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. 2014 Jul;23(4):308-12.
doi: 10.1136/tobaccocontrol-2012-050817. Epub 2013 Mar 23.

Association Between Smoke-Free Workplace and Second-Hand Smoke Exposure at Home in India

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Association Between Smoke-Free Workplace and Second-Hand Smoke Exposure at Home in India

John Tayu Lee et al. Tob Control. .
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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.

Keywords: Low/Middle income country; Public policy; Smoking Caused Disease.


Figure 1
Figure 1. State level association between smoke-free at work and smoke-free at home
Note: Points represent averaged for each of 31 states and union territories (rs=0.54, p<0.005).

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