Bar workers' health and environmental tobacco smoke exposure (BHETSE): symptomatic improvement in bar staff following smoke-free legislation in Scotland
Bar workers' health and environmental tobacco smoke exposure (BHETSE): symptomatic improvement in bar staff following smoke-free legislation in Scotland
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DOI：
10.1136/oem.2008.040311
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发表时间：
2009-05-01
影响因子：
4.9
通讯作者：
Petticrew, M.
中科院分区：
文献类型：
--
作者：
Ayres, J. G.;Semple, S.;Petticrew, M.
目标：研究禁烟立法后酒吧工作人员健康状况的变化。设计：跟踪立法出台前、出台后2个月和1年酒吧工作人员的纵向研究，以控制季节差异。设置：苏格兰一系列社会经济环境中的酒吧。参与者：从72家酒吧招募的371名酒吧工作人员。干预：引入无烟立法，禁止在包括酒吧在内的封闭公共场所吸烟。主要结果指标：自我报告的呼吸和感觉症状患病率的变化。结果：在1年随访时观察到的191名（51%）工人中，报告有呼吸道症状的百分比从69%下降到57%（p= 0.02），减少接触后，感觉症状从75%降至64%（p= 0.02），2个月时的影响更大，可能部分是由于季节性影响。排除在基线或1年时报告感冒的受访者，呼吸道症状的减少相似，尽管“任何”感觉症状的减少更大（69%下降到54%，p= 0.011）。对于非吸烟者（n= 57），报告的痰液产生（32%至14%，p= 0.011）和眼睛发红/刺激（44%至18%，p= 0.001）症状显著减少。吸烟者的喘息（48%至31%，p= 0.006）和呼吸困难（42%至29%，p= 0.038）显著改善。唾液可替宁水平的变化和症状的变化之间没有关系。结论：酒吧工人在苏格兰报告显着减少呼吸和感觉症状1年后，他们的工作环境成为无烟。由于这些改善（控制了季节性变化）在非吸烟者和吸烟者中均可见，无烟工作环境甚至对吸烟者也可能具有潜在的重要益处。
Objective: To examine changes in the health of bar workers after smoke-free legislation was introduced.Design: Longitudinal study following bar workers from before legislation introduction, at 2 months after introduction and at 1 year to control for seasonal differences.Setting: Bars across a range of socio-economic settings in Scotland.Participants: 371 bar workers recruited from 72 bars.Intervention: Introduction of smoke-free legislation prohibiting smoking in enclosed public places, including bars.Main outcomes measures: Change in prevalence of self-reported respiratory and sensory symptoms.Results: Of the 191 (51%) workers seen at 1-year followup, the percentage reporting any respiratory symptom fell from 69% to 57% (p= 0.02) and for sensory symptoms from 75% to 64% (p= 0.02) following reductions in exposure, effects being greater at 2 months, probably partly due to seasonal effects. Excluding respondents who reported having a cold at either baseline or 1 year, the reduction in respiratory symptoms was similar although greater for "any'' sensory symptom (69% falling to 54%, p= 0.011). For non-smokers (n= 57) the reductions in reported symptoms were significant for phlegm production (32% to 14%, p= 0.011) and red/irritated eyes (44% to 18%, p= 0.001). Wheeze (48% to 31%, p= 0.006) and breathlessness (42% to 29%, p= 0.038) improved significantly in smokers. There was no relationship between change in salivary cotinine levels and change in symptoms.Conclusions: Bar workers in Scotland reported significantly fewer respiratory and sensory symptoms 1 year after their working environment became smoke free. As these improvements, controlled for seasonal variations, were seen in both non-smokers and smokers, smoke-free working environments may have potentially important benefits even for smokers.