Smoke-Free Legislation in Spain and Prematurity

Background and objective: Spain implemented a partial smoking ban in 2006 followed by a comprehensive ban in 2011. The objective was to examine the association between these smoke-free policies and different perinatal complications. Methods: Cross-sectional study including all live births between 20...

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Autores: Simon Mendez, Lorena, Pastor-Barriuso, Roberto, Boldo, Elena, Fernandez-Cuenca, Rafael, Ortiz Burgos, Cristina, Linares-Gil, Cristina, Medrano, Maria Jose, Galan, Iñaki
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/10253
Acceso en línea:http://hdl.handle.net/20.500.12105/10253
Access Level:acceso abierto
Palabra clave:Smoke-Free Policy
Adult
Birth Weight
Cross-Sectional Studies
Female
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Male
Pregnancy
Premature Birth
Prevalence
Registries
Smoke
Smoking
Spain
Tobacco Smoke Pollution
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repository_id_str
spelling Smoke-Free Legislation in Spain and PrematuritySimon Mendez, LorenaPastor-Barriuso, RobertoBoldo, ElenaFernandez-Cuenca, RafaelOrtiz Burgos, CristinaLinares-Gil, CristinaMedrano, Maria JoseGalan, IñakiSmoke-Free PolicyAdultBirth WeightCross-Sectional StudiesFemaleHumansInfantInfant, Low Birth WeightInfant, NewbornInfant, PrematureInfant, Small for Gestational AgeMalePregnancyPremature BirthPrevalenceRegistriesSmokeSmokingSpainTobacco Smoke PollutionBackground and objective: Spain implemented a partial smoking ban in 2006 followed by a comprehensive ban in 2011. The objective was to examine the association between these smoke-free policies and different perinatal complications. Methods: Cross-sectional study including all live births between 2000 and 2013. Selected adverse birth outcomes were: preterm births (<37 gestational weeks), small for gestational age (SGA; <10th weight percentile according to Spanish reference tables), and low birth weight (<2500 g). We estimated immediate and gradual rate changes after smoking bans by using overdispersed Poisson models with different linear trends for 2000 to 2005 (preban), 2006 to 2010 (partial ban), and 2011 to 2013 (comprehensive ban). Models were adjusted for maternal sociodemographics, health care during the delivery, and smoking prevalence during pregnancy. Results: The comprehensive ban was associated with preterm birth rate reductions of 4.5% (95% confidence interval [CI]: 2.9%-6.1%) and 4.1% (95% CI: 2.5%-5.6%) immediately and 1 year after implementation, respectively. The low birth weight rate also dropped immediately (2.3%; 95% CI: 0.7%-3.8%) and 1 year after the comprehensive ban implementation (3.5%; 95% CI: 2.1%-5.0%). There was an immediate reduction in the SGA rate at the onset of the partial ban (4.9%; 95% CI: 3.5%-6.2%), which was sustained 1 year postimplementation. Although not associated with the comprehensive ban at the onset, the SGA rate declined by 1.7% (95% CI: 0.3%-3.1%) 1 year postimplementation. Conclusions: The implementation of the Spanish smoke-free policies was associated with a risk reduction for preterm births and low birth weight infants, especially with the introduction of the more restrictive ban.American Academy of Pediatrics (AAP)Instituto de Salud Carlos IIIMinisterio de Economía y Competitividad (España)20202020-06-0220172017-06-0120172017-06-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/20.500.12105/10253reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-CompartirIgual 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/102532026-06-12T12:43:37Z
dc.title.none.fl_str_mv Smoke-Free Legislation in Spain and Prematurity
title Smoke-Free Legislation in Spain and Prematurity
spellingShingle Smoke-Free Legislation in Spain and Prematurity
Simon Mendez, Lorena
Smoke-Free Policy
Adult
Birth Weight
Cross-Sectional Studies
Female
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Male
