Implementation of smoke-free homes in Poland.
OBJECTIVE
Exposure to environmental tobacco smoke (ETS) constitutes a threat to the health of many people. In order to diminish ETS exposure, countries (including Poland) implemented legal restrictions of smoking in public places and worksites. Currently more attention is also paid to reduce overall and residential ETS exposure by voluntary smoke-free home policy adoption. The aim of current analysis was to evaluate the prevalence and determinants of implementing smoking bans at place of residence among economically active males and females in Poland.


METHODS
Data from cross-sectional, household study - Global Adult Tobacco Survey (GATS 2009-2010) were analyzed. The logistic regression model was applied for appropriate calculations.


RESULTS
Out of 3696 studied subjects only 37.1% adopted total smoking ban within the home. Decreased likelihood of adopting total smoking bans was associated with current smoker status, low education attainment, lack of awareness on adverse health consequences of ETS, low level of support for tobacco control policies, and cohabitation with a smoker in both genders. Having smoke-free homes was also linked with age in women, place of residence and work smoking policy in indoor areas in men.


CONCLUSIONS
Targeted activities to encourage adopting voluntary smoke-free rules among groups least likely to implement 100% smoking bans in the home and activities to decrease social acceptance of smoking in the presence of nonsmokers, children, pregnant woman are urgently needed.
Medical University of Lodz, Łódź, Poland (Department of Preventive Medicine). dkaleta@op.pl.
Dorota
D
Kaleta
Medical University of Lodz, Łódź, Poland (Department of Preventive Medicine). adam.fronczak@umed.lodz.pl.
Adam
A
Fronczak
University of Massachusetts, Boston, USA (Department of Public Policy). bukolau@yahoo.co.uk.
Bukola
B
Usidame
Medical University of Lodz, Łódź, Poland (Department of Social and Preventive Medicine). elzbieta.dziankowska-zaborszczyk@umed.lodz.pl.
Elżbieta
E
Dziankowska-Zaborszczyk
Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Work Physiology and Ergonomics). tmd@imp.lodz.pl.
Teresa
T
Makowiec-Dąbrowska
County Office, Piotrków Trybunalski, Poland. pwojtysiak@wp.pl.
Piotr
P
Wojtysiak
D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011044:Poland; D016730:Program Development; D061845:Smoke-Free Policy; D012907:Smoking / Q000453:epidemiology; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D055815:Young Adult
Poland; adults; environmental tobacco smoke; environmental tobacco smoke pollution; smoke-free home; tobacco control