Elsevier

Medicina Clínica

Volume 134, Issue 14, 15 May 2010, Pages 633-634
Medicina Clínica

Editorial
Recintos hospitalarios sin humo: un desafío para el control del tabaquismoSmoke-free hospital campus: The next challenge for tobacco control in Spain

https://doi.org/10.1016/j.medcli.2009.09.028Get rights and content

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Financiación

La Red Catalana de Hospitales sin Humo se financia gracias al convenio de colaboración entre el Departament de Salut de la Generalitat de Catalunya y el Institut Català d’Oncologia. Los autores reciben, además, financiación del Instituto de Salud Carlos III (RTICC RD06/0020/0089) y de la Generalitat de Catalunya (2009SGR192).

Agradecimientos

Al Dr. Esteve Saltó por sus comentarios a una versión previa del manuscrito.

Bibliografía (24)

  • Joossens L, Raw M. Progress in Tobacco Control in 30 European Countries, 2005 to 2007. Bern: European Network for...
  • Ministerio de Sanidad y Consumo. Ley 28/2005, de 2006 de diciembre, de medidas sanitarias frente al tabaquismo y...
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      Only in long-stay patients units smoking were still allowed indoors and outdoors. After publishing arguments in favour of smoke-free outdoor spaces15 the Network advised several members of the Spanish Parliament of the necessity and feasibility of implementing these changes. In the mental health-care settings of many countries, the debate about implementing total smoking bans has been long and hard; there was previously no scientific evidence about the potential health effects of implementing smoking bans, from the most permissive to the strictest.

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      Regulation of tobacco is a controversial public policy (Jacobson et al., 1997), and is under threat from the tobacco industry (Tsoukalas and Glantz, 2003). Current Spanish outdoor smoke-free legislation, which prohibits smoking on hospital grounds and playgrounds, is an example of how health advocates are able to advance smoke-free outdoor legislation by supporting policy-makers through a strong community coalition (Fernandez and Martinez, 2010; Gruer et al., 2012). Study limitations include evaluation of the presence of outdoor smoking laws, and protections described in those laws.

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      There is evidence that indoor smoking bans alone promote slight decreases in tobacco consumption, are supported by employees, and elicit satisfaction among patients and visitors (Hopkins et al., 2010; IARC, 2009; Longo et al., 1996, 2001; Martinez et al., 2008). However, some studies suggest that more restrictive smoke-free policies, including outdoor bans, would support employees in attempts to reduce or cease smoking (Fernandez and Martinez, 2010; Gadomski et al., 2010; Williams et al., 2009). Other benefits include the protection of non-smokers, the reduction of smoking opportunities, and the denormalization of smoking (IARC, 2009).

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      Reinforcing tobacco control measures is essential for eliminating second-hand smoke exposure, especially prohibiting smoking in any hospital surroundings. In fact, the US Joint Commission on Accreditation of Health Care Organizations and the European Network of Smoke-free Hospitals are promoting the implementation of smoke-free campuses beyond the concept of a “tobacco-free hospital” (Fernandez and Martínez, 2009; Williams et al., 2009). Finally, the use of PM2.5 as a marker of exposure to second-hand smoke in hospitals appears to be an objective and reliable alternative to airborne nicotine measurements when the latter is not feasible.

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