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Association between Helicobacter pylori and Barrett's esophagus, erosive esophagitis, and gastroesophageal reflux symptoms 2014 Center for Clinical Management Research, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan; Division of Gastroenterology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan. Electronic address: jhr@umi
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
Periodical, Abbrev.
Clin.Gastroenterol.Hepatol.
Pub Date Free Form
Feb
Volume
12
Issue
2
Start Page
239
Other Pages
245
Notes
LR: 20150423; CI: Copyright (c) 2014; GR: K23 DK079291/DK/NIDDK NIH HHS/United States; GR: K23DK079291/DK/NIDDK NIH HHS/United States; GR: K24 DK080941/DK/NIDDK NIH HHS/United States; GR: K24DK080941/DK/NIDDK NIH HHS/United States; GR: P30 DK034933/DK/NID
Place of Publication
United States
ISSN/ISBN
1542-7714; 1542-3565
Accession Number
PMID: 23988686
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.cgh.2013.08.029 [doi]
Output Language
Unknown(0)
PMID
23988686
Abstract
BACKGROUND & AIMS: Infection with Helicobacter pylori, particularly the cytotoxin-associated gene A (cagA)+ strain, is believed to protect against Barrett's esophagus, but it is not clear if it protects against gastroesophageal reflux disease (GERD). We aimed to determine whether H pylori infection is associated with GERD symptoms, erosive esophagitis, and Barrett's esophagus within the same cohort. METHODS: We analyzed data from a case-control study of 533 men (ages, 50-79 y) who underwent colorectal cancer screening at 2 tertiary medical centers in Michigan between 2008 and 2011 and who also were recruited to undergo upper endoscopy. We assessed 80 additional men found to have Barrett's esophagus during clinically indicated upper-endoscopy examinations. Logistic regression was used to estimate the associations between serum antibodies against H pylori or cagA and GERD symptoms, esophagitis, and Barrett's esophagus, compared with randomly selected men undergoing colorectal cancer screens (n = 177). RESULTS: H pylori infection was associated inversely with Barrett's esophagus (odds ratio [OR], 0.53; 95% confidence interval [CI], 0.29-0.97), particularly the cagA+ strain (OR, 0.36; 95% CI, 0.14-0.90). There was a trend toward an inverse association with erosive esophagitis (H pylori OR, 0.63; 95% CI, 0.37-1.08; and cagA+ OR, 0.47; 95% CI, 0.21-1.03). However, GERD symptoms were not associated with H pylori infection (OR, 0.948; 95% CI, 0.548-1.64; and cagA+ OR, 0.967; 95% CI, 0.461-2.03). CONCLUSIONS: Based on a case-control study, infection with H pylori, particularly the cagA+ strain, is associated inversely with Barrett's esophagus. We observed a trend toward an inverse association with esophagitis, but not with GERD symptoms.
Descriptors
Links
Book Title
Database
Publisher
AGA Institute. Published by Elsevier Inc
Data Source
Authors
Rubenstein,J.H., Inadomi,J.M., Scheiman,J., Schoenfeld,P., Appelman,H., Zhang,M., Metko,V., Kao,J.Y.
Original/Translated Title
URL
Date of Electronic
20130827
PMCID
PMC3947027
Editors
Parental intentions to enroll children in a voluntary expanded newborn screening program 2016 Center for Communication Science, RTI International, Research Triangle Park, NC, United States. Electronic address: rpaquin@rti.org.; Center for P-12 Education, RTI International, Research Triangle Park, NC, United States.; Center for P-12 Education, RTI
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Social science & medicine (1982)
Periodical, Abbrev.
Soc.Sci.Med.
