Skip to main content
Top
Published in: Cancer Causes & Control 10/2012

01-10-2012 | Original paper

Smoke-free environments: age, sex, and educational disparity in 25 Argentinean cities

Authors: Veronica Schoj, Lorena Allemandi, Oscar Ianovsky, Manuel Lago, Mariela Alderete

Published in: Cancer Causes & Control | Issue 10/2012

Login to get access

Abstract

Background

There is scarce evidence of secondhand smoke (SHS) and disparity in developing countries. We evaluated the relationship between socio-demographic variables and secondhand smoke-related factors in Argentina.

Methods

We conducted a randomized telephone survey (2008/2009) in 25 Argentinean cities. We included a sample of 160 respondents per city stratified by sex and age. We used different generalized multivariate regression models with a confidence interval of 95 % for the five outcome variables.

Results

We sampled 4,000 respondents, 52.2 % women, 36 % adolescents and young adults (15–29 years), 58 % ≥12 years of education, and 72.6 % nonsmokers. Support to 100 % smoke-free environment legislation was higher in older than in younger respondents, OR = 1.5 (IC: 1.2–2.0), and in people with higher education levels, OR = 1.2 (IC: 1.1–1.4). Exposure to SHS was significantly lower in men than in women at home and in public places, IRR = 0.7 (IC: 0.5–0.9) and IRR  = 0.8 (IC: 0.6–0.9), respectively. Older respondents reported lower exposure at home and in public places than adolescents and young adults, IRR = 0.6 (IC: 0.4–0.8) and IRR = 0.4 (IC: 0.3–0.5), respectively. People with higher education levels had a higher level of exposure in indoor public places than less educated people, IRR = 1.1 (IC: 1.1–1.2). Knowledge of respiratory disease in children caused by SHS exposure was lower in men than in women, RRR = 0.3 (IC: 0.1–0.6). Perceived compliance was higher in men than in women, OR = 1.4 (IC: 1.1–1.8) and in people with higher education levels, OR = 1.2 (IC: 1.1–1.4). Older and more educated respondents were more empowered than. younger and less educated people, OR = 1.5 (IC: 1.2–1.9) and OR = 1.2 (IC: 1.1–1.3), respectively. Reference groups for each variable were age: 15–29; education: ≤7 years; and sex: men.

