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2 results

  • Chapter Eight - Nonsmoking Environments

  • from Part II
  • Celeste L. Arrington, George Washington University, Washington DC
  • Book:
    From Manners to Rules
    Published online:
    29 August 2025
    Print publication:
    07 August 2025, pp 264-307

  • Summary

    Chapter 8 turns to a paired comparison of secondhand smoke prevention policies, which offer a more optimistic picture of sociolegal change. In addition to more nonsmoking rules, changing social norms and declining smoking rates were conducive to realizing reforms—and benefited from them. This chapter details the contributions of tobacco control advocates through lobbying, educational activities, and lawsuits related to secondhand smoke, especially in workplaces and at subnational levels. Their multi sited activism is a necessary part of understanding why one is now much less likely to be exposed to secondhand smoke in Korea and Japan.

  • Association of secondhand smoke exposure with mental health in men and women: Cross-sectional and prospective analyses using the UK Health and Lifestyle Survey

  • E. Lam, E. Kvaavik, M. Hamer, G.D. Batty
  • Journal:
    European Psychiatry / Volume 28 / Issue 5 / June 2013
    Published online by Cambridge University Press:
    15 April 2020, pp. 276-281
  • Objectives:

    We examine cross-sectional and prospective associations between objectively measured SHS exposure and mental health using data from the Health and Lifestyle Survey (HALS), a large, UK-wide, general population-based, prospective cohort study with measurements of carbon monoxide or salivary cotinine levels.

    Methods:

    Mental health was assessed using the 30-item version of the General Health Questionnaire (GHQ). Multivariate logistic regression models adjusting for age, sex, height, body mass index, alcohol intake, social status, and longstanding illness were used to analyze the association between exposure to SHS (exhaled CO and salivary cotinine categories) and psychological distress (≥ 5 GHQ).

    Results:

    Fully adjusted cross-sectional analysis revealed a positive relationship between exhaled carbon monoxide and psychological distress among smokers (OR 1.36; 95% CI 1.04-1.78) but not among non-smoking adults. In a similar cross-sectional analysis between cotinine level and psychological distress, non-significant associations were found among smokers and non-smokers. Prospective analyses of the cotinine-psychological distress relationship among participants without psychological distress at baseline showed no significant increased risk of psychological distress among both smokers and non-smokers. In a prospective analysis of poor mental health outcome with respect to self-report smoking and SHS status, smokers had an increased risk of psychological distress while SHS and non-smokers did not.

    Conclusions:

    A non-significant association between objectively measured SHS exposure and poor mental health was found in this study. Our findings show discrepancies with recent studies suggesting the need for additional future research in this growing field of study.