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Smokefree legislation effects on respiratory and sensory disorders: A systematic review and meta-analysis

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Rando-Matos, Yolanda, Pons-Vigués, Mariona, López, María José, Córdoba, Rodrigo, Ballve-Moreno, José Luis, Puigdomènech-Puig, Elisa, Benito-López, Vega Estíbaliz, Arias-Agudelo, Olga Lucía +4 more·2017·PLOS ONE
DOI 10.1371/journal.pone.0181035PMC PMC5536320
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Abstract

AIMS: The aim of this systematic review and meta-analysis is to synthesize the available evidence in scientific papers of smokefree legislation effects on respiratory diseases and sensory and respiratory symptoms (cough, phlegm, red eyes, runny nose) among all populations. MATERIALS AND METHODS: Systematic review and meta-analysis were carried out. A search between January 1995 and February 2015 was performed in PubMed, EMBASE, Cochrane Library, Scopus, Web of Science, and Google Scholar databases. Inclusion criteria were: 1) original scientific studies about smokefree legislation, 2) Data before and after legislation were collected, and 3) Impact on respiratory and sensory outcomes were assessed. Paired reviewers independently carried out the screening of titles and abstracts, data extraction from full-text articles, and methodological quality assessment. RESULTS: A total number of 1606 papers were identified. 50 papers were selected, 26 were related to symptoms (23 concerned workers). Most outcomes presented significant decreases in the percentage of people suffering from them, especially in locations with comprehensive measures and during the immediate post-ban period (within the first six months). Four (50%) of the papers concerning pulmonary function reported some significant improvement in expiratory parameters. Significant decreases were described in 13 of the 17 papers evaluating asthma hospital admissions, and there were fewer significant reductions in chronic obstructive pulmonary disease admissions (range 1-36%) than for asthma (5-31%). Six studies regarding different respiratory diseases showed discrepant results, and four papers about mortality reported significant declines in subgroups. Low bias risk was present in 23 (46%) of the studies. CONCLUSIONS: Smokefree legislation appears to improve respiratory and sensory symptoms at short term in workers (the overall effect being greater in comprehensive smokefree legislation in sensory symptoms) and, to a lesser degree, rates of hospitalization for asthma.

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  • Studies of the effects of smoke-free laws found that hospital admission and mortality rates for cardiovascular and respiratory conditions decreased after implementation of smoking bans.

    “Studies of the effects of smoke-free laws found that hospital admission and mortality rates for cardiovascular and respiratory conditions decreased after the implementation of smoking bans455–459.”

    From Health effects associated with exposure to secondhand smoke: a Burden of Proof study (2024) · cites this paper as [458]

    The Introduction (page not supplied) reports consistent reductions in cardiac events and hospitalizations after smoke-free legislation, while the Results report reduced respiratory admissions and respiratory mortality in some groups. The claim overstates the mortality evidence: the Introduction calls cardiovascular mortality findings conflicting, and the respiratory mortality reductions were limited to subgroups. (LLM, conf=0.90)

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Authors
Rando-Matos, Y., Pons-Vigués, M., López, M. J., Córdoba, R., Ballve-Moreno, J. L., Puigdomènech-Puig, E., Benito-López, V. E., Arias-Agudelo, O. L., López-Grau, M., Guardia-Riera, A., Trujillo, J. M., & Martin-Cantera, C.
Affiliations
  • Universitat Pompeu Fabra (ES)
  • Universidad de Zaragoza (ES)
  • Complejo Hospitalario de Salamanca (ES)
  • Institut Català de la Salut (ES)
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Venue
PLOS ONE
Publisher
Public Library of Science (PLoS)
Published
2017-07-31
Volume
12
Issue
7
Pages
e0181035
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0181035
PMC
PMC5536320
OpenAlex
W2740259170
Cited by
22
References
4
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en
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  • Figshare (submittedVersion, cc-by)
  • RECERCAT (Consorci de Serveis Universitaris de Catalunya) (submittedVersion, other-oa)
  • Zaguan (University of Zaragoza Repository) (submittedVersion, cc-by)
Funders
Instituto de Salud Carlos III (RD12/0005/0001, RD16/0007/0001)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
Keywords
tobacco control, respiratory symptoms, cough, sputum, red eye, rhinorrhea, asthma hospital admissions, chronic obstructive pulmonary disease, lung function, mortality, sensory symptoms
MeSH terms
Asthma, Cough, Health Promotion, Hospitalization, Humans, Patient Admission, Respiration Disorders, Sensation Disorders, Smoking, Spirometry, Pulmonary Disease, Chronic Obstructive, Exhalation

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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