Conclusions

This is the first study to explore socio-demographic variables regarding secondhand smoke in our country. Women and younger people are more vulnerable to SHS-related factors in Argentina.
Literature
2.
go back to reference Constant C, Sampaio I, Negreiro F, Aguiar P, Silva A, Salgueiro M et al (2011) Environmental tobacco smoke (ETS) exposure and respiratory morbidity in school age children. Rev Port Pneumol 17(1):20–26PubMedCrossRef Constant C, Sampaio I, Negreiro F, Aguiar P, Silva A, Salgueiro M et al (2011) Environmental tobacco smoke (ETS) exposure and respiratory morbidity in school age children. Rev Port Pneumol 17(1):20–26PubMedCrossRef
3.
go back to reference Brennan P, Buffler PA, Reynolds P, Wu AH, Wichmann HE, Agudo A et al (2004) Secondhand smoke exposure in adulthood and risk of lung cancer among never smokers: a pooled analysis of two large studies. Int J Cancer 109(1):125–131PubMedCrossRef Brennan P, Buffler PA, Reynolds P, Wu AH, Wichmann HE, Agudo A et al (2004) Secondhand smoke exposure in adulthood and risk of lung cancer among never smokers: a pooled analysis of two large studies. Int J Cancer 109(1):125–131PubMedCrossRef
4.
go back to reference Zhong L, Goldberg MS, Parent ME, Hanley JA (2000) Exposure to environmental tobacco smoke and the risk of lung cancer: a meta-analysis. Lung Cancer 27(1):3–18PubMedCrossRef Zhong L, Goldberg MS, Parent ME, Hanley JA (2000) Exposure to environmental tobacco smoke and the risk of lung cancer: a meta-analysis. Lung Cancer 27(1):3–18PubMedCrossRef
6.
go back to reference Kligerman S, White C (2011) Epidemiology of lung cancer in women: risk factors, survival, and screening. AJR Am J Roentgenol 196(2):287–295PubMedCrossRef Kligerman S, White C (2011) Epidemiology of lung cancer in women: risk factors, survival, and screening. AJR Am J Roentgenol 196(2):287–295PubMedCrossRef
7.
go back to reference Pitsavos C, Panagiotakos DB, Chrysohoou C, Skoumas J, Tzioumis K, Stefanadis C et al (2002) Association between exposure to environmental tobacco smoke and the development of acute coronary syndromes: the CARDIO2000 case–control study. Tob Control 11(3):220PubMedCrossRef Pitsavos C, Panagiotakos DB, Chrysohoou C, Skoumas J, Tzioumis K, Stefanadis C et al (2002) Association between exposure to environmental tobacco smoke and the development of acute coronary syndromes: the CARDIO2000 case–control study. Tob Control 11(3):220PubMedCrossRef
8.
go back to reference Bonita R, Duncan J, Truelsen T, Jackson RT, Beaglehole R (1999) Passive smoking as well as active smoking increases the risk of acute stroke. Tob Control 8(2):156–160PubMedCrossRef Bonita R, Duncan J, Truelsen T, Jackson RT, Beaglehole R (1999) Passive smoking as well as active smoking increases the risk of acute stroke. Tob Control 8(2):156–160PubMedCrossRef
9.
go back to reference Iribarren C, Darbinian J, Klatsky AL, Friedman GD (2004) Cohort study of exposure to environmental tobacco smoke and risk of first ischemic stroke and transient ischemic attack. Neuroepidemiology 23(1–2):38–44PubMedCrossRef Iribarren C, Darbinian J, Klatsky AL, Friedman GD (2004) Cohort study of exposure to environmental tobacco smoke and risk of first ischemic stroke and transient ischemic attack. Neuroepidemiology 23(1–2):38–44PubMedCrossRef
10.
go back to reference Oono IP, Mackay DF, Pell JP (2011) Meta-analysis of the association between secondhand smoke exposure and stroke. J Public Health (Oxf) PMID: 21422014. (Epub ahead of print) Oono IP, Mackay DF, Pell JP (2011) Meta-analysis of the association between secondhand smoke exposure and stroke. J Public Health (Oxf) PMID: 21422014. (Epub ahead of print)
11.
go back to reference Luo J, Margolis KL, Wactawski-Wende J, Horn K, Messina C, Stefanick ML et al. (2011) Association of active and passive smoking with risk of breast cancer among postmenopausal women: a prospective cohort study. BMJ: Br Med J 342 Luo J, Margolis KL, Wactawski-Wende J, Horn K, Messina C, Stefanick ML et al. (2011) Association of active and passive smoking with risk of breast cancer among postmenopausal women: a prospective cohort study. BMJ: Br Med J 342
