Evidence map›Paper›PMID 24023795›Full record

ArticlePloS one2013

Ashtrays and signage as determinants of a smoke-free legislation's success.

Constantine I Vardavas, Israel Agaku, Evridiki Patelarou, Nektarios Anagnostopoulos, Chrysanthi Nakou, Vassiliki Dramba, Gianna Giourgouli, Paraskevi Argyropoulou, Antonis Antoniadis, Konstantinos Gourgoulianis and 7 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Signs, Fines and Compliance Officers: A Systematic Review of Strategies for Enforcing Smoke-Free Policy.International journal of environmental research and public health · 2018
    Pooled it
  2. Observational
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Impact of an Inner-City Smoke-Free Zone on Outdoor Smoking Patterns: A Before-After Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Article
  8. Article
  9. Article
  10. Monitoring Compliance and Examining Challenges of a Smoke-free Policy in Jayapura, Indonesia.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2019
    Article
  11. Observational
  12. Observational
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 1 country.

Constantine I VardavasCenter for Global Tobacco Control, Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts, United States of America ; Smoking and Lung Cancer Research Center, Hellenic Cancer Society, Athens, Greece ; Clinic of Social and Family Medicine, Department of Social Medicine, University of Crete, Heraklion, Greece.
Israel Agaku
Evridiki Patelarou
Nektarios Anagnostopoulos
Chrysanthi Nakou
Vassiliki Dramba
Gianna Giourgouli
Paraskevi Argyropoulou
Antonis Antoniadis
Konstantinos Gourgoulianis
Despoina Ourda
Lambros Lazuras
Monique Bertic
Christos Lionis
Gregory Connolly
Panagiotis Behrakis
Hellenic Air Monitoring Study Investigators
Hellenic Cancer Society · GRAristotle University of Thessaloniki · GRGeneral Hospital of Serres · GRSouth East European Research Centre · GRUniversity of Crete · GRUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSuccessful smoke-free legislation is dependent on political will, enforcement and societal support. We report the success and pitfalls of a non-enforced nationwide smoke-free legislation in Greece, as well as ways in which compliance and enforcement-related factors, including ashtrays and signage, may impact indoor secondhand smoke (SHS) concentrations.

methodsA follow-up study of venues (n=150, at baseline, n=75 at 2-year follow-up) in Greece assessed indoor particulate matter with a diameter less than 2.5 micrometers (PM 2.5 ) concentrations attributable to SHS smoke every six months for two years (n=455 venue/measurements).

resultsFollowing the implementation of the 2010 smoke-free legislation, mean PM2.5 concentrations attributable to SHS fell from 175.3 µg/m(3) pre-ban to 84.52 µg/m(3) immediately post-ban, increasing over subsequent waves (103.8 µg/m(3) and 158.2 µg/m(3) respectively). Controlling for potential influential factors such as ventilation, time of day, day of week, city and venue type, all post-ban measurements were still lower than during the pre-ban period (Wave 2 beta: -118.7, Wave 3 beta: -87.6, and Wave 4 beta: -69.9). Outdoor or indoor signage banning smoking was not found to affect SHS concentrations (beta: -10.9, p=0.667 and beta: -18.1, p=0.464 respectively). However, ashtray or ashtray equivalents were strong determinants of the existence of indoor SHS (beta: +67 µg/m(3), p=0.017).

conclusionsWhile the public may be supportive of smoke-free legislation, adherence may decline rapidly if enforcement is limited or nonexistent. Moreover, enforcement agencies should also focus on the comprehensive removal of ashtray equivalents that could act as cues for smoking within a venue.

Indexed as

Air Pollution, IndoorEnvironmental MonitoringGreeceHumansSmokingSmoking Prevention

Identifiers

PMID24023795
PMCPMC3762932
OpenAlexW2068260360

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.