | A02430 |
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