Tigova, OlenaStival, ChiaraCastellano, YolandaLugo, AlessandraFu, MarcelaLópez, Anna MarMartínez Martínez, CristinaSoriano, Joan B.O'Donnell, RachelSemple, SeanLópez Medina, Maria J.Fernández Muñoz, EsteveGallus, SilvanoTackSHS Investigators2025-07-072025-07-072025-03-242312-0541https://hdl.handle.net/2445/222033Background Homes are one of the primary locations where people are exposed to second-hand smoke (SHS) in Europe. We describe the prevalence and identify the main determinants of having home-smoking restrictions in 12 European countries. Methods Cross-sectional survey in 12 European countries conducted in 2017-2018 (TackSHS project). Approximately 1000 participants representing the general population aged ,15 years of each country were interviewed face to face. Individual-and country-level characteristics were explored through adjusted prevalence ratios (PRs) obtained from multilevel Poisson models with random effects. Results Among 11 734 participants, 70.2% (95% confidence interval (CI) 69.4-71.0%) had smoke-free homes and 17.5% (95% CI 16.8-18.2%) had partial home-smoking restrictions in place. Prevalence of smoke-free homes ranged from 44.4% in Greece to 84.5% in England. Having a smoke-free home was significantly inversely associated with current (PR=0.60) or former (PR=0.95) smoking and living in a household with one (PR=0.70) or two or more (PR=0.58) people who smoke. It was also significantly associated with being ,65 years old (PR=1.05), being female (PR=1.07), having a high educational level (PR=1.09) and living with children (PR=1.09). Having a smoke-free home was associated with living in northern Europe, while partial home-smoking restrictions were more likely among respondents from eastern Europe and countries with lower per capita gross domestic product. Conclusions The prevalence of smoke-free homes in Europe is relatively high, but with large variability across countries. European countries with a lower prevalence of smoke-free homes should implement tailored interventions targeting identified determinants and incorporate the success of other countries.10 p.application/pdfengcc-by-nc (c) Tigova et al., 2025http://creativecommons.org/licenses/by-nc/3.0/es/Hàbit de fumarLlarSmokingHomeinfo:eu-repo/semantics/article2025-06-19info:eu-repo/semantics/openAccess40129551