Secondhand Smoke Research Update

Andrew Hyland and Mark Travers

Roswell Park Cancer Institute

March 2008, Annual TTURC meeting

SmokefreePolicies

Proximal Variables

Compliance withsmokefree policies

Intermediate

SHS exposure

Distal

Health of Non-smokers

Incidental Outcomes

Economic impact, homesmoking, cessation behavior

Moderators

SHS awareness / attitudes,occupation, SES, Tobacco control

policies

Conceptual Framework for the Evaluation of Smokefree Policies

SHS: secondhand smoke

SES: socio-economic status

Source: IARC Handbook. Measuring Effectiveness of Population Based Tobacco Control Interventions. In press.

Types of Data Collection

-Surveys

-Air quality assessments

-Other – economic and health impact studies

-TTURC DRP Program on SHS

Where are We Collecting Data?

-ITC countries (surveys)

-4 country, ITC Scotland/Ireland/England, France, SEA, China, Mexico/Uruguay

-32+ countries (air quality assessment)

-All world regions

-Latin America and Caribbean (Sebrie)

-Requests for collaboration come in weekly

-New York, Argentina, Latin America (health and economic impact studies)

TTURC DRP Program

-India – PM2.5 and owner survey used for public education

-China – owner and patron surveys, PM2.5 assessment, public education pilot in Liuzhou – some work presented at SRNT

-Thailand – PM2.5 assessments for public education

-Nepal – PM2.5 assessments for public education

-Georgia - PM2.5 assessments for public education

-Egypt – PM2.5 of hookah and cigarette smoke

-Ukraine – PM2.5 assessments for public education

-China work is most mature with 2 papers done and more on the way

Papers / Reports-NTR supplement with SHS theme – 6 papers submitted Feb 1, ~6 more to be submitted

-Smokefree homes and quitting

-Air quality assessments in homes

-…and pubs/restaurants

-Uruguay / Mexico comparisons

-Methods piece on validity of proxy reports of exposure

-The Big Smoke

-NNK boost after visit to smoky pubs in Laramie

-Each country we collaborate with on PM2.5 study gets a report

Spin Off Grants-Patchwork funding for evals in Ireland and Scotland

-2 current FAMRI grants (Mark Travers and Hyland)

-3 FAMRI grants in review (Maansi Travers, Sebrie, Hyland)

-R01 to be resubmitted – media advocacy and SHS policy in China

-R18, status uncertain – media advocacy and SHS policy in US

-R21, to be resubmitted – multi-unit housing smokefree program evaluation

-Canadian tobacco training program, Ryan Kennedy – SHS in outdoor settings

-SAPRP in review – changes in smoking and drinking after smokefree policies

Dissemination-www.tobaccofreeair.org

-Capacity building - trained ~250 partners how to perform PM2.5 assessments

-Resource for information on SHS

-Resources from TFK to institutionalize this work?

-International advice/consultation on SHS issues

-Collaborators on SHS handbooks/monographs/reports for NCI, IARC, Legacy, RWJF, and CDC

What’s Next

- Contributing to the SHS science-base globally

-Ideally research in each global region

-Follow the IARC model to guide research questions

-Work ongoing in China, Argentina, and Latin America

-I think we know enough…now just need to help disseminate faster, faster, faster