Second-hand tobacco smoke in public places in urban and rural China.
OBJECTIVE
To assess airborne nicotine concentrations as an indicator of second-hand smoke (SHS) exposure in public places in both urban and rural areas of China.


METHODS
Measurement of vapour-phase nicotine concentration using a common protocol in all locations. A total of 273 samplers were placed for 7 days in urban and rural areas of China, including Beijing and the capital city, and a county (rural) area of the following provinces: Sichuan (Chengdu/Mianzhu), Jiangxi (Nanchang/Anyi) and Henan (Zhengzhou/Xin'an).


METHODS
Samplers were placed in hospitals, secondary schools, city government buildings, train stations, restaurants and entertainment establishments (internet cafes, mahjong parlours and karaoke bars) in each location.


METHODS
The time-weighted average airborne concentration of nicotine (microg/m3) was measured by gas chromatography.


RESULTS
Airborne nicotine was detected in 91% of the locations sampled. Beijing had the highest nicotine concentrations in most indoor environments (median 3.01 microg/m3) and Chengdu had the lowest concentrations (median 0.11 microg/m3). Overall, restaurants and entertainment establishments had the highest nicotine concentrations (median 2.17 and 7.48 microg/m3, respectively). High nicotine concentrations were also found in government buildings and in train stations.


CONCLUSIONS
The data collected in this study provide evidence that SHS exposure is frequent in public places in China. Environmental nicotine concentrations in China provide evidence for implementation and enforcement of smoke-free initiatives in public places in China and indicate the need for protecting the public from exposure to SHS.
Stillman
Frances
F
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA. fstillma@jhsph.edu
Navas-Acien
Ana
A
Ma
Jiemin
J
Ma
Shaojun
S
Avila-Tang
Erika
E
Breysse
Patrick
P
Yang
Gonghuan
G
Samet
Jonathan
J
D002681:China; D004781:Environmental Exposure / Q000032:analysis; D004784:Environmental Monitoring / Q000379:methods; D006801:Humans; D009538:Nicotine / Q000032:analysis; D011634:Public Health / Q000706:statistics & numerical data; D012423:Rural Health / Q000706:statistics & numerical data*; D014028:Tobacco Smoke Pollution / Q000032:analysis*; D014504:Urban Health / Q000706:statistics & numerical data*
D014028:Tobacco Smoke Pollution; D009538:Nicotine