RESEARCH PAPER
Disparities in exposure to tobacco smoke pollution at Romanian worksites
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Tobacco Control Department, Department of Preventive Medicine, Medical University of Łódź, Poland
 
 
Corresponding author
Dorota Kaleta   

Tobacco Control Department, Department of Preventive Medicine, Medical University of Łódź, Poland
 
 
Ann Agric Environ Med. 2015;22(4):755-761
 
KEYWORDS
ABSTRACT
Introduction:
Differences in the risk of being exposed to second-hand smoke (SHS) in the workplace may occur not only between countries, but also within a country among socio-economic groups.

Objectives:
The aim of the study was to examine the associations of exposure to SHS at worksites with selected factors in non-smoking Romanian employees.

Material and Methods:
Data on exposure to SHS at worksites and other characteristics of respondents came from the Global Adult Tobacco Survey (GATS). GATS is a nationally representative household survey of adults 15 years of age or older, using a standard protocol.

Results:
Among 4,517 respondents who completed the questionnaire there were 1,333 subjects, including 859 non-smokers who worked in an indoor area outside the home. The prevalence of exposure to SHS was 31.2% among non-smoking male and 23.9% among non-smoking female employees (p<0.05). Employees with primary education had odds of exposure to SHS at work nearly twice as high, compared to the respondents having high education attainment (OR=1.9; 95% CI: 1.2–2.9). Moreover, exposure to SHS at worksites was significantly associated with a low level of support for tobacco control policies among workers (OR = 1.8; 95% CI: 1.2–2.8).

Conclusions:
In spite of the increasing presence of smoking bans in public and workplaces, enforcement still seems to be unsuccessful in the occupational space in Romania. In order to reduce SHS exposure in workplaces, strengthening support for tobacco control policies is essential.

REFERENCES (25)
1.
World Health Organization. Global estimate of the burden of disease from second-hand smoke. World Health Organization, Geneva, 2010.
 
2.
World Health Organization. Second hand smoke, assessing the environmental burden of disease at national and local levels. World Health Organization, Geneva, 2010.
 
3.
U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, U.S. Department of Health and Human Services, Atlanta, GA 2006.
 
4.
Jaakkola Maritta S, Ritva Piipari, Niina Jaakkola, Jouni J. K. Jaakkola. Environmental tobacco smoke and adult-onset asthma: a population-based incident case-control study. Am J Pub Health. 2003; 93: 2055–2060.
 
5.
World Health Organization. WHO global report: mortality attributable to tobacco. World Health Organization, Geneva, Switzerland, 2012.
 
6.
Global Adult Tobacco Survey (GATS). Romania Country Report. Ministry of Health Romania. Eikon, Bucarest, 2012. http://www.who.int/tobacco/sur.... html (Accessed July 2014).
 
7.
Kaleta D, Usidame B, Dziankowska-Zaborszczyk E, Makowiec-Dąbrowska T. Correlates of cessation success among Romanian adults. BioMed Res Int. 2014, Article ID 675496, 11 pages, http://dx.doi.org/10.1155/2014.
 
8.
Kaleta D, Makowiec-Dąbrowska T, Dziankowska-Zaborszczyk E, Fronczak A. Prevalence and socio-demographic correlates of daily cigarette smoking in Poland: results from the Global Adult Tobacco Survey (2009–2010). Int J Occup Med Environ Health. 2012 Jun; 25(2): 126–36. doi: 10.2478/S13382-012-0016-8.
 
9.
Centers for Disease Control and Prevention (CDC), Global Tobacco Surveillance System. Global adult tobacco survey. Centers for Disease Control and Prevention, Atlanta,1999.
 
10.
King BA, Mirza SA, Babb SD. GATS Collaborating Group. A cross-country comparison of secondhand smoke exposure among adults: findings from the Global Adult Tobacco Survey (GATS). Tob Control. 2012; 22(4): e5, 2013. doi: 10.1136/tobaccocontrol-2012-050582.
 