Pregnancy
Premature Birth
Prevalence
Registries
Smoke
Smoking
Spain
Tobacco Smoke Pollution
title_short Smoke-Free Legislation in Spain and Prematurity
title_full Smoke-Free Legislation in Spain and Prematurity
title_fullStr Smoke-Free Legislation in Spain and Prematurity
title_full_unstemmed Smoke-Free Legislation in Spain and Prematurity
title_sort Smoke-Free Legislation in Spain and Prematurity
dc.creator.none.fl_str_mv Simon Mendez, Lorena
Pastor-Barriuso, Roberto
Boldo, Elena
Fernandez-Cuenca, Rafael
Ortiz Burgos, Cristina
Linares-Gil, Cristina
Medrano, Maria Jose
Galan, Iñaki
author Simon Mendez, Lorena
author_facet Simon Mendez, Lorena
Pastor-Barriuso, Roberto
Boldo, Elena
Fernandez-Cuenca, Rafael
Ortiz Burgos, Cristina
Linares-Gil, Cristina
Medrano, Maria Jose
Galan, Iñaki
author_role author
author2 Pastor-Barriuso, Roberto
Boldo, Elena
Fernandez-Cuenca, Rafael
Ortiz Burgos, Cristina
Linares-Gil, Cristina
Medrano, Maria Jose
Galan, Iñaki
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Salud Carlos III
Ministerio de Economía y Competitividad (España)
dc.subject.none.fl_str_mv Smoke-Free Policy
Adult
Birth Weight
Cross-Sectional Studies
Female
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Male
Pregnancy
Premature Birth
Prevalence
Registries
Smoke
Smoking
Spain
Tobacco Smoke Pollution
topic Smoke-Free Policy
Adult
Birth Weight
Cross-Sectional Studies
Female
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Male
Pregnancy
Premature Birth
Prevalence
Registries
Smoke
Smoking
Spain
Tobacco Smoke Pollution
description Background and objective: Spain implemented a partial smoking ban in 2006 followed by a comprehensive ban in 2011. The objective was to examine the association between these smoke-free policies and different perinatal complications. Methods: Cross-sectional study including all live births between 2000 and 2013. Selected adverse birth outcomes were: preterm births (<37 gestational weeks), small for gestational age (SGA; <10th weight percentile according to Spanish reference tables), and low birth weight (<2500 g). We estimated immediate and gradual rate changes after smoking bans by using overdispersed Poisson models with different linear trends for 2000 to 2005 (preban), 2006 to 2010 (partial ban), and 2011 to 2013 (comprehensive ban). Models were adjusted for maternal sociodemographics, health care during the delivery, and smoking prevalence during pregnancy. Results: The comprehensive ban was associated with preterm birth rate reductions of 4.5% (95% confidence interval [CI]: 2.9%-6.1%) and 4.1% (95% CI: 2.5%-5.6%) immediately and 1 year after implementation, respectively. The low birth weight rate also dropped immediately (2.3%; 95% CI: 0.7%-3.8%) and 1 year after the comprehensive ban implementation (3.5%; 95% CI: 2.1%-5.0%). There was an immediate reduction in the SGA rate at the onset of the partial ban (4.9%; 95% CI: 3.5%-6.2%), which was sustained 1 year postimplementation. Although not associated with the comprehensive ban at the onset, the SGA rate declined by 1.7% (95% CI: 0.3%-3.1%) 1 year postimplementation. Conclusions: The implementation of the Spanish smoke-free policies was associated with a risk reduction for preterm births and low birth weight infants, especially with the introduction of the more restrictive ban.
publishDate 2017
dc.date.none.fl_str_mv 2017
2017-06-01
2017
2017-06-01
2020
2020-06-02
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/10253
url http://hdl.handle.net/20.500.12105/10253
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-CompartirIgual 4.0 Internacional
http://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-CompartirIgual 4.0 Internacional
http://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv American Academy of Pediatrics (AAP)
publisher.none.fl_str_mv American Academy of Pediatrics (AAP)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,228081

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