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Comparative Study
. 2010;52 Suppl 2(0 2):S244-53.
doi: 10.1590/s0036-36342010000800020.

Differential impact of local and federal smoke-free legislation in Mexico: a longitudinal study among adult smokers

James F Thrasher  1 , Kamala Swayampakala, Edna Arillo-Santillán, Ernesto Sebri��, Katrina M Walsemann, Matteo Bottai
Affiliations
Comparative Study

Differential impact of local and federal smoke-free legislation in Mexico: a longitudinal study among adult smokers

James F Thrasher et al. Salud Publica Mex. 2010.

Abstract

Objective: To assess the impact of Mexico City and federal smoke-free legislation on secondhand tobacco smoke (SHS) exposure and support for smoke-free laws.

Material and methods: Pre- and post-law data were analyzed from a cohort of adult smokers who participated in the International Tobacco Control (ITC) Policy Evaluation Suvey in four Mexican cities. For each indicator, we estimated prevalence, changes in prevalence, and between-city differences in rates of change.

Results: Self-reported exposure to smoke-free media campaigns generally increased more dramatically in Mexico City. Support for prohibiting smoking in regulated venues increased overall, but at a greater rate in Mexico City than in other cities. In bars and restaurants/cafés, self-reported SHS exposure had significantly greater decreases in Mexico City than in other cities; however, workplace exposure decreased in Tijuana and Guadalajara, but not in Mexico City or Ciudad Juárez.

Conclusions: Although federal smoke-free legislation was associated with important changes smoke-free policy impact, the comprehensive smoke-free law in Mexico City was generally accompanied by a greater rate of change.

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Conflict of interest statement

Conflict of Interest: None

Declaration of conflicts of interest

We declare that we have no conflict of interest.

Figures

Figure I
Figure I
Exposure in previous six months to smoke-free campaigns through distinct media channels by city, 2007 and 2008*
Figure 2
Figure 2
Prevalence of support for smoke-free policies in regulated venues by city, 2007 and 2008*
Figure 3
Figure 3
Secondhand smoke exposure across different regulated venues by city, 2007 and 2008*
See this image and copyright information in PMC

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