ArticleBMC public health2014
Impact of a long-term tobacco-free policy at a comprehensive cancer center: a series of cross-sectional surveys.
Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Prevalence of tobacco use in healthcare workers: A systematic review and meta-analysis.PloS one · 2019Pooled it
- Impact of institutional smoking bans on reducing harms and secondhand smoke exposure.The Cochrane database of systematic reviews · 2016Pooled it
- Impact of Spanish gambling regulations on online gambling behavior and marketing strategies.Harm reduction journal · 2025Article
- Smoking Prevalence, Knowledge and Perceptions on Tobacco Control Among Healthcare Professionals: A Survey in an Italian Cancer Center.Journal of community health · 2021Article
- Smoking among hospitalized patients: A multi-hospital cross-sectional study of a widely neglected problem.Tobacco induced diseases · 2018Article
- Changing the smoking habit: prevalence, knowledge and attitudes among Umbrian hospital healthcare professionals.Journal of preventive medicine and hygiene · 2017Observational
- The role of middle managers in tobacco control after a national smoke-free hospital campus ban.BMC health services research · 2016Article
- A cross sectional evaluation of a total smoking ban at a large Australian university.BMC research notes · 2016Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpain has passed two smoke-free laws in the last years. In 2005, the law banned smoking in indoor places, and in 2010 the ban was extended to outdoor areas of certain premises such as hospitals. This study assesses the impact of smoking consumption among hospital workers at a comprehensive cancer center after the passage of two national smoke-free laws.
methodsSix cross-sectional surveys were conducted among a representative sample of hospital workers at a comprehensive cancer center in Barcelona (2001-2012) using a standardized questionnaire. Logistic regression was used to compare differences in the odds of smoking after the laws took effect (baseline vs. 1st law; 2nd law vs. 1st law).
resultsBaseline smoking prevalence was 33.1%. After passage of the 1st and 2nd laws, prevalence decreased, respectively, to 30.5% and 22.2% (p for trend =0.005). Prevalence ratios (PR) indicated a significant decrease in overall smoking after the 2nd law (PR = 0.65, 95% CI = 0.47-0-89). Smoking dropped in all professional groups, more prominently among those ≥35 years old, doctors, and women. Observed trends over the time included an increase in occasional smokers, a rise in abstinence during working hours but an increase in smoking dependence, and an increase in the employees' overall support for the smoke-free hospital project.
conclusionsA long-term tobacco control project combined with two smoke-free national laws reduced smoking rates among health workers and increased their support for tobacco control policies. The decrease was more significant after the passage of the outdoor smoke-free ban.
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