87.03 Asthma and the new smoke-free law. What has changed?

Wednesday, April 29, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Joao