Second-Hand Smoke in Public Spaces: How Effective has Partial Smoke-Free Legislation Been in Malaysia?

Abidin, Emilia Zainal; Hashim, Zailina; Semple, Sean

doi:10.7314/apjcp.2013.14.11.6845

Cited by 13 publications

(13 citation statements)

References 18 publications

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“…Air nicotine concentration was 22 times higher inside bars in Seoul than inside restaurants. Smoking was observed in locations where smoking was prohibited by law in Korea (Park et al, 2013) and this same observation of smoking in prohibited locations has been observed in other locales with recent smoke-free laws (Abidin et al, 2013; Moore et al, 2009). …”

Section: Discussionsupporting

confidence: 76%

Compliance with Smoke-Free Policies in Korean Bars and Restaurants in California: a Descriptive Analysis

Irvin

Hofstetter²,

Nichols³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Section: Discussionsupporting

confidence: 76%

Compliance with Smoke-Free Policies in Korean Bars and Restaurants in California: a Descriptive Analysis

Irvin

Hofstetter²,

Nichols³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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“…82 In studies in Malaysia and Chile, which have partial smoking legislations, exposure to secondhand smoke, measured by air nicotine and PM 2.5 concentrations, remained high in hospitality venues following enactment of legislation. 83, 84 In Spain, which also enacted partial smoking restrictions, there was no change in concentrations of salivary cotinine among nonsmoking hospitality workers 85 and an increase in concentrations of airborne nicotine in hospitality venues 86 following legislation enactment. These findings demonstrate that partial smoking ban legislations do not provide protection from secondhand smoke to employees working in those venues.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular Events Following Smoke-Free Legislations: An Updated Systematic Review and Meta-Analysis

Jones

Barnoya

Stranges

et al. 2014

Curr Envir Health Rpt

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Background Legislations banning smoking in indoor public places and workplaces are being implemented worldwide to protect the population from secondhand smoke exposure. Several studies have reported reductions in hospitalizations for acute coronary events following the enactment of smoke-free laws. Objective We set out to conduct a systematic review and meta-analysis of epidemiologic studies examining how legislations that ban smoking in indoor public places impact the risk of acute coronary events. Methods We searched MEDLINE, EMBASE, and relevant bibliographies including previous systematic reviews for studies that evaluated changes in acute coronary events, following implementation of smoke-free legislations. Studies were identified through December 2013. We pooled relative risk (RR) estimates for acute coronary events comparing post- vs. pre-legislation using inverse-variance weighted random-effects models. Results Thirty-one studies providing estimates for 47 locations were included. The legislations were implemented between 1991 and 2010. Following the enactment of smoke-free legislations, there was a 12 % reduction in hospitalizations for acute coronary events (pooled RR: 0.88, 95 % CI: 0.85–0.90). Reductions were 14 % in locations that implemented comprehensive legislations compared to an 8 % reduction in locations that only had partial restrictions. In locations with reductions in smoking prevalence post-legislation above the mean (2.1 % reduction) there was a 14 % reduction in events compared to 10 % in locations below the mean. The RRs for acute coronary events associated with enacting smoke-free legislation were 0.87 vs. 0.89 in locations with smoking prevalence pre-legislation above and below the mean (23.1 %), and 0.87 vs. 0.89 in studies from the Americas vs. other regions. Conclusion The implementation of smoke-free legislations was related to reductions in acute coronary event hospitalizations in most populations evaluated. Benefits are greater in locations with comprehensive legislations and with greater reduction in smoking prevalence post-legislation. These cardiovascular benefits reinforce the urgent need to enact and enforce smoke-free legislations that protect all citizens around the world from exposure to tobacco smoke in public places.

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“…As a signatory to the treaty, Malaysia and other various countries had developed and implemented smoke-free legislation or SFL that prohibit smoking in public places in order to provide a smoke-free environment to citizens (Kashiwabara et al, 2011;Panda et al, 2012;Abidin et al, 2013;Oh et al, 2013). Malaysia has implemented a partial-SFL which prohibits smoking in 21 types of public spaces (Malaysia Act, 2008;Abidin et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Recent tobacco control development has prompted the introduction of a comprehensive smoking prohibition that was introduced in the state of Melaka in 2011 (Abidin et al, 2013). Unlike the partial-SFL, the comprehensive smoking restriction extends to non-air-conditioned public spaces.…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies had been conducted in several countries which focused on the implication of the SFL compliance among the public (Panda et al, 2012;Abidin et al, 2013;Oh et al, 2013). The environmental assessments on the measurement of particulate matter (PM2.5) and air nicotine in public places demonstrated that the concentration of contaminants continues to be high including in spaces where smoking is prohibited by law (King et al, 2011;Abidin et al, 2013;Oh et al, 2013).This evidence showed that non-smoking population continually to be exposed to SHS even in the wake of the SFL implementation.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of Smoke-free Legislation in Malaysia: Are Adolescents Protected from Respiratory Health Effects?

Zulkifli

Abidin²,

Abidin³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive-and partial-SFL states were recruited. SHS exposures and respiratory symptoms were assessed via questionnaire. Prenatal and postnatal SHS exposure information was obtained from parental-completed questionnaire. Results: The prevalence of respiratory symptoms was: 11.9% ever wheeze, 5.6% current wheeze, 22.3% exercise-induced wheeze, 12.4% nocturnal cough, and 13.1% self-reported asthma. SHS exposure was most frequently reported in restaurants. Hierarchical logistic regression indicates living in a comprehensive-SFL state was not associated with a lower risk of reporting asthma symptoms. SHS exposure in public transport was linked to increased risk for wheeze (Adjusted Odds Ratio (AOR) 16.6; 95%confidence interval (CI), 2.69-101.7) and current wheezing (AOR 24.6; 95%CI, 3.53-171.8). Conclusions: Adolescents continue to be exposed to SHS in a range of public venues in both comprehensive-and partial-SFL states. Respiratory symptoms are common among those reporting SHS exposure on public transportation. Non-compliance with SFL appears to be frequent in many venues across Malaysia and enforcement should be given priority in order to reduce exposure.

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Second-Hand Smoke in Public Spaces: How Effective has Partial Smoke-Free Legislation Been in Malaysia?

Cited by 13 publications

References 18 publications

Compliance with Smoke-Free Policies in Korean Bars and Restaurants in California: a Descriptive Analysis

Compliance with Smoke-Free Policies in Korean Bars and Restaurants in California: a Descriptive Analysis

Cardiovascular Events Following Smoke-Free Legislations: An Updated Systematic Review and Meta-Analysis

Implementation of Smoke-free Legislation in Malaysia: Are Adolescents Protected from Respiratory Health Effects?

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