Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study

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dc.contributor.author Allwright, Shane
dc.contributor.author Paul, Gillian
dc.contributor.author Greiner, Birgit A.
dc.contributor.author Mullally, Bernie J.
dc.contributor.author Pursell, Lisa
dc.contributor.author Kelly, Alan
dc.contributor.author Bonner, Brendan
dc.contributor.author D'Eath, Maureen
dc.contributor.author McConnell, Bill
dc.contributor.author McLaughlin, James P.
dc.contributor.author O'Donovan, Diarmuid
dc.contributor.author O'Kane, Eamon
dc.contributor.author Perry, Ivan J.
dc.date.accessioned 2009-11-02T13:47:08Z
dc.date.available 2009-11-02T13:47:08Z
dc.date.issued 2005-11-12
dc.identifier.citation Allwright S., Paul G., Greiner B., Mullally BJ., et al, 2005. Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study. BMJ, 331(7525), pp. 1117-1123. en
dc.identifier.volume 331 en
dc.identifier.issued 7525 en
dc.identifier.startpage 1117 en
dc.identifier.endpage 1123 en
dc.identifier.issn 0959-535X
dc.identifier.uri http://hdl.handle.net/10468/95
dc.identifier.doi 10.1136/bmj.38636.499225.55
dc.description.abstract Objectives: To compare exposure to secondhand smoke and respiratory health in bar staff in the Republic of Ireland and Northern Ireland before and after the introduction of legislation for smoke-free workplaces in the Republic. Design: Comparisons before and after the legislation in intervention and control regions. Setting Public houses in three areas in the Republic (intervention) and one area in Northern Ireland (control). Participants: 329 bar staff enrolled in baseline survey; 249 (76%) followed up one year later. Of these, 158 were non-smokers both at baseline and follow-up. Main outcome measures: Salivary cotinine concentration, self reported exposure to secondhand smoke, and respiratory and sensory irritation symptoms. Results: In bar staff in the Republic who did not themselves smoke, salivary cotinine concentrations dropped by 80% after the smoke-free law (from median 29.0 nmol/l (95% confidence interval 18.2 to 43.2 nmol/l)) to 5.1 nmol/l (2.8 to 13.1 nmol/l) in contrast with a 20% decline in Northern Ireland over the same period (from median 25.3 nmol/l (10.4 to 59.2 nmol/l) to 20.4 nmol/l (13.2 to 33.8 nmol/l)). Changes in self reported exposure to secondhand smoke were consistent with the changes in cotinine concentrations. Reporting any respiratory symptom declined significantly in the Republic (down 16.7%, -26.1% to -7.3%) but not in Northern Ireland (0% difference, -32.7% to 32.7%). After adjustment for confounding, respiratory symptoms declined significantly more in the Republic than in Northern Ireland and the decline in cotinine concentration was twice as great. Conclusion: The smoke-free law in the Republic of Ireland protects non-smoking bar workers from exposure to secondhand smoke. en
dc.description.sponsorship Office of Tobacco Control, Republic of Ireland (Research Institute for a Tobacco Free Society); National Cancer Institute, United States (R01 CA90955); Irish Cancer Society; Irish Heart Foundation; Health Service Executive, Western Area, and Western Investing for Health Partnership, Northern Ireland. Mandate Trade Union, Ireland, provided two prizes for a draw en
dc.format.medium application/pdf en
dc.language.iso en en
dc.publisher British Medical Association, BMJ Publishing Group Ltd en
dc.rights © 2005 Allwright et al; licensee BMJ Publishing Group Ltd en
dc.rights.uri http://resources.bmj.com/bmj/authors/checklists-forms/licence-for-publication en
dc.subject Secondhand smoke effects en
dc.subject Smoke-free workplace legislation en
dc.subject Passive smoking en
dc.subject.lcsh Smoking cessation -- Health aspects en
dc.subject.lcsh Smoking in the workplace -- Government policy -- Ireland en
dc.subject.lcsh Smoking -- Law and legislation -- Ireland en
dc.title Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study en
dc.type Article (peer-reviewed) en
dc.internal.authorurl http://www.ucc.ie/en/epid/mstaff/ivperry/ en
dc.internal.authorurl http://www.ucc.ie/en/epid/mstaff/bigreiner/ en
dc.internal.authorurl http://www.ucc.ie/en/epid/mstaff/bemullally/ en
dc.internal.authorcontactother Ivan J. Perry, Department of Epidemiology and Public Health, University College Cork, Cork, Ireland. Email: i.perry@ucc.ie en
dc.internal.authorcontactother Birgit A Greiner, Department of Epidemiology and Public Health, University College Cork, Cork, Ireland. Email: b.greiner@ucc.ie en
dc.internal.authorcontactother Bernie J. Mullally, Department of Epidemiology and Public Health, University College Cork, Cork, Ireland. Email: b.mullally@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Office of Tobacco Control, Ireland en
dc.contributor.funder National Cancer Institute, United States
dc.contributor.funder Irish Cancer Society
dc.contributor.funder Irish Heart Foundation
dc.contributor.funder Health Service Executive, Ireland
dc.contributor.funder Western Investing for Health Partnership, Northern Ireland
dc.contributor.funder Mandate Trade Union, Ireland
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMJ en
dc.internal.IRISemailaddress i.perry@ucc.ie en


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