11.
Special Eurobarometer 385/ Wave EB 77.1 – TNS Opinion & Social. Attitudes of Europeans towards tobacco. June 2012. http://ec.europa.eu/public_opi.... (Accessed at: June 2014).
 
12.
Twose J, Schiaffino A, García M, Borras JM, Fernández E. Correlates of exposure to second-hand smoke in an urban Mediterranean population. BMC Pub Health 2007; 7: 194.
 
13.
Nebot M, Lopez M., Tomas Z, Ariza C, Borrell C, Villalbi J. Exposure to environmental tobacco smoke at work and at home: a population based survey. Tob Control. 2004; 13(1): 95. doi: 10.1136/tc.2003.006221.
 
14.
Janson C, Künzli N, de Marco R, Chinn S, Jarvis D, Svanes C, Heinrich J, Jõgi R, Gislason T, Sunyer J, Ackermann-Liebrich U., Antó JM, Cerveri I, Kerhof M, Leynaert B, Luczynska C, Neukirch F, Vermeire P, Wjst M, Burney P. Changes in active and passive smoking in the European Community Respiratory Health Survey. Eur Respir J. 2006; 27(3): 517–24.
 
15.
Whitlock G, MacMahon S, Vander Hoorn S, Davis P, Jackson R, Norton R. Association of environmental tobacco smoke exposure with socioeconomic status in a population of 7725 New Zealanders. Tob Control. 1998; 7: 276–80.
 
16.
Faggiano F, Versino E, Lemma P. Decennial trends of social differentials in smoking habits in Italy. Cancer Causes Control. 2001; 12: 665–671.
 
17.
Jefferis BJ, Power C, Graham H, Manor O. Changing social gradients in cigarette smoking and cessation over two decades of adult follow-up in a British birth cohort. J Public Health (Oxf) 2004; 26: 13–18.
 
18.
Steil AK, Lorenzo L, Sydeman S. Demographic variables are associated with knowledge, attitudes, and preventive behaviors related to environmental tobacco smoke. Nicotine Tob Res. 2010; 12(6): 674–678. doi: 10.1093/ntr/ntq065.
 
19.
Kurtz M, Kurtz J, Contreras D, Booth C. Knowledge and attitudes of economically disadvantaged women regarding exposure to environmental tobacco smoke. Eur J Public Health 2003; 13: 171–176.
 
20.
Jaakkola MS, Jaakkola JJ. Assessment of exposure to environmental tobacco smoke. Eur Respir J. 1997; 10: 2384–2397.
 
21.
Max W, Sung HY, Shi Y. Who is exposed to secondhand smoke? Self-reported and serum cotinine measured exposure in the U.S., 1999–2006. Int J Environ Res Public Health 2009; 6: 1633–48.
 
22.
James H, Tizabi Y, Taylor R. Rapid method for the simultaneous measurement of nicotine and cotinine in urine and serum by gas chromatography–mass spectrometry. J Chromatogr B Biomed Sci Appl. 1998; 708(1–2): 87–93.
 
23.
Jarvis M, Tunstall-Pedoe H, Feyerabend C, Vesey C, Salloojee Y. Biochemical markers of smoke absorption and self- reported exposure to passive smoking. J Epidemiol Community Health. 1984; 38(4): 335–9.
 
24.
Patrick D L, Cheadle A, Thompson DC, Diehr P, Koepsell T, Kinne S. The Validity of Self-Reported Smoking: A Review and Meta-Analysis. Am J Public Health. 1994; 84: 1086–1093.
 
25.
Muilenburg JL, Legge JS Jr, Burdell A. Indoor smoking bans in Bulgaria, Croatia, Northern Cyprus, Romania and Turkey. Tobacco Control 2010;19:417e420. doi:10.1136/tc.2009.029769.
 
eISSN:1898-2263
ISSN:1232-1966
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