Cited by 65Smoking Behavior and CessationGlobal Public Health Policies and EpidemiologyPublic Health Policies and Education

Smoke-free spaces: a decade of progress, a need for more?

Open access
Semple, Sean, Dobson, Ruaraidh, O'Donnell, Rachel, Zainal Abidin, Emilia, Tigova, Olena, Okello, Gabriel, Fernández, Esteve·2022·Tobacco Control

Abstract

Adoption of smoke-free measures has been one of the central elements of tobacco control activity over the past 30 years. The past decade has seen an increasing number of countries and proportion of the global population covered by smoke-free policies to some extent. Despite reductions in global smoking prevalence, population growth means that the number of non-smokers exposed to the harms caused by secondhand smoke remains high. Smoke-free policy measures have been shown to be useful in protecting non-smokers from secondhand smoke, and can additionally increase cessation and reduce smoking initiation. Policies tend to be aimed primarily at enclosed public or workplace settings with very few countries attempting to control exposure in private or semiprivate spaces such as homes and cars, and, as a result, children may be benefiting less from smoke-free measures than adults. Compliance with legislation also varies by country and there is a need for education and empowerment together with guidance and changing social norms to help deliver the full benefits that smoke-free spaces can bring. Restrictions and policies on use of electronic cigarettes (e-cigarettes) in smoke-free settings require more research to determine the benefits and implications of bystanders’ exposure to secondhand e-cigarette aerosol, dual use and smoking cessation.

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  • Smoking in homes results in sustained high levels of particulate and gaseous pollution and is an increasingly important source of secondhand smoke exposure, particularly for children, with an estimated 430 million people exposed in China, India, Bangladesh, Indonesia, and the Philippines alone.

    “Smoking in homes results in sustained high levels of particulate and gaseous pollution and is an increasingly important source of SHS exposure, particularly for children (147-149), with a point of times estimate, based on the latest available survey in each country, of 430 million people estimated to be exposed in China, India, Bangladesh, Indonesia, and the Philippines alone (101).”
  • Globally, exposure to secondhand smoke is greatest in low- and middle-income countries, particularly among women and children.

    “Globally, exposure to SHS is greatest in low- and middle-income countries, particularly among women and children (148).”

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Research works printed but not linked: 4

  1. GBD. Risk factors Collaborators. global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet 20162017;390:1345-422.
  2. Bosdries J, Willemsen M, Stronks K. Tobacco control policy development in the European Union: do political factors matter? Eur J Public Health 2015;25:90-194.
  3. American Nonsmokers' Rights Foundation. Smoke-free multiunit housing policies: where are we now? 2021. Available: https://no-smoke.org/smokefree-multi-unit- housing-policies-now/ copyright. on September 7, 2024 by guest. Protected by http://tobaccocontrol.bmj.com/ Tob Control: first published as 10.1136/tobaccocontrol-2021-056556 on 3 March 2022. Downloaded from Review 52
  4. National Academies of Sciences Engineering and Medicine. Public health consequences of e-cigarettes. conclusions by outcome. 2018. Available: https://www. nap.edu/resource/24952/012318ecigaretteConclusionsbyOutcome.pdf [Accessed 8th Oct 2021]. copyright. on September 7, 2024 by guest. Protected by http://tobaccocontrol.bmj.com/ Tob Control: first published as 10.1136/tobaccocontrol-2021-056556 on 3 March 2022. Downloaded

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Authors
Semple, S., Dobson, R., O'Donnell, R., Zainal Abidin, E., Tigova, O., Okello, G., & Fernández, E.
Affiliations
  • University of Stirling (GB)
  • Institut d'Investigació Biomédica de Bellvitge (ES)
  • University of Cambridge (GB)
Corresponding author
Semple, Sean
Venue
Tobacco Control
Publisher
BMJ
Published
2022-03
Volume
31
Issue
2
Pages
250-256
ISSN
  • 0964-4563 (ISSN-L)
  • 1468-3318
OpenAlex
W4214831349
Cited by
62
References
75
Citations by year
2026: 11 · 2025: 15 · 2024: 22 · 2023: 9 · 2022: 5
FWCI
7.94
Type
journal article
Language
en
Open access
Locations
  • Tobacco Control (publishedVersion)
  • PubMed (publishedVersion)
  • Universiti Putra Malaysia Institutional Repository (Universiti Putra Malaysia) (submittedVersion)
  • Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by-nc)
Funders
  • University of Stirling
  • Universiti Putra Malaysia
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
  • Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
Keywords
smoke-free policies, passive smoking, electronic cigarettes, e-cigarette aerosol, children's exposure, smoking cessation, smoking initiation, policy compliance, social norms, dual use
MeSH terms
Non-Smokers, Adult, Child, Humans, Tobacco Smoke Pollution, Smoke-Free Policy, Tobacco Products, Electronic Nicotine Delivery Systems

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