Pub Date Free Form
29-Jul
Volume
166
Issue
Start Page
17
Other Pages
24
Notes
LR: 20160815; CI: Copyright (c) 2016; JID: 8303205; OTO: NOTNLM; 2016/02/25 [received]; 2016/07/16 [revised]; 2016/07/26 [accepted]; aheadofprint
Place of Publication
ISSN/ISBN
1873-5347; 0277-9536
Accession Number
PMID: 27526258
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
S0277-9536(16)30397-5 [pii]
Output Language
Unknown(0)
PMID
27526258
Abstract
BACKGROUND AND OBJECTIVES: Nearly all babies in the United States are tested at birth for rare, serious, and treatable disorders through mandatory state newborn screening (NBS). Recently, there have been calls for an expanded, voluntary model to facilitate early diagnosis and treatment of a wider range of disorders. We applied the reasoned action framework to examine parental intentions to participate in voluntary expanded screening. METHODS: We recruited a national cohort of recent and expectant parents living in the U.S. who completed a self-administered online survey (N = 1001). Using a mixed-level fractional factorial experiment, we studied parental participation intentions and preferences for timing of consent, cost, consent format, and testing options. RESULTS: We conducted a hierarchical regression analysis assessing parental intentions to participate in voluntary expanded NBS. Attitudes, perceived normative influence, and perceived behavioral control explained substantial variance in intention, with perceived normative influence emerging as the strongest predictor. We found no evidence that the manipulated program features altered mean levels of intention, but timing of parental permission, cost, and permission format moderated the relative importance of reasoned action constructs on intention. CONCLUSION: Program design features may impact the psychological mechanisms underlying parental decision making for voluntary expanded screening. These results have important implications for parent education, outreach, and informed parental permission procedures.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Paquin,R.S., Peay,H.L., Gehtland,L.M., Lewis,M.A., Bailey,D.B.,Jr
Original/Translated Title
URL
Date of Electronic
20160729
PMCID
Editors
Opioid antagonists for smoking cessation 2013 Center for Education in Family & Community Medicine, Stanford University, Stanford, California, USA. spdavid@stanford.edu.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Cochrane database of systematic reviews
Periodical, Abbrev.
Cochrane Database Syst.Rev.
Pub Date Free Form
6-Jun
Volume
(6):CD003086. doi
Issue
6
Start Page
CD003086
Other Pages
Notes
LR: 20160602; GR: P50 DA009253/DA/NIDA NIH HHS/United States; GR: P50 DA009253/DA/NIDA NIH HHS/United States; GR: R01 MH083684/MH/NIMH NIH HHS/United States; GR: R01 MH083684/MH/NIMH NIH HHS/United States; JID: 100909747; 0 (Narcotic Antagonists); 36B82AM
Place of Publication
England
ISSN/ISBN
1469-493X; 1361-6137
Accession Number
PMID: 23744347
Language
eng
SubFile
Journal Article; Meta-Analysis; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review; IM
DOI
10.1002/14651858.CD003086.pub3 [doi]
Output Language
Unknown(0)
PMID
23744347
Abstract
BACKGROUND: The reinforcing properties of nicotine may be mediated through release of various neurotransmitters both centrally and systemically. People who smoke report positive effects such as pleasure, arousal, and relaxation as well as relief of negative affect, tension, and anxiety. Opioid (narcotic) antagonists are of particular interest to investigators as potential agents to attenuate the rewarding effects of cigarette smoking. OBJECTIVES: To evaluate the efficacy of opioid antagonists in promoting long-term smoking cessation. The drugs include naloxone and the longer-acting opioid antagonist naltrexone. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group Specialised Register for trials of naloxone, naltrexone and other opioid antagonists and conducted an additional search of MEDLINE using 'Narcotic antagonists' and smoking terms in April 2013. We also contacted investigators, when possible, for information on unpublished studies. SELECTION CRITERIA: We considered randomised controlled trials comparing opioid antagonists to placebo or an alternative therapeutic control for smoking cessation. We included in the meta-analysis only those trials which reported data on abstinence for a minimum of six months. We also reviewed, for descriptive purposes, results from short-term laboratory-based studies of opioid antagonists designed to evaluate psycho-biological mediating variables associated with nicotine dependence. DATA COLLECTION AND ANALYSIS: We extracted data in duplicate on the study population, the nature of the drug therapy, the outcome measures, method of randomisation, and completeness of follow-up. The main outcome measure was abstinence from smoking after at least six months follow-up in patients smoking at baseline. Abstinence at end of treatment was a secondary outcome. We extracted cotinine- or carbon monoxide-verified abstinence where available. Where appropriate, we performed meta-analysis, pooling risk ratios using a Mantel-Haenszel fixed-effect model. MAIN RESULTS: Eight trials of naltrexone met inclusion criteria for meta-analysis of long-term cessation. One trial used a factorial design so five trials compared naltrexone versus placebo and four trials compared naltrexone plus nicotine replacement therapy (NRT) versus placebo plus NRT. Results from 250 participants in one long-term trial remain unpublished. No significant difference was detected between naltrexone and placebo (risk ratio (RR) 1.00; 95% confidence interval (CI) 0.66 to 1.51, 445 participants), or between naltrexone and placebo as an adjunct to NRT (RR 0.95; 95% CI 0.70 to 1.30, 768 participants). The estimate was similar when all eight trials were pooled (RR 0.97; 95% CI 0.76 to 1.24, 1213 participants). In a secondary analysis of abstinence at end of treatment, there was also no evidence of any early treatment effect, (RR 1.03; 95% CI 0.88 to 1.22, 1213 participants). No trials of naloxone or buprenorphine reported abstinence outcomes. AUTHORS' CONCLUSIONS: Based on data from eight trials and over 1200 individuals, there was no evidence of an effect of naltrexone alone or as an adjunct to NRT on long-term smoking abstinence, with a point estimate strongly suggesting no effect and confidence intervals that make a clinically important effect of treatment unlikely. Although further trials might narrow the confidence intervals they are unlikely to be a good use of resources.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
David,S.P., Lancaster,T., Stead,L.F., Evins,A.E., Prochaska,J.J.
