Smoke-free environments: age, sex, and educational disparity in 25 Argentinean cities
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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.
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.
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.
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.
KeywordsSecondhand smoke Occupational exposure Smoke-free environment legislation
- 1.US Department of Health and Human Services (2006) The Health consequences of involuntary exposure to tobacco smoke: a report of the Surgeon General. US Department of Human and Health Services, Atlanta, GA. CDC. Available at: http://www.surgeongeneral.gov/library/secondhandsmoke/report. Accessed July 7, 2011
- 5.IARC Handbooks of Cancer Prevention, Tobacco Control, Vol. 13: evaluating the effectiveness of smoke-free policies (2009) Lyon, France. Available at: http://www.iarc.fr/en/publications/pdfs-online/prev/handbook13/handbook13.pdf. Accessed July 7, 2011
- 10.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)Google Scholar
- 11.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 342Google Scholar
- 25.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):51–56Google Scholar
- 27.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):34–43Google Scholar
- 30.World Health Organization/Framework Convention on Tobacco Control (2011) Available at: http://www.who.int/tobacco/framework/WHO_FCTC_english.pdf. Accessed 2 Oct 2011
- 31.National Survey of Risk Factors (2010) Ministry of Health (Argentina). Available at: http://www.msal.gov.ar/ent/PDF/ENFR_2009_presentacion%20ppt.pdf. Accessed 2 Mar 2011
- 32.WHO/GYTS Global Youth Tobacco Survey (2011). Accessed Mar 5, 2011. Available at: http://www.who.int/tobacco/surveillance/gyts/en/
- 34.National Institute of Statistics and Census of Argentina (2011) Available at: http://www.indec.mecon.gov.ar/. Accessed 2 Aug 2011
- 35.WHO/GATS (Global Adult Tobacco Survey) (2011) Available at: http://www.who.int/tobacco/surveillance/gats/en/index.html. Accessed 20 July 2011
- 36.National Survey of Risk Factors (2005) Ministry of Health, Argentina. Available at: http://www.msal.gov.ar/htm/site_tabaco/pdf/13_Tabaco.pdf. Accessed 1 Mar 2011
- 37.Barnoya J, Glantz SA (2005) Cardiovascular effects of secondhand smoke: nearly as large as smoking. Circulation 111Google Scholar
- 38.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):138–143Google Scholar
- 39.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):117–120Google Scholar
- 40.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):57–65Google Scholar
- 41.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)Google Scholar
- 43.Centers for Disease Control and Prevention (2010) Adult tobacco survey, 19 States, 2003–2007, surveillance summaries. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5903a1.htm. Accessed 22 June 2011. 59(SS–S3)