Literature DB >> 16633390

Secondhand tobacco smoke exposure in New Zealand bars: results prior to implementation of the bar smoking ban.

Jeff Fowles1, Annemarie Christophersen, Dinusha Fernando, Rod Lea, Alistair Woodward, Stuart Dickson, Matthew Hosking, Richard Berezowski.   

Abstract

AIMS: To measure secondhand smoke (SHS) levels in New Zealand bars prior to smokefree legislation enacted on 10 December 2004.
METHODS: Thirty bars were randomly selected from urban, surburban, and surrounding rural areas of Auckland, Wellington, and Invercargill. Bars were visited (on a Friday or Saturday night for a 3-hour stay between 1800 and 2400 hours) in July/August/September 2004 (winter) and again in October/November 2004 (spring). Each bar was visited by a group of 4 or 5 non-smokers participating in the study. All groups of participants spent a 3-hour block of continuous time in the bar. Saliva samples (approximately 0.5-2 mL) were provided immediately prior to entering the bar as well as 5-15 minutes after leaving the bar. Each group recorded the initial impression of air quality and ventilation, the number of observed lit cigarettes over three 10-minute intervals throughout the evening, and the number of patrons at each interval. In addition, any general comments about the venue (relevant to bar attendance or air quality on the evening) was recorded. Cotinine, the main metabolite of nicotine, was measured in saliva samples using Liquid Chromatography with tandem Mass Spectrometry (LC-MS-MS).
RESULTS: In all bars, and in all volunteers, exposure to SHS was evident. Saliva cotinine increased after 3 hours in the bar (mean increase=0.66 ng/mL, SE=0.03 ng/mL, p value of <0.0001). The 30 bars randomly selected provided a good spectrum of SHS exposures, with mean cotinine increasing by approximately 8-fold. Smaller population centres showed greater exposures to SHS. A north-south gradient of exposure was also seen (highest exposures were in Southland). Higher exposures were seen in the winter than in the spring. The objective measures of SHS exposure correlated strongly with the volunteers' subjective observation of ventilation, air quality, and counts of lit cigarettes. One exception was where objective salivary markers indicated that even "seemingly smokefree" venues with "good ventilation" produced discernable levels of SHS exposure.
CONCLUSIONS: We have utilised an objective, non-invasive scientific approach to assess SHS smoke exposure in patrons of New Zealand bars. Our results clearly indicate exposure to SHS, with regional and seasonal variation, prior to the introduction of smokefree legislation.

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Year:  2006        PMID: 16633390

Source DB:  PubMed          Journal:  N Z Med J        ISSN: 0028-8446


  7 in total

1.  Evaluation of the immediate impact of the Washington, D.C., smoke-free indoor air policy on bar employee environmental tobacco smoke exposure.

Authors:  Jennifer Pearson; Richard Windsor; Ayman El-Mohandes; David C Perry
Journal:  Public Health Rep       Date:  2009 Jul-Aug       Impact factor: 2.792

Review 2.  Quantification of ETS exposure in hospitality workers who have never smoked.

Authors:  Stefanie Kolb; Ulrike Brückner; Dennis Nowak; Katja Radon
Journal:  Environ Health       Date:  2010-08-12       Impact factor: 5.984

Review 3.  Recent contributions of air- and biomarkers to the control of secondhand smoke (SHS): a review.

Authors:  Jacques J Prignot
Journal:  Int J Environ Res Public Health       Date:  2011-03-01       Impact factor: 3.390

4.  Legislation reduces exposure to second-hand tobacco smoke in New Zealand bars by about 90%.

Authors:  Dinusha Fernando; Jefferson Fowles; Alistair Woodward; Annemarie Christophersen; Stuart Dickson; Matthew Hosking; Richard Berezowski; Rod A Lea
Journal:  Tob Control       Date:  2007-08       Impact factor: 7.552

5.  Smoking and multiple sclerosis: an updated meta-analysis.

Authors:  Adam E Handel; Alexander J Williamson; Giulio Disanto; Ruth Dobson; Gavin Giovannoni; Sreeram V Ramagopalan
Journal:  PLoS One       Date:  2011-01-13       Impact factor: 3.240

6.  Beneficial impacts of a national smokefree environments law on an indigenous population: a multifaceted evaluation.

Authors:  Richard Edwards; Heather Gifford; Andrew Waa; Marewa Glover; George Thomson; Nick Wilson
Journal:  Int J Equity Health       Date:  2009-04-30

7.  National smokefree law in New Zealand improves air quality inside bars, pubs and restaurants.

Authors:  Nick Wilson; Richard Edwards; Anthony Maher; Jenny Näthe; Rafed Jalali
Journal:  BMC Public Health       Date:  2007-05-18       Impact factor: 3.295

  7 in total

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