12.
go back to reference Farrelly MC, Nonnemaker JM, Chou R, Hyland A, Peterson KK, Bauer UE (2005) Changes in hospitality workers’ exposure to secondhand smoke following the implementation of New York’s smoke-free law. Tob Control 14(4):236–241PubMedCrossRef Farrelly MC, Nonnemaker JM, Chou R, Hyland A, Peterson KK, Bauer UE (2005) Changes in hospitality workers’ exposure to secondhand smoke following the implementation of New York’s smoke-free law. Tob Control 14(4):236–241PubMedCrossRef
13.
go back to reference Hahn EJ, Rayens MK, York N, Okoli CT, Zhang M, Dignan M et al (2006) Effects of a smoke-free law on hair nicotine and respiratory symptoms of restaurant and bar workers. J Occup Environ Med 48(9):906–913PubMedCrossRef Hahn EJ, Rayens MK, York N, Okoli CT, Zhang M, Dignan M et al (2006) Effects of a smoke-free law on hair nicotine and respiratory symptoms of restaurant and bar workers. J Occup Environ Med 48(9):906–913PubMedCrossRef
14.
go back to reference Sargent RP, Shepard RM, Glantz SA, Barone-Adesi F, Vizzini L, Merletti F et al (2004) Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study. BMJ 328(7446):977–980PubMedCrossRef Sargent RP, Shepard RM, Glantz SA, Barone-Adesi F, Vizzini L, Merletti F et al (2004) Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study. BMJ 328(7446):977–980PubMedCrossRef
15.
go back to reference Menzies D, Nair A, Williamson PA, Schembri S, Al-Khairalla MZ, Barnes M 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):1742–1748PubMedCrossRef Menzies D, Nair A, Williamson PA, Schembri S, Al-Khairalla MZ, Barnes M 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):1742–1748PubMedCrossRef
16.
go back to reference Larsson M, Boethius G, Axelsson S, Montgomery SM (2008) Exposure to environmental tobacco smoke and health effects among hospitality workers in Sweden–before and after the implementation of a smoke-free law. Scand J Work Environ Health 34(4):267–277PubMedCrossRef Larsson M, Boethius G, Axelsson S, Montgomery SM (2008) Exposure to environmental tobacco smoke and health effects among hospitality workers in Sweden–before and after the implementation of a smoke-free law. Scand J Work Environ Health 34(4):267–277PubMedCrossRef
17.
go back to reference Schoj V, Alderete M, Ruiz E, Hasdeu S, Linetsky B, Ferrante D (2010) The impact of a 100 % smoke-free law on the health of hospitality workers from the city of Neuquen, Argentina. Tob Control 19:134–137PubMedCrossRef Schoj V, Alderete M, Ruiz E, Hasdeu S, Linetsky B, Ferrante D (2010) The impact of a 100 % smoke-free law on the health of hospitality workers from the city of Neuquen, Argentina. Tob Control 19:134–137PubMedCrossRef
18.
go back to reference Lightwood JM, Glantz S (2009) Declines in acute myocardial infarction after smoke-free laws and individual risk attributable to secondhand smoke. Circulation 120(14):1373–1379PubMedCrossRef Lightwood JM, Glantz S (2009) Declines in acute myocardial infarction after smoke-free laws and individual risk attributable to secondhand smoke. Circulation 120(14):1373–1379PubMedCrossRef
19.
go back to reference Meyers DG, Neuberger JS, He J (2009) Cardiovascular effect of bans on smoking in public places: a systematic review and meta-analysis. J Am Coll Cardiol 54(14):1249–1255PubMedCrossRef Meyers DG, Neuberger JS, He J (2009) Cardiovascular effect of bans on smoking in public places: a systematic review and meta-analysis. J Am Coll Cardiol 54(14):1249–1255PubMedCrossRef
20.
go back to reference Herman PM, Walsh ME (2011) Hospital admissions for acute myocardial infarction, angina, stroke, and asthma after implementation of Arizona’s comprehensive statewide smoking ban. Am J Public Health 101:491–496PubMedCrossRef Herman PM, Walsh ME (2011) Hospital admissions for acute myocardial infarction, angina, stroke, and asthma after implementation of Arizona’s comprehensive statewide smoking ban. Am J Public Health 101:491–496PubMedCrossRef
