Evaluation of Secondhand Smoke Using PM2.5 and Observations in a Random Stratified Sample in Hospitality Venues from 12 Cities.


Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
17 04 2019
Historique:
received: 15 01 2019
revised: 22 03 2019
accepted: 12 04 2019
entrez: 20 4 2019
pubmed: 20 4 2019
medline: 29 10 2019
Statut: epublish

Résumé

Turkey passed a law banning smoking in all indoor public places in 2008. In response to the indoor smoking restriction, many smokers may have relocated to outdoor areas of venues. The aim of this study was to evaluate air pollution related to SHS exposure in indoor and outdoor areas of hospitality venues in 12 cities in Turkey. In this cross-sectional study, we evaluated hospitality venues in 12 cities in Turkey. In each visited venue, we evaluated a pre-specified number of study locations such as the outdoor area of the main entrance, indoor areas, and patios or other outdoor dining areas, completely or partially covered with window walls. We measured particulate matter 2.5 (PM2.5) in those areas. The fieldworkers visited 72 randomly selected hospitality venues and measured PM2.5 concentrations in 165 different locations (indoor, outdoor, and patios) of those venues. Overall, 2573 people were observed, 909 of them smoking. The median (IQR) PM2.5 concentrations were 95 (39-229) μg/m There were unhealthy levels of smoking-caused PM2.5 concentrations, not only indoors, but also in the patios of hospitality venues. Legislative efforts to expand the smoke-free legislation to outdoor areas adjacent to indoor public places and an action plan to increase compliance with the smoke-free policy are urgently needed in Turkey.

Sections du résumé

BACKGROUND
Turkey passed a law banning smoking in all indoor public places in 2008. In response to the indoor smoking restriction, many smokers may have relocated to outdoor areas of venues. The aim of this study was to evaluate air pollution related to SHS exposure in indoor and outdoor areas of hospitality venues in 12 cities in Turkey.
METHOD
In this cross-sectional study, we evaluated hospitality venues in 12 cities in Turkey. In each visited venue, we evaluated a pre-specified number of study locations such as the outdoor area of the main entrance, indoor areas, and patios or other outdoor dining areas, completely or partially covered with window walls. We measured particulate matter 2.5 (PM2.5) in those areas.
RESULTS
The fieldworkers visited 72 randomly selected hospitality venues and measured PM2.5 concentrations in 165 different locations (indoor, outdoor, and patios) of those venues. Overall, 2573 people were observed, 909 of them smoking. The median (IQR) PM2.5 concentrations were 95 (39-229) μg/m
CONCLUSIONS
There were unhealthy levels of smoking-caused PM2.5 concentrations, not only indoors, but also in the patios of hospitality venues. Legislative efforts to expand the smoke-free legislation to outdoor areas adjacent to indoor public places and an action plan to increase compliance with the smoke-free policy are urgently needed in Turkey.

Identifiants

pubmed: 30999605
pii: ijerph16081381
doi: 10.3390/ijerph16081381
pmc: PMC6518083
pii:
doi:

Substances chimiques

Particulate Matter 0
Tobacco Smoke Pollution 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Références

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Auteurs

Bekir Kaplan (B)

Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. bkaplan9@jhu.edu.

Asli Carkoglu (A)

Department of Psychology, Kadir Has University, Istanbul 34083, Turkey. asli.carkoglu@khas.edu.tr.

Gul Ergor (G)

Department of Public Health, Faculty of Medicine, Dokuz Eylul University, Izmir 35220, Turkey. gul.ergor@deu.edu.tr.

Mutlu Hayran (M)

Department of Preventive Oncology, Hacettepe University Cancer Institute, Ankara 06230, Turkey. kmhayran@gmail.com.

Xisca Sureda (X)

Social and Cardiovascular Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, 28801 Madrid, Spain. francisca.sureda@uah.es.

Joanna E Cohen (JE)

Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. jcohen@jhu.edu.

Ana Navas-Acien (A)

Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, NY 10032, USA. an2737@cumc.columbia.edu.

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Classifications MeSH