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Multicenter Study
. 2014 Feb:59:47-53.
doi: 10.1016/j.ypmed.2013.11.017. Epub 2013 Nov 25.

Association between being employed in a smoke-free workplace and living in a smoke-free home: evidence from 15 low and middle income countries

Gaurang P Nazar  1 , John Tayu Lee  2 , Stanton A Glantz  3 , Monika Arora  4 , Neil Pearce  5 , Christopher Millett  6
Affiliations
Multicenter Study

Association between being employed in a smoke-free workplace and living in a smoke-free home: evidence from 15 low and middle income countries

Gaurang P Nazar et al. Prev Med. 2014 Feb.

Abstract

Objective: To assess whether being employed in a smoke-free workplace is associated with living in a smoke-free home in 15 low and middle income countries (LMICs).

Methods: Country-specific individual level analyses of cross-sectional Global Adult Tobacco Survey data (2008-2011) from 15 LMICs was conducted using multiple logistic regression. The dependent variable was living in a smoke-free home; the independent variable was being employed in a smoke-free workplace. Analyses were adjusted for age, gender, residence, region, education, occupation, current smoking, current smokeless tobacco use and number of household members. Individual country results were combined in a random effects meta-analysis.

Results: In each country, the percentage of participants employed in a smoke-free workplace who reported living in a smoke-free home was higher than those employed in a workplace not smoke-free. The adjusted odds ratios (AORs) of living in a smoke-free home among participants employed in a smoke-free workplace (vs. those employed where smoking occurred) were statistically significant in 13 of the 15 countries, ranging from 1.12 [95% CI 0.79-1.58] in Uruguay to 2.29 [1.37-3.83] in China. The pooled AOR was 1.61 [1.46-1.79].

Conclusion: In LMICs, employment in a smoke-free workplace is associated with living in a smoke-free home. Accelerated implementation of comprehensive smoke-free policies is likely to result in substantial population health benefits in these settings.

Keywords: GATS; Low- and middle-income countries; Secondhand smoke; Smoke-free policy; Tobacco; Workplace.

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Figures

Fig. 1
Fig. 1
Percentage of participants living in smoke-free homes by smoke-free status of the workplace in 15 GATS countries (2008–2011).
Fig. 2
Fig. 2
Forest plot showing country-specific and pooled adjusted odds ratios (95% CIs) of living in a smoke-free home among those employed in a smoke-free workplace compared with those employed in workplaces where smoking occurred (GATS 2008–2011).
See this image and copyright information in PMC

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