21.
go back to reference Mackay D, Haw S, Ayres J, Fischbacher C, Pell J (2010) Smoke-free legislation and hospitalizations for childhood asthma. N Engl J Med 363:1139–1145PubMedCrossRef Mackay D, Haw S, Ayres J, Fischbacher C, Pell J (2010) Smoke-free legislation and hospitalizations for childhood asthma. N Engl J Med 363:1139–1145PubMedCrossRef
22.
go back to reference Hackshaw AK, Law MR, Wald NJ (1997) The accumulated evidence on lung cancer and environmental tobacco smoke. BMJ 315:980–988PubMedCrossRef Hackshaw AK, Law MR, Wald NJ (1997) The accumulated evidence on lung cancer and environmental tobacco smoke. BMJ 315:980–988PubMedCrossRef
23.
go back to reference Wipfli H, Avila-Tang E, Navas-Acien A (2008) Secondhand smoke exposure among women and children: evidence from 31 countries. Am J Public Health 98:672–679PubMedCrossRef Wipfli H, Avila-Tang E, Navas-Acien A (2008) Secondhand smoke exposure among women and children: evidence from 31 countries. Am J Public Health 98:672–679PubMedCrossRef
24.
go back to reference Greaves LJ, Hemsing NJ (2009) Sex, gender, and secondhand smoke policies: implications for disadvantaged women. Am J Prev Med 27(2 suppl):131–137CrossRef Greaves LJ, Hemsing NJ (2009) Sex, gender, and secondhand smoke policies: implications for disadvantaged women. Am J Prev Med 27(2 suppl):131–137CrossRef
25.
go back to reference Moore RS, Lee JP, Antin TMJ, Martin SE (2006) Tobacco free workplace policies and low SES female bartenders in San Francisco. J Epidemiol Commun Health 60(suppl 2):51–56 Moore RS, Lee JP, Antin TMJ, Martin SE (2006) Tobacco free workplace policies and low SES female bartenders in San Francisco. J Epidemiol Commun Health 60(suppl 2):51–56
26.
go back to reference Rushton L, Bagga S, Bevan R, Brown TP, Cherrie JW, Holmes P et al (2010) Occupation and cancer in Britain. Br J Cancer 102(9):1428–1437PubMedCrossRef Rushton L, Bagga S, Bevan R, Brown TP, Cherrie JW, Holmes P et al (2010) Occupation and cancer in Britain. Br J Cancer 102(9):1428–1437PubMedCrossRef
27.
go back to reference Shavers VL, Fagan P, Alexander LA, Clayton R, Doucet J, Baezconde-Garbanati L (2006) Workplace and home smoking restrictions and racial/ethnic variation in the prevalence and intensity of current cigarette smoking among women by poverty status, TUS-CPS 1998–1999 and 2001–2002. J Epidemiol Commun Health 60(suppl 2):34–43 Shavers VL, Fagan P, Alexander LA, Clayton R, Doucet J, Baezconde-Garbanati L (2006) Workplace and home smoking restrictions and racial/ethnic variation in the prevalence and intensity of current cigarette smoking among women by poverty status, TUS-CPS 1998–1999 and 2001–2002. J Epidemiol Commun Health 60(suppl 2):34–43
28.
go back to reference Tong EK, Tang H, Tsoh J, Wong C, Chen MSJ (2009) Smoke-free policies among Asian-American women: comparisons by education status. Am J Prev Med 37(2 suppl):144–150CrossRef Tong EK, Tang H, Tsoh J, Wong C, Chen MSJ (2009) Smoke-free policies among Asian-American women: comparisons by education status. Am J Prev Med 37(2 suppl):144–150CrossRef
29.
go back to reference Singh GK, Siahpush M, Kogan MD (2010) Disparities in children’s exposure to environmental tobacco smoke in the United States, 2007. Pediatrics 126(1):4–13PubMedCrossRef Singh GK, Siahpush M, Kogan MD (2010) Disparities in children’s exposure to environmental tobacco smoke in the United States, 2007. Pediatrics 126(1):4–13PubMedCrossRef
33.
go back to reference Champagne BM, Sebrié EM, Schargrodsky H, Pramparo P, Boissonnet C, Wilson E (2010) Tobacco smoking in seven Latin American cities: the CARMELA study. Tob Control 19(6):457–462PubMedCrossRef Champagne BM, Sebrié EM, Schargrodsky H, Pramparo P, Boissonnet C, Wilson E (2010) Tobacco smoking in seven Latin American cities: the CARMELA study. Tob Control 19(6):457–462PubMedCrossRef
37.