Original/Translated Title
URL
Date of Electronic
20130606
PMCID
PMC4038652
Editors
Change in indoor particle levels after a smoking ban in Minnesota bars and restaurants 2010 Center for Energy and Environment, Minneapolis, Minnesota, USA. dbohac@mncee.org
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Preventive Medicine
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Dec
Volume
39
Issue
6 Suppl 1
Start Page
S3
Other Pages
9
Notes
CI: Copyright (c) 2010; JID: 8704773; 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); 2010/04/19 [received]; 2010/08/13 [revised]; 2010/09/09 [accepted]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1873-2607; 0749-3797
Accession Number
PMID: 21074674
Language
eng
SubFile
Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.amepre.2010.09.012 [doi]
Output Language
Unknown(0)
PMID
21074674
Abstract
BACKGROUND: Smoking bans in bars and restaurants have been shown to improve worker health and reduce hospital admissions for acute myocardial infarction. Several studies have also reported improved indoor air quality, although these studies generally used single visits before and after a ban for a convenience sample of venues. PURPOSE: The primary objective of this study was to provide detailed time-of-day and day-of-week secondhand smoke-exposure data for representative bars and restaurants in Minnesota. METHODS: This study improved on previous approaches by using a statistically representative sample of three venue types (drinking places, limited-service restaurants, and full-service restaurants), conducting repeat visits to the same venue prior to the ban, and matching the day of week and time of day for the before- and after-ban monitoring. The repeat visits included laser photometer fine particulate (PM(2).(5)) concentration measurements, lit cigarette counts, and customer counts for 19 drinking places, eight limited-service restaurants, and 35 full-service restaurants in the Minneapolis/St. Paul metropolitan area. The more rigorous design of this study provides improved confidence in the findings and reduces the likelihood of systematic bias. RESULTS: The median reduction in PM(2).(5) was greater than 95% for all three venue types. Examination of data from repeated visits shows that making only one pre-ban visit to each venue would greatly increase the range of computed percentage reductions and lower the statistical power of pre-post tests. Variations in PM(2).(5) concentrations were found based on time of day and day of week when monitoring occurred. CONCLUSIONS: These comprehensive measurements confirm that smoking bans provide significant reductions in SHS constituents, protecting customers and workers from PM(2).(5) in bars and restaurants.
Descriptors
Air Pollution, Indoor/analysis/legislation & jurisprudence/prevention & control, Humans, Minnesota, Particulate Matter/analysis, Restaurants/classification/legislation & jurisprudence/statistics & numerical data, Sampling Studies, Smoking/legislation & jurisprudence/prevention & control, Tobacco Smoke Pollution/legislation & jurisprudence/prevention & control
Links
Book Title
Database
Publisher
American Journal of Preventive Medicine
Data Source
Authors
Bohac,D. L., Hewett,M. J., Kapphahn,K. I., Grimsrud,D. T., Apte,M. G., Gundel,L. A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Social Vulnerability and Ebola Virus Disease in Rural Liberia 2015 Center for Forest Disturbance Science, U.S. Forest Service, Athens, Georgia, United States of America.; Center for Forest Disturbance Science, U.S. Forest Service, Athens, Georgia, United States of America.; Center for Bottomland Hardwoods Research, U.S.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
PloS one
Periodical, Abbrev.
