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BMC Public Health
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Impact of a long-term tobacco-free policy at a comprehensive cancer center: a series of cross-sectional surveys

Authors: Cristina Martínez, Marcela Fu, Jose María Martínez-Sánchez, Laura Antón, Paz Fernández, Montse Ballbè, Ana Andrés, Anna Riccobene, Xisca Sureda, Albert Gallart, Esteve Fernández

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

Spain has passed two smoke-free laws in the last years. In 2005, the law banned smoking in indoor places, and in 2010 the ban was extended to outdoor areas of certain premises such as hospitals. This study assesses the impact of smoking consumption among hospital workers at a comprehensive cancer center after the passage of two national smoke-free laws.

Methods

Six cross-sectional surveys were conducted among a representative sample of hospital workers at a comprehensive cancer center in Barcelona (2001–2012) using a standardized questionnaire. Logistic regression was used to compare differences in the odds of smoking after the laws took effect (baseline vs. 1st law; 2nd law vs. 1st law).

Results

Baseline smoking prevalence was 33.1%. After passage of the 1st and 2nd laws, prevalence decreased, respectively, to 30.5% and 22.2% (p for trend =0.005). Prevalence ratios (PR) indicated a significant decrease in overall smoking after the 2nd law (PR = 0.65, 95% CI = 0.47-0-89). Smoking dropped in all professional groups, more prominently among those ≥35 years old, doctors, and women. Observed trends over the time included an increase in occasional smokers, a rise in abstinence during working hours but an increase in smoking dependence, and an increase in the employees’ overall support for the smoke-free hospital project.

Conclusions

A long-term tobacco control project combined with two smoke-free national laws reduced smoking rates among health workers and increased their support for tobacco control policies. The decrease was more significant after the passage of the outdoor smoke-free ban.
Appendix
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Metadata
Title
Impact of a long-term tobacco-free policy at a comprehensive cancer center: a series of cross-sectional surveys
Authors
Cristina Martínez
Marcela Fu
Jose María Martínez-Sánchez
Laura Antón
Paz Fernández
Montse Ballbè
Ana Andrés
Anna Riccobene
Xisca Sureda
Albert Gallart
Esteve Fernández
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-1228

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