title: Association between smoke-free workplace and second-hand smoke exposure at home in India.
abstract: BACKGROUND
  The implementation of comprehensive smoke-free laws has been associated with reductions in second-hand smoke exposure at home in several high income countries. There is little information on whether these benefits extend to low income and middle income countries with a growing tobacco-related disease burden such as India.
  
  
  METHODS
  State and individual-level analysis of cross-sectional data from the Global Adult Tobacco Survey India, 2009/2010. Associations between working in a smoke-free indoor environment and living in a smoke-free home were examined using correlation at the state level, and multivariate logistic regression at the individual level.
  
  
  RESULTS
  The percentage of respondents employed indoors (outside the home) working in smoke-free environments who lived in a smoke-free home was 64.0% compared with 41.7% of those who worked where smoking occurred. Indian states with higher proportions of smoke-free workplaces had higher proportions of smoke-free homes (rs=0.54, p<0.005). In the individual-level analysis, working in a smoke-free workplace was associated with a significantly higher likelihood of living in a smoke-free home (adjusted OR=2.07; 95% CI 1.64 to 2.52) after adjustment for potential confounders.
  
  
  CONCLUSIONS
  Implementation of smoke-free legislation in India was associated with a higher proportion of adults reporting a smoke-free home. These findings further strengthen the case for accelerated implementation of Article 8 of the Framework Convention on Tobacco Control (FCTC) in low and middle income countries.
authors.affiliation: Department of Primary Care and Public Health, School of Public Health, Imperial College, London, UK.
authors.forename: John Tayu
authors.initials: JT
authors.lastname: Lee
authors.affiliation: South Asia Network for Chronic Disease, Public Health Foundation of India, New Delhi, India.
authors.forename: Sutapa
authors.initials: S
authors.lastname: Agrawal
authors.affiliation: Department of Medicine, University of California, San Francisco, California, USA.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Basu
authors.affiliation: Department of Medicine, University of California, San Francisco, California, USA Center for Tobacco Control Research and Education, University of California, San Francisco, California, USA.
authors.forename: Stanton A
authors.initials: SA
authors.lastname: Glantz
authors.affiliation: Department of Primary Care and Public Health, School of Public Health, Imperial College, London, UK South Asia Network for Chronic Disease, Public Health Foundation of India, New Delhi, India.
authors.forename: Christopher
authors.initials: C
authors.lastname: Millett
mesh_terms: D000328:Adult; D016902:Air Pollution, Indoor; D003430:Cross-Sectional Studies; D006801:Humans; D007194:India; D008875:Middle Aged; D016273:Occupational Exposure / Q000517:prevention & control / Q000706:statistics & numerical data*; D016272:Occupational Health / Q000706:statistics & numerical data*; D012111:Residence Characteristics; D012907:Smoking / Q000453:epidemiology*; D000074606:Smoking Prevention; D014028:Tobacco Smoke Pollution / Q000517:prevention & control / Q000706:statistics & numerical data*; D017132:Workplace / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D014028:Tobacco Smoke Pollution
keywords: Low/Middle income country; Public policy; Smoking Caused Disease