PLoS One
Pub Date Free Form
1-Sep
Volume
10
Issue
9
Start Page
e0137208
Other Pages
Notes
LR: 20150911; JID: 101285081; OID: NLM: PMC4556488; 2015 [ecollection]; 2015/02/06 [received]; 2015/08/14 [accepted]; 2015/09/01 [epublish]; epublish
Place of Publication
United States
ISSN/ISBN
1932-6203; 1932-6203
Accession Number
PMID: 26325519
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; IM
DOI
10.1371/journal.pone.0137208 [doi]
Output Language
Unknown(0)
PMID
26325519
Abstract
The Ebola virus disease (EVD) epidemic that has stricken thousands of people in the three West African countries of Liberia, Sierra Leone, and Guinea highlights the lack of adaptive capacity in post-conflict countries. The scarcity of health services in particular renders these populations vulnerable to multiple interacting stressors including food insecurity, climate change, and the cascading effects of disease epidemics such as EVD. However, the spatial distribution of vulnerable rural populations and the individual stressors contributing to their vulnerability are unknown. We developed a Social Vulnerability Classification using census indicators and mapped it at the district scale for Liberia. According to the Classification, we estimate that districts having the highest social vulnerability lie in the north and west of Liberia in Lofa, Bong, Grand Cape Mount, and Bomi Counties. Three of these counties together with the capital Monrovia and surrounding Montserrado and Margibi counties experienced the highest levels of EVD infections in Liberia. Vulnerability has multiple dimensions and a classification developed from multiple variables provides a more holistic view of vulnerability than single indicators such as food insecurity or scarcity of health care facilities. Few rural Liberians are food secure and many cannot reach a medical clinic in
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Stanturf,J.A., Goodrick,S.L., Warren,M.L.,Jr, Charnley,S., Stegall,C.M.
Original/Translated Title
URL
Date of Electronic
20150901
PMCID
PMC4556488
Editors
Use of conventional and novel smokeless tobacco products among US adolescents 2013 Center for Global Tobacco Control, Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA 02115, USA. iagaku@post.harvard.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Pediatrics
Periodical, Abbrev.
Pediatrics
Pub Date Free Form
Sep
Volume
132
Issue
3
Start Page
e578
Other Pages
86
Notes
LR: 20150423; GR: 2R01 CA087477-09A2/CA/NCI NIH HHS/United States; GR: 3R01 CA125224-03S1REV++/CA/NCI NIH HHS/United States; JID: 0376422; OID: NLM: PMC3876763; OTO: NOTNLM; 2013/08/05 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1098-4275; 0031-4005
Accession Number
PMID: 23918889
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; AIM; IM
DOI
10.1542/peds.2013-0843 [doi]
Output Language
Unknown(0)
PMID
23918889
Abstract
OBJECTIVES: To assess the prevalence and correlates of use of conventional and novel smokeless tobacco products among a national sample of US middle and high school students. METHODS: Data from the 2011 National Youth Tobacco Survey were analyzed to determine national estimates of current use of conventional ("chewing tobacco", "snuff," or "dip"), novel ("snus" and "dissolvable tobacco products"), and any smokeless tobacco products (novel and/or conventional products) within the past 30 days. RESULTS: The overall prevalence of current use of any smokeless tobacco product was 5.6% (n = 960). Among all students, 5.0% used chewing tobacco, snuff, or dip; 1.9% used snus; and 0.3% used dissolvable tobacco products. Among users of any smokeless tobacco, 64.0% used only conventional products, 26.8% were concurrent users of novel plus conventional products, whereas 9.2% exclusively used novel products. Approximately 72.1% of current any smokeless tobacco users concurrently smoked combustible tobacco products, and only 40.1% expressed an intention to quit all tobacco use. Regression analyses indicated that peer (adjusted odds ratio [aOR]: 9.56; 95% confidence interval [CI]: 7.14-12.80) and household (aOR: 3.32; 95% CI: 2.23-4.95) smokeless tobacco use were associated with smokeless tobacco use, whereas believing that all forms of tobacco are harmful was protective (aOR: 0.55; 95% CI: 0.38-0.79). CONCLUSIONS: Conventional smokeless tobacco products remain the predominant form of smokeless tobacco use. Most users of novel smokeless tobacco products also concurrently smoked combustible tobacco products. Smokeless tobacco use was associated with lower perception of harm from all tobacco products and protobacco social influences, indicating the need to change youth perceptions about the use of all tobacco products and to engage pediatricians in tobacco use prevention and cessation interventions.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Agaku,I.T., Ayo-Yusuf,O.A., Vardavas,C.I., Alpert,H.R., Connolly,G.N.
Original/Translated Title
URL
Date of Electronic
20130805
PMCID
PMC3876763
Editors
Effectiveness of text versus pictorial health warning labels and predictors of support for plain packaging of tobacco products within the European Union 2015 Center for Global Tobacco Control, Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Mass., USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
European addiction research
Periodical, Abbrev.
