Skip to main content
Top
Published in: Cancer Causes & Control 1/2011

01-01-2011 | Brief report

Secondhand smoke exposure in bars and restaurants in Guatemala City: before and after smoking ban evaluation

Authors: Joaquin Barnoya, Mariel Arvizu, Miranda R. Jones, Juan C. Hernandez, Patrick N. Breysse, Ana Navas-Acien

Published in: Cancer Causes & Control | Issue 1/2011

Login to get access

Abstract

Objective

In February 2009, Guatemala implemented a comprehensive smoking ban. We assessed air nicotine levels in bars and restaurants 6 months after the ban (post-ban) and compared them with levels found in 2006 (pre-ban).

Methods

Exposure was estimated by passive sampling of vapor-phase nicotine using samplers (n = 50) placed for 7 working days in 10 bars and 11 restaurants in Guatemala City. Air nicotine was measured by gas chromatography, and the time-weighted average concentration in μg/m3 was estimated. Employees answered a survey about smoke-free workplaces (n = 32) and compared with pre-ban (n = 37) results.

Results

Nicotine was detectable in all bars pre- and post-ban. In restaurants, it was detectable in all pre- and 73% post-ban. Median nicotine concentrations in bars significantly decreased from 4.58 μg/m3 (IQR, 1.71, 6.45) pre-ban to 0.28 μg/m3 (IQR 0.17, 0.66) post-ban (87% decrease). In restaurants, concentrations significantly decreased from 0.58 μg/m3 (IQR, 0.44, 0.71) to 0.04 μg/m3 (IQR 0.01, 0.11) (95% decrease). Employees’ support for a smoke-free workplace increased in the post-ban survey (from 32 to 81%, p < 0.001).