go back to reference Barnoya J, Glantz SA (2005) Cardiovascular effects of secondhand smoke: nearly as large as smoking. Circulation 111 Barnoya J, Glantz SA (2005) Cardiovascular effects of secondhand smoke: nearly as large as smoking. Circulation 111
38.
go back to reference Moore RS, Annechino RM, Lee JP (2009) Unintended consequences of smoke-free bar policies for low-SES women in three California Counties. Am J Prev Med 37(2S):138–143 Moore RS, Annechino RM, Lee JP (2009) Unintended consequences of smoke-free bar policies for low-SES women in three California Counties. Am J Prev Med 37(2S):138–143
39.
go back to reference Moore RS, McLellan DL, Tauras JA, Fagan P (2009) Securing the health of disadvantaged women. A critical investigation of tobacco-control policy effects on women worldwide. Am J Prev Med 37(2S):117–120 Moore RS, McLellan DL, Tauras JA, Fagan P (2009) Securing the health of disadvantaged women. A critical investigation of tobacco-control policy effects on women worldwide. Am J Prev Med 37(2S):117–120
40.
go back to reference Greaves L, Jategaonkar N (2006) Tobacco policies and vulnerable girls and women: toward a framework for gender sensitive policy development. J Epidemiol Commun Health 60(2S):57–65 Greaves L, Jategaonkar N (2006) Tobacco policies and vulnerable girls and women: toward a framework for gender sensitive policy development. J Epidemiol Commun Health 60(2S):57–65
41.
go back to reference Schoj V, Sebrie E, Pizarro M, Hyland A, Travers MJ (2010) Informing effective smoke-free policies in Argentina: air quality monitoring study in 15 cities (2007–2009). Salud Publica Mex 52(suppl 2) Schoj V, Sebrie E, Pizarro M, Hyland A, Travers MJ (2010) Informing effective smoke-free policies in Argentina: air quality monitoring study in 15 cities (2007–2009). Salud Publica Mex 52(suppl 2)
42.
go back to reference Robinson J, Ritchie D, Amos A, Cunningham-Burley S, Greaves L, Martin C (2010) Waiting until they got home’: gender, smoking and tobacco exposure in households in Scotland. Soc Sci Med 71(5):884–890PubMedCrossRef Robinson J, Ritchie D, Amos A, Cunningham-Burley S, Greaves L, Martin C (2010) Waiting until they got home’: gender, smoking and tobacco exposure in households in Scotland. Soc Sci Med 71(5):884–890PubMedCrossRef
44.
go back to reference Groves RM (2006) Nonresponse rates and nonresponse bias in household surveys. Public Opin Quart 70(5):646–675CrossRef Groves RM (2006) Nonresponse rates and nonresponse bias in household surveys. Public Opin Quart 70(5):646–675CrossRef
45.
go back to reference Keeter S, Kennedy C, Dimock M, Best J, Craighill P (2006) Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Quart 70(5):759–779CrossRef Keeter S, Kennedy C, Dimock M, Best J, Craighill P (2006) Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Quart 70(5):759–779CrossRef
46.
go back to reference Navas-Acien A, Peruga A, Breysse P, Zavaleta A, Blanco-Marquizo A, Pitarque R et al (2004) Secondhand tobacco smoke in public places in Latin America, 2002–2003. JAMA, J Am Med Assoc 291(22):2741CrossRef Navas-Acien A, Peruga A, Breysse P, Zavaleta A, Blanco-Marquizo A, Pitarque R et al (2004) Secondhand tobacco smoke in public places in Latin America, 2002–2003. JAMA, J Am Med Assoc 291(22):2741CrossRef
47.
go back to reference Hyland A, Travers MJ, Dresler C, Higbee C, Cummings KM (2008) A 32-country comparison of tobacco smoke derived particle levels in indoor public places. Tob Control 17(3):159PubMedCrossRef Hyland A, Travers MJ, Dresler C, Higbee C, Cummings KM (2008) A 32-country comparison of tobacco smoke derived particle levels in indoor public places. Tob Control 17(3):159PubMedCrossRef
Metadata
Title
Smoke-free environments: age, sex, and educational disparity in 25 Argentinean cities
Authors
Veronica Schoj
Lorena Allemandi
Oscar Ianovsky
Manuel Lago
Mariela Alderete
Publication date
01-10-2012
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 10/2012
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-012-0038-3

Other articles of this Issue 10/2012

Cancer Causes & Control 10/2012 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