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[无烟立法对萨拉戈萨环境烟草烟雾暴露流行率和暴露时间的影响]

[Impact of the smoke-free legislation on the prevalence and referred time exposure to the environmental tobacco smoke in Zaragoza].

作者信息

Villaverde Royo María Victoria, Marín Izaguerri María Pilar, Requeno Jarabo María Nuria, Val Esco Laura, Coronas Mateos Sonia, Córdoba-García Rodrigo

机构信息

Unidad Docente de Medicina de Familia y Comunitaria, Servicio Aragonés de Salud, Sector III, Zaragoza, España.

出版信息

Aten Primaria. 2012 Oct;44(10):603-10. doi: 10.1016/j.aprim.2012.02.010. Epub 2012 May 11.

Abstract

OBJECTIVES

To assess the impact of the Law 42/2010, on the health measures on smoking, on the prevalence of the exposure to environmental tobacco smoke (ETS), the repercussions in frequently visited places, and support of the new legislation.

DESIGN

A before-after evaluation by comparing two cross-sectional studies the comparison of two transverse surveys.

PLACE

Primary Care, Delicias district (115,446 inhabitants) of Zaragoza city, including the Delicias Sur, Delicias Norte, Bombarda and Univérsitas basic health districts.

PARTICIPANTS

A total of 387 users in 2009, and 400 in 2011 with ages between 20 and 79 years old assigned to the participating Primary Care Centres.

MAIN MEASUREMENTS

Prevalences and mean exposure times, with their confidence intervals (CI). The differences were then calculated using the Chi-squared test and Analysis of Variance (ANOVA).

RESULTS

The exposure prevalence to the ETS in 2011 was shown to be lower and statistically significant than that found before the implementation of the new legislative measure, falling from the 61.9% to the 40.5% (CI 95%=35.8-45.4%), with 61.5% of those polled being in favour of the new law (CI 95%=59.2-68.75), and 80.5% (79,08-86.44) mentioned still going to the same places with the same frequency.

CONCLUSIONS

The impact has been favourable, decreasing the exposure by more than 20%, with this fall being more marked in the population that currently define themselves as non-smokers. There is population support for the new legislation. Finally, there has been no observed fall in the frequency of visits to the same places.

摘要

目的

评估2010年第42号法律对吸烟健康措施的影响,包括环境烟草烟雾(ETS)暴露率、常去场所的影响以及对新立法的支持情况。

设计

通过比较两项横断面研究进行前后评估,即两项横向调查的比较。

地点

萨拉戈萨市德利西亚斯区(115,446名居民)的初级保健机构,包括德利西亚斯南区、德利西亚斯北区、邦巴尔达和大学基本卫生区。

参与者

2009年共有387名年龄在20至79岁之间的使用者,2011年有400名,他们被分配到参与研究的初级保健中心。

主要测量指标

患病率和平均暴露时间及其置信区间(CI)。然后使用卡方检验和方差分析(ANOVA)计算差异。

结果

2011年ETS暴露患病率低于新立法措施实施前,且具有统计学意义,从61.9%降至40.5%(95%CI = 35.8 - 45.4%),61.5%的受访者支持新法律(95%CI = 59.

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