Conclusion

Six months after the implementation of a smoke-free law in Guatemala, nicotine levels were significantly decreased in bars and restaurants and workers’ support for the law substantially increased.
Literature
1.
go back to reference U.S. Department of Health and Human Services (USDHHS) (2006) The health consequences of involuntary exposure to tobacco smoke: a report of the surgeon general. U.S. Department of Health and Humand Services. Atlanta, GA U.S. Department of Health and Human Services (USDHHS) (2006) The health consequences of involuntary exposure to tobacco smoke: a report of the surgeon general. U.S. Department of Health and Humand Services. Atlanta, GA
3.
go back to reference Barnoya J, Glantz S (2004) Association of the California tobacco control program with declines in lung cancer incidence. Cancer Causes Control 15(7):689–695CrossRefPubMed Barnoya J, Glantz S (2004) Association of the California tobacco control program with declines in lung cancer incidence. Cancer Causes Control 15(7):689–695CrossRefPubMed
4.
go back to reference Jemal A, Cokkinides VE, Shafey O et al (2003) Lung cancer trends in young adults: an early indicator of progress in tobacco control (United States). Cancer Causes Control 14(6):579–585CrossRefPubMed Jemal A, Cokkinides VE, Shafey O et al (2003) Lung cancer trends in young adults: an early indicator of progress in tobacco control (United States). Cancer Causes Control 14(6):579–585CrossRefPubMed
5.
go back to reference IOM (Institute of Medicine) (2010) Secondhand smoke exposure and cardiovascular effects: making sense of the evidence. IOM, Washington, DC IOM (Institute of Medicine) (2010) Secondhand smoke exposure and cardiovascular effects: making sense of the evidence. IOM, Washington, DC
6.
go back to reference Callinan JE, Clarke A, Doherty K et al (2010) Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev 4:CD005992PubMed Callinan JE, Clarke A, Doherty K et al (2010) Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev 4:CD005992PubMed
7.
go back to reference Menzies D, Nair A, Williamson PA et al (2006) Respiratory symptoms, pulmonary function, and markers of inflammation among bar workers before and after a legislative ban on smoking in public places. JAMA 296(14):1742–1748CrossRefPubMed Menzies D, Nair A, Williamson PA et al (2006) Respiratory symptoms, pulmonary function, and markers of inflammation among bar workers before and after a legislative ban on smoking in public places. JAMA 296(14):1742–1748CrossRefPubMed
8.
go back to reference Corrao MA GG, Sharme N, Shookoohi DF (eds) (2000) Tobacco control country profiles. American Cancer Society, Atlanta, GA Corrao MA GG, Sharme N, Shookoohi DF (eds) (2000) Tobacco control country profiles. American Cancer Society, Atlanta, GA
9.
go back to reference Barnoya J, Mendoza-Montano C, Navas-Acien A (2007) Secondhand smoke exposure in public places in Guatemala: comparison with other Latin American countries. Cancer Epidemiol Biomarkers Prev 16(12):2730–2735CrossRefPubMed Barnoya J, Mendoza-Montano C, Navas-Acien A (2007) Secondhand smoke exposure in public places in Guatemala: comparison with other Latin American countries. Cancer Epidemiol Biomarkers Prev 16(12):2730–2735CrossRefPubMed
10.
go back to reference Gutierrez D (2008) Prevencion y control de tabaco. Libre Encuentro. Guatemala, November 2008. Televised debate. Duration: 1 hour Gutierrez D (2008) Prevencion y control de tabaco. Libre Encuentro. Guatemala, November 2008. Televised debate. Duration: 1 hour
11.
go back to reference Larra M (2008) Humo de impacto. Prensa Libre. Junio 1: 10–11 Larra M (2008) Humo de impacto. Prensa Libre. Junio 1: 10–11
12.
go back to reference Menocal C, Osorio J (2006) Espacios libres de tabaco. Prensa Libre. Agosto 13: 2–3 Menocal C, Osorio J (2006) Espacios libres de tabaco. Prensa Libre. Agosto 13: 2–3
13.
go back to reference Argueta C (2008) Los Efectos del Humo. Exposición en centros publicos. Nuestro Diario. Enero 25:24–45 Argueta C (2008) Los Efectos del Humo. Exposición en centros publicos. Nuestro Diario. Enero 25:24–45
14.
go back to reference Tabacalera Centro Americana SA, Philip Morris International (2008) Comentarios sobre la iniciativa de ley 3309: “Ley de la creación de ambientes libres de humo de tabaco.” Tabacalera Centro Americana SA, Philip Morris International (2008) Comentarios sobre la iniciativa de ley 3309: “Ley de la creación de ambientes libres de humo de tabaco.”
15.
go back to reference Muggli ME, Lockhart NJ, Ebbert JO et al (2010) Legislating tolerance: Spain’s national public smoking law. Tob Control 19(1):24–30CrossRefPubMed Muggli ME, Lockhart NJ, Ebbert JO et al (2010) Legislating tolerance: Spain’s national public smoking law. Tob Control 19(1):24–30CrossRefPubMed
16.
go back to reference Hammond S (1993) Evaluating exposure to environmental tobacco smoke. In: Winegar E, Keith L (eds) Sampling and analysis of airborne pollutants. Lewis Publishers, Florida Hammond S (1993) Evaluating exposure to environmental tobacco smoke. In: Winegar E, Keith L (eds) Sampling and analysis of airborne pollutants. Lewis Publishers, Florida
17.
go back to reference Stillman FA, Hantula DA, Swank R (1994) Creating a smoke-free hospital: attitudes and smoking behaviors of nurses and physicians. Am J Health Promot 9(2):108–114PubMed Stillman FA, Hantula DA, Swank R (1994) Creating a smoke-free hospital: attitudes and smoking behaviors of nurses and physicians. Am J Health Promot 9(2):108–114PubMed
18.
