Background: In 2005, the Spanish government approved Law 28/2005 on health measures against smoking; this was amended in 2010 by Law 42/2010. Objective: The purpose of this study was to assess the impact of these laws on passive smoking. Methods: Three epidemiological studies were conducted on a representative sample of the population via telephone surveys. The first was conducted prior to the first law coming into force, the second a year after its approval and the third a year after the approval of the second.Results: Six thousand eight hundred people were surveyed in 2005, 3,289 in 2007 and 3,298 in 2011. The first survey showed that 49.5% of nonsmokers were exposed to second-hand smoke (SHS) while by 2007, following the introduction of Law 28/2005, this exposure had been reduced to 37.9% (results previously published in 2008). The 2011 survey, conducted following the introduction of Law 42/2010, showed that just 21% of people were exposed. These data indicate that overall exposure to SHS was reduced by 22% between 2005 and 2007 and by a further 16.9% between 2007 and 2011. The overall impact of Law 42/2010 is estimated to be around 44% and Law 28/2005 around 22%. Conclusion: Legislation introduced in Spain has markedly reduced the exposure of nonsmokers to SHS.

1.
López MJ, Pérez-Ríos M, Schiaffino A, et al: Mortality attributable to passive smoking in Spain, 2002. Tob Control 2007;16:73-77.
2.
Department of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office of Smoking and Health: DHS Publication No. (CDC) 87-8398: The health consequences of involuntary smoking. Rockville, US Department of Health and Human Services, 1986.
3.
Mackay DF, Irfan MO, Haw S, Pell JP: Meta-analysis of the effect of comprehensive smoke-free legislation on acute coronary events. Heart 2010;96:1525-1530.
4.
Besaratinia A, Pfeifer GP: Second-hand smoke and human lung cancer. Lancet Oncol 2008;9:657-666.
5.
Callinan JE, Clarke A, Doherty K, Kelleher C: Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev 2010;14:CD005992.
6.
Ali AY, Safwat T, Onyemelukwe G, Otaibi MA, Amir AA, Nawas YN, Aouina H, Afif MH, Bolliger CT: Smoking prevention and cessation in the Africa and Middle East region: a consensus draft guideline for healthcare providers - executive summary. Respiration 2012;83:423-432.
7.
Fichtenberg CM, Glantz SA: Effect of smoke-free workplaces on smoking behaviour: systematic review. BMJ 2002;325:188.
8.
Fong GT, Hyland A, Borland R, et al: Reductions in tobacco smoke pollution and increases in support for smoke-free public places following the implementation of comprehensive smoke-free workplace legislation in the Republic of Ireland: findings from the ITC Ireland/UK Survey. Tob Control 2006;15(suppl 3):51-58.
9.
Law 28/2005, of 26 December 2005. Boletín Oficial del Estado (Spanish Official State Bulletin) No. 309.
10.
Jimenez-Ruiz C, Riesco Miranda JA, Hurt RD, et al: Study of the impact of laws regulating tobacco consumption on the prevalence of passive smoking in Spain. Eur J Publ Health 2008;18:622-625.
11.
Martínez-Sánchez JM, Fernández E, Fu M, et al: Impact of the Spanish smoking law in smoker hospitality workers. Nicotine Tob Res 2009;11:1099-1106.
12.
Nebot M, López MJ, Ariza C, et al: Impact of the Spanish smoking law on exposure to secondhand smoke in offices and hospitality venues: before-and-after study. Environ Health Perspect 2009;117:344-347.
13.
Muglli ME, Lockhart NJ, Ebbert JE, et al: Legislating tolerance: Spain's national public smoking law. Tob Control 2010;19:24-30.
14.
Law 42/2010, of 30 December 2010. Boletín Oficial del Estado (Spanish Official State Bulletin) No. 318.
15.
Galán I, Rodríguez-Artalejo F, Tobías A, et al: Risk factors surveillance for noncommunicable disease through telephone survey. Results in the Autonomous Community of Madrid from 1995-2003. Gac Sanit 2005;19:193-205.
16.
Farrelly MC, Nonnemaker JM, Chou R, et al: Changes in hospitality workers' exposure to second hand smoke following the implementation of New York's smokefree law. Tob Control 2005;14:236-241.
17.
Cesaroni G, Forastiere F, Agabiti N, et al: Effect of the Italian smoking ban on population rates of acute coronary events. Circulation 2008;117:1183-1188.
18.
Alcouffe J, Fau-Prudhomot P, Manillier P, et al: Smoking among workers from small companies in the Paris area 10 ten years after the French tobacco law. Tob Control 2003;12:239-240.
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