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Effects of a smoke-free law on hair nicotine and respiratory symptoms of restaurant and bar workers.

Hahn EJ, Rayens MK, York N, Okoli CT, Zhang M, Dignan M, Al-Delaimy WK

University of Kentucky College of Nursing and the College of Public Health, Lexington, Kentucky 40536-0232, USA. ejhahn00@email.uky.edu

OBJECTIVE: Bar and restaurant workers' exposure to secondhand smoke (SHS) was compared before and 3 and 6 months after implementation of a smoke-free ordinance. METHODS: Hair nicotine, self-reported exposure to SHS, and respiratory symptoms were assessed on 105 smoking and nonsmoking workers from randomly selected establishments in Lexington, Kentucky. Thirty-eight percent were current smokers with more than half smoking 10 or fewer cigarettes per day. Workers provided a hair sample at baseline and at the 3-month interview. RESULTS: There was a significant decline in hair nicotine 3 months postlaw when controlling for cigarettes smoked per day. Bar workers showed a significantly larger decline in hair nicotine compared with restaurant workers. The only significant decline in SHS exposure was in the workplace and other public places. Regardless of smoking status, respiratory symptoms declined significantly postlaw. CONCLUSIONS: Hospitality workers demonstrated significant declines in hair nicotine and respiratory symptoms after the law. Comprehensive smoke-free laws can provide the greatest protection to bar workers who are the most vulnerable to SHS exposure at work.

Published 12 September 2006 in J Occup Environ Med, 48(9): 906-13.
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