go back to reference Mulcahy M, Evans DS, Hammond SK et al (2005) Secondhand smoke exposure and risk following the Irish smoking ban: an assessment of salivary cotinine concentrations in hotel workers and air nicotine levels in bars. Tob Control 14(6):384–388CrossRefPubMed Mulcahy M, Evans DS, Hammond SK et al (2005) Secondhand smoke exposure and risk following the Irish smoking ban: an assessment of salivary cotinine concentrations in hotel workers and air nicotine levels in bars. Tob Control 14(6):384–388CrossRefPubMed
19.
go back to reference Semple S, Creely KS, Naji A et al (2007) Secondhand smoke levels in Scottish pubs: the effect of smoke-free legislation. Tob Control 16(2):127–132CrossRefPubMed Semple S, Creely KS, Naji A et al (2007) Secondhand smoke levels in Scottish pubs: the effect of smoke-free legislation. Tob Control 16(2):127–132CrossRefPubMed
20.
go back to reference Blanco-Marquizo A, Goja B, Peruga A et al (2010) Reduction of secondhand tobacco smoke in public places following national smoke-free legislation in Uruguay. Tob Control 19(3):231–234CrossRefPubMed Blanco-Marquizo A, Goja B, Peruga A et al (2010) Reduction of secondhand tobacco smoke in public places following national smoke-free legislation in Uruguay. Tob Control 19(3):231–234CrossRefPubMed
21.
go back to reference Erazo M, Iglesias V, Droppelmann A et al (2010) Secondhand tobacco smoke in bars and restaurants in Santiago, Chile: evaluation of partial smoking ban legislation in public places. Tob Control. Online first doi:10.1136/tc.2009.035402 Erazo M, Iglesias V, Droppelmann A et al (2010) Secondhand tobacco smoke in bars and restaurants in Santiago, Chile: evaluation of partial smoking ban legislation in public places. Tob Control. Online first doi:10.​1136/​tc.​2009.​035402
22.
go back to reference Gorini G, Moshammer H, Sbrogio L et al (2008) Italy and Austria before and after study: second-hand smoke exposure in hospitality premises before and after 2 years from the introduction of the Italian smoking ban. Indoor Air 18(4):328–334CrossRefPubMed Gorini G, Moshammer H, Sbrogio L et al (2008) Italy and Austria before and after study: second-hand smoke exposure in hospitality premises before and after 2 years from the introduction of the Italian smoking ban. Indoor Air 18(4):328–334CrossRefPubMed
23.
go back to reference Lopez MJ, Nebot M, Albertini M et al (2008) Secondhand smoke exposure in hospitality venues in Europe. Environ Health Perspect 116(11):1469–1472CrossRefPubMed Lopez MJ, Nebot M, Albertini M et al (2008) Secondhand smoke exposure in hospitality venues in Europe. Environ Health Perspect 116(11):1469–1472CrossRefPubMed
24.
go back to reference Pursell L, Allwright S, O’Donovan D et al (2007) Before and after study of bar workers’ perceptions of the impact of smoke-free workplace legislation in the Republic of Ireland. BMC Public Health 7:131CrossRefPubMed Pursell L, Allwright S, O’Donovan D et al (2007) Before and after study of bar workers’ perceptions of the impact of smoke-free workplace legislation in the Republic of Ireland. BMC Public Health 7:131CrossRefPubMed
25.
go back to reference Tang H, Cowling DW, Stevens CM et al (2004) Changes of knowledge, attitudes, beliefs, and preference of bar owner and staff in response to a smoke-free bar law. Tob Control 13(1):87–89CrossRefPubMed Tang H, Cowling DW, Stevens CM et al (2004) Changes of knowledge, attitudes, beliefs, and preference of bar owner and staff in response to a smoke-free bar law. Tob Control 13(1):87–89CrossRefPubMed
26.
go back to reference Thrasher JF, Perez-Hernandez R, Swayampakala K et al (2010) Policy support, norms, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico city. Am J Public Health 100(9):1789–1798CrossRefPubMed Thrasher JF, Perez-Hernandez R, Swayampakala K et al (2010) Policy support, norms, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico city. Am J Public Health 100(9):1789–1798CrossRefPubMed
27.
go back to reference Thrasher JF, Besley JC, Gonzalez W (2010) Perceived justice and popular support for public health laws: a case study around comprehensive smoke-free legislation in Mexico City. Soc Sci Med 70(5):787–793CrossRefPubMed Thrasher JF, Besley JC, Gonzalez W (2010) Perceived justice and popular support for public health laws: a case study around comprehensive smoke-free legislation in Mexico City. Soc Sci Med 70(5):787–793CrossRefPubMed
28.
go back to reference Thrasher JF, Boado M, Sebrie EM et al (2009) Smoke-free policies and the social acceptability of smoking in Uruguay and Mexico: findings from the International Tobacco Control Policy Evaluation Project. Nicotine Tob Res 11(6):591–599CrossRefPubMed Thrasher JF, Boado M, Sebrie EM et al (2009) Smoke-free policies and the social acceptability of smoking in Uruguay and Mexico: findings from the International Tobacco Control Policy Evaluation Project. Nicotine Tob Res 11(6):591–599CrossRefPubMed
29.
go back to reference Chavarria A (2010) Cumplimiento de la ley de ambientes libres de humo de tabaco en Guatemala. Tésis de graduación. Medicina, Universidad de San Carlos de Guatemala. Personal communication. Sept 2, 2010 Chavarria A (2010) Cumplimiento de la ley de ambientes libres de humo de tabaco en Guatemala. Tésis de graduación. Medicina, Universidad de San Carlos de Guatemala. Personal communication. Sept 2, 2010
Metadata
Title
Secondhand smoke exposure in bars and restaurants in Guatemala City: before and after smoking ban evaluation
Authors
Joaquin Barnoya
Mariel Arvizu
Miranda R. Jones
Juan C. Hernandez
Patrick N. Breysse
Ana Navas-Acien
Publication date
01-01-2011
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 1/2011
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-010-9673-8

Other articles of this Issue 1/2011

Cancer Causes & Control 1/2011 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine