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Title: How widespread is electronic cigarette use in outdoor settings? A field check from the TackSHS project in 11 European countries
Author: Amalia, Beladenta
Rodríguez, Alejandro
Henderson, Elisabet
Fu Balboa, Marcela
Continente, Xavier
Tigova, Olena
Semple, Sean
Clancy, Luke
Gallus, Silvano
Fernández Muñoz, Esteve
López, Maria J.
TackSHS Project Investigators
Keywords: Cigarretes electròniques
Espais públics
Electronic cigarettes
Public spaces
Issue Date: 1-Feb-2021
Publisher: Elsevier Inc.
Abstract: Exposure to secondhand aerosol from electronic cigarettes (e-cigarettes) may pose harms to bystanders, but they are used in many indoor settings. Less evidence exists on e-cigarette use in outdoor settings. This study aims to assess the use of e-cigarettes in outdoor settings in Europe. A cross-sectional study was conducted at the entrances of primary schools (N = 200), children's playgrounds (N = 200), and outdoor hospitality venues (N = 220) during 2017-2018 in major cities of 11 European countries. We performed 30-min observations and recorded e-cigarette use at three-time points: at 0 min, 15 min, and 30 min. We described the number and proportion of settings with e-cigarette use observed at any of the three-time points according to country and other contextual variables. Results showed that there were 22 (11.0%) school entrances, eight (4.0%) playgrounds, and 47 (21.3%) outdoor hospitality venues where e-cigarette use was observed at any time point. School entrances and outdoor hospitality venues with observed e-cigarette use were more frequently found in countries with a higher prevalence (≥1.4%) of e-cigarette use (school entrances: 18.0% vs. 4.0%; p = 0.002, outdoor hospitality venues: 26.7% vs. 15.0%, p = 0.036). In conclusion, the outdoor setting with the highest visibility of e-cigarette use was outdoor areas of hospitality venues. Although still limited, e-cigarettes were also used in outdoor settings frequented by children. Governments should consider measures to restrict e-cigarette use outdoors to protect the health of bystanders, particularly in areas where children may be present.
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It is part of: Environmental Research, 2021, vol. 193, p. 110571
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Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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