Eur.Addict.Res.
Pub Date Free Form
Volume
21
Issue
1
Start Page
47
Other Pages
52
Notes
LR: 20151119; JID: 9502920; 2014/04/07 [received]; 2014/07/17 [accepted]; 2014/11/11 [aheadofprint]; ppublish
Place of Publication
Switzerland
ISSN/ISBN
1421-9891; 1022-6877
Accession Number
PMID: 25402440
Language
eng
SubFile
Comparative Study; Journal Article; IM
DOI
10.1159/000366019 [doi]
Output Language
Unknown(0)
PMID
25402440
Abstract
BACKGROUND: Tobacco product warning labels are a key health communication medium with plain packaging noted as the next step in the evolution of tobacco packaging. We assessed the self-reported impact of text versus pictorial health warnings and the determinants of support for plain packaging of tobacco products in the European Union (EU). METHODS: The Special Eurobarometer 385 survey was analyzed for 26,566 adults from 27 EU countries in 2012. The self-reported impact of warning labels (text or pictorial) and determinants of EU-wide support for plain packaging were assessed using multivariate logistic regression. RESULTS: Current smokers in countries where cigarette pictorial warnings were implemented had higher odds of reporting that health warning labels had any effect on their smoking behavior (making a quit attempt or reducing number of cigarettes smoked per day) compared to respondents in countries with text-only warning labels (adjusted odds ratio, aOR = 1.31; 95% confidence interval, 95% CI: 1.10-1.56). Population support for plain packaging of tobacco packs was higher in countries where cigarette pictorial warnings already existed (aOR = 1.17; 95% CI: 1.07-1.28). CONCLUSIONS: These findings indicate that the implementation of pictorial warnings at an EU level may have a positive behavioral impact among smokers and pave the way for population support for plain packaging in the EU.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Agaku,I.T., Filippidis,F.T., Vardavas,C.I.
Original/Translated Title
URL
Date of Electronic
20141111
PMCID
Editors
Ashtrays and signage as determinants of a smoke-free legislation's success 2013 Center 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 o
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
PloS one
Periodical, Abbrev.
PLoS One
Pub Date Free Form
4-Sep
Volume
8
Issue
9
Start Page
e72945
Other Pages
Notes
LR: 20150422; JID: 101285081; OID: NLM: PMC3762932; 2013 [ecollection]; 2013/01/15 [received]; 2013/07/21 [accepted]; 2013/09/04 [epublish]; epublish
Place of Publication
United States
ISSN/ISBN
1932-6203; 1932-6203
Accession Number
PMID: 24023795
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1371/journal.pone.0072945 [doi]
Output Language
Unknown(0)
PMID
24023795
Abstract
INTRODUCTION: Successful 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. METHODS: A 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). RESULTS: Following the implementation of the 2010 smoke-free legislation, mean PM2.5 concentrations attributable to SHS fell from 175.3 microg/m(3) pre-ban to 84.52 microg/m(3) immediately post-ban, increasing over subsequent waves (103.8 microg/m(3) and 158.2 microg/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 microg/m(3), p=0.017). CONCLUSIONS: While 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.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Vardavas,C.I., Agaku,I., Patelarou,E., Anagnostopoulos,N., Nakou,C., Dramba,V., Giourgouli,G., Argyropoulou,P., Antoniadis,A., Gourgoulianis,K., Ourda,D., Lazuras,L., Bertic,M., Lionis,C., Connolly,G., Behrakis,P., Hellenic Air Monitoring Study Investigators
Original/Translated Title
URL
Date of Electronic
20130904
PMCID
PMC3762932
Editors
Increasing prevalence of smoke-free homes and decreasing rates of sudden infant death syndrome in the United States: an ecological association study 2012 Center for Global Tobacco Control, Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA 02115, USA. ibehm@hsph.harvard.edu.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Jan
Volume
21
Issue
1
Start Page
6
Other Pages
11
Notes
JID: 9209612; 0 (Tobacco Smoke Pollution); 2011/04/07 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 21474502
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1136/tc.2010.041376 [doi]
Output Language
Unknown(0)
PMID
21474502
Abstract
