Evidence map›Paper›PMID 33077564›Full record

ArticleBMJ open2020

Impact of expanding smoke-free policies beyond enclosed public places and workplaces on children's tobacco smoke exposure and respiratory health: protocol for a systematic review and meta-analysis.

Márta K Radó, Famke Jm Mölenberg, Aziz Sheikh, Christopher Millett, Wichor M Bramer, Alex Burdorf, Frank J van Lenthe, Jasper V Been

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Increased Incidence of Chronic Obstructive Pulmonary Disease in Women Due to Long-Term Passive Smoking.International journal of chronic obstructive pulmonary disease · 2025
    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

8 authors at 3 institutions in 3 countries.

Márta K RadóDepartment of Paediatrics, Erasmus MC - Sophia Children's Hospital, University Medical Centre Rotterdam, Rotterdam, Netherlands.ORCID 0000-0002-1676-5951
Famke Jm MölenbergDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, Netherlands.ORCID 0000-0002-5305-9730
Aziz SheikhUsher Institute, The University of Edinburgh, Edinburgh, United Kingdom.
Christopher MillettPublic Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, United Kingdom.ORCID 0000-0002-0793-9884
Wichor M BramerMedical Library, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, Netherlands.ORCID 0000-0003-2681-9180
Alex BurdorfDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, Netherlands.ORCID 0000-0003-3129-2862
Frank J van LentheDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, Netherlands.
Jasper V BeenDepartment of Paediatrics, Erasmus MC - Sophia Children's Hospital, University Medical Centre Rotterdam, Rotterdam, Netherlands j.been@erasmusmc.nl.ORCID 0000-0002-4907-6466
Erasmus MC · NLBrigham and Women's Hospital · USImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTobacco smoke exposure (TSE) has considerable adverse respiratory health impact among children. Smoke-free policies covering enclosed public places are known to reduce child TSE and benefit child health. An increasing number of jurisdictions are now expanding smoke-free policies to also cover outdoor areas and/or (semi)private spaces (indoor and/or outdoor). We aim to systematically review the evidence on the impact of these 'novel smoke-free policies' on children's TSE and respiratory health. METHODS AND ANALYSIS: 13 electronic databases will be searched by two independent reviewers for eligible studies. We will consult experts from the field and hand-search references and citations to identify additional published and unpublished studies. Study designs recommended by the Cochrane Effective Practice and Organisation of Care (EPOC) group are eligible, without restrictions on the observational period, publication date or language. Our primary outcomes are: self-reported or parental-reported TSE in places covered by the policy; unplanned hospital attendance for wheezing/asthma and unplanned hospital attendance for respiratory infections. We will assess risk of bias of individual studies following the EPOC or Risk Of Bias In Non-randomised Studies of Interventions tool, as appropriate. We will conduct separate random effects meta-analyses for smoke-free policies covering (1) indoor private places, (2) indoor semiprivate places, (3) outdoor (semi)private places and (4) outdoor public places. We will assess whether the policies were associated with changes in TSE in other locations (eg, displacement). Subgroup analyses will be conducted based on country income classification (ie, high, middle or low income) and by socioeconomic status. Sensitivity analyses will be undertaken via broadening our study design eligibility criteria (ie, including non-EPOC designs) or via excluding studies with a high risk of bias. This review will inform policymakers regarding the implementation of extended smoke-free policies to safeguard children's health. ETHICS AND DISSEMINATION: Ethical approval is not required. Findings will be disseminated to academics and the general public. PROSPERO REGISTRATION NUMBER: CRD42020190563.

Indexed as

Smoke-Free PolicyTobacco Smoke PollutionChildChild HealthFamilyHumansMeta-Analysis as TopicReview Literature as TopicWorkplaceTobacco Smoke Pollutionchild protectioncommunity child healthhealth policypublic healthrespiratory infections

Identifiers

PMID33077564
PMCPMC7577335
OpenAlexW3092776107

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.