ORIGINAL PAPER
Implementation of smoke-free homes in Poland
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1
Medical University of Lodz, Łódź, Poland (Department of Preventive Medicine)
2
University of Massachusetts, Boston, USA (Department of Public Policy)
3
Medical University of Lodz, Łódź, Poland (Department of Social and Preventive Medicine)
4
Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Work Physiology and Ergonomics)
5
County Office, Piotrków Trybunalski, Poland
Corresponding author
Dorota Kaleta
Medical University of Lodz, Department of Preventive Medicine, Żeligowskiego 7/9, 90-752 Łódź, Poland
Int J Occup Med Environ Health. 2016;29(1):137-48
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ABSTRACT
Objectives: 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. Material and 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.