PURPOSE: This study utilises an ecological design to analyse the relation between concurrent temporal trends in sudden infant death syndrome (SIDS) rates and prevalence of smoke-free households with infants in the USA, controlling for an important risk factor, infant supine sleep position. METHODS: Annual state-specific SIDS cases were computed using period linked birth/infant death files; the prevalence of 100% smoke-free homes with infants using Tobacco Use Supplement to the Current Population Survey data, and percentage of infants in supine sleep position from National Infant Sleep Position data, for years 1995-2006. Incidence rate ratios relating trends in SIDS cases and risk factors were determined using time-series negative binomial regression. Population-level health effects were assessed with secondhand smoke (SHS) exposure population attributable fractions and excess attributable SIDS deaths. RESULTS: For every 1% absolute increase in the prevalence of smoke-free homes with infants, SIDS rates decreased 0.4% from 1995 to 2006, controlling for supine sleep position. Nationally, it is possible that 20% of the 1326 total SIDS cases were attributable to childhood SHS exposure at home in 2006 with potentially 534 fewer infant deaths attributable to SHS exposure in 2006 than in 1995, owing to an increasing prevalence of 100% smoke-free homes with infants. Cumulatively, 4402 (lower 95% CI) to 6406 (upper 95% CI) excess SIDS cases may have been attributable to SHS exposure in the home over the 12-year study period. CONCLUSIONS: The uptake of voluntary restrictions on smoking inside the home may present a public health benefit for infants in their first year of life. In light of inherent ecological study design limitations, these results warrant further individual level research linking postnatal SHS exposure and SIDS.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Behm,I., Kabir,Z., Connolly,G.N., Alpert,H.R.
Original/Translated Title
URL
Date of Electronic
20110407
PMCID
Editors
Five-year trends of second-hand smoke exposure in Greece: a comparison between complete, partial, and prelegislation levels 2012 Center for Global Tobacco Control, Division of Society, Human Development and Health, Harvard School of Public Health, Boston, MA 02115, USA. vardavas@hsph.harvard.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of aerosol medicine and pulmonary drug delivery
Periodical, Abbrev.
J.Aerosol Med.Pulm.Drug Deliv.
Pub Date Free Form
Dec
Volume
25
Issue
6
Start Page
349
Other Pages
354
Notes
JID: 101475057; 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); 2012/03/06 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1941-2703; 1941-2711
Accession Number
PMID: 22393905
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; T
DOI
10.1089/jamp.2011.0949 [doi]
Output Language
Unknown(0)
PMID
22393905
Abstract
BACKGROUND: Our aim was to assess second-hand smoke (SHS) exposure in hospitality venues after the smoke-free legislation implemented in September 2010 in Greece and to compare with when a partial ban was in place and in 2006 when no ban was in place. METHODS: Hospitality venues were prospectively assessed for their indoor concentrations of particulate matter (PM(2.5)) during the partial ban phase (n=149) and the complete ban phase (n=120, 80% followed up), while overall and matched by venue comparisons were also performed (no ban vs. partial ban vs. complete ban). Comparisons with previously collected data in 2006 when no ban was in place also was performed. RESULTS: Indoor air levels of PM(2.5) attributable to SHS dropped following the transition from a partial to a complete ban by 34% (137 mug/m(3) vs. 90 mug/m(3), p=0.003). This drop was larger in bars (from 195 mug/m(3) to 121 mug/m(3)), than in cafes (124 mug/m(3) vs. 87 mug/m(3)) or restaurants (42 mug/m(3) vs. 39 mug/m(3)). PM(2.5) concentrations between 2006 (no ban) and the partial ban of 2010 were also found to decrease by 94 mug/m(3); however, among matched venues, the levels of indoor air pollution were not found to change significantly (218 mug/m(3) vs. 178 mug/m(3), p=0.58). Comparing the 2010 complete ban results (n=120) with previously collected data from 2006 when no ban was in place (n=43), overall PM(2.5) concentrations were found to fall from 268 mug/m(3) to 89 mug/m(3), while a matched analysis found a significant reduction in PM(2.5) concentrations (249 mug/m(3) vs. 46 mug/m(3), p=0.011). CONCLUSION: The complete ban of smoking in hospitality venues in Greece led to a reduction in SHS exposure, in comparison to when the partial ban or no ban was in place; however, exposure to SHS was not eliminated indicating the need for stronger enforcement.
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Vardavas,C.I., Anagnostopoulos,N., Patelarou,E., Minas,M., Nakou,C., Dramba,V., Giourgouli,G., Bagkeris,E., Gourgoulianis,K., Pattaka,P., Antoniadis,A., Lionis,C., Bertic,M., Dockery,D., Connolly,G.N., Behrakis,P.K.
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20120306
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