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APHA Scientific Session and Event Listing
3263.0: Monday, November 05, 2007 - Board 1

Abstract #156010

Formative evaluation of the District of Columbia's indoor smoking ban on bar employee respiratory health

Jennifer L. Pearson, BA, MPH canidate, Department of Prevention and Community Health, George Washington University, 2175 K St NW, Suite 700, Washington, DC 20037, 202-631-2067, jenniferlynnpearson@gmail.com, Richard Windsor, PhD, School of Public Health and Health Services, George Washington University, 2175 K St, NW, Suite 700, Washington, DC 20037, and Ayman El-Mohandes, MD, MBBCh, MPH, Department of Prevention and Community Health, Departments of Obstetrics and Gynecology and Neonatology, George Washington University Medical Center, School of Medicine and Health Sciences, 2175 K Street, NW, Suite 700, Washington, DC 20037.

Bartenders remain the only occupational group in the United States with less than 15% smoke-free workplace coverage. Evidence suggests that this occupation also has the highest ETS exposure concentration. On January 2, 2007, Washington D.C. implemented a district-wide ban of indoor smoking in all bars, restaurants, and pool halls, providing a unique opportunity to examine the impact of a new policy on a high exposure group. This study tested the hypothesis that implementation of an indoor smoking ban significantly reduced ETS exposure and associated sensory and respiratory symptoms for D.C.'s 1,950 bartenders. Using a one-group pre/post test design with participants as their own controls, a convenience sample of non-smoking bartenders and barbacks was collected in December 2006 and February 2007(n=58). The researcher assessed respiratory and sensory symptoms using a modified International Union Against Tuberculosis and Lung Disease Bronchial Symptoms Questionnaire. ETS exposure was correlated to symptoms with salivary cotinine samples collected at the bars. Due to a high compliance with the law and the overall youth and good health of the sample, anticipated results include a significant drop in salivary cotinine levels (p=0.05) and a possible non-significant reduction in sensory and respiratory symptoms. This formative evaluation of a new health policy intervention could add to the evidence for the positive benefits of smoke-free indoor air laws for food service employees and support similar smoke-free indoor air laws in the United States.

Learning Objectives:

Keywords: Tobacco, Occupational Exposure

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Occupational Health and Other Environmental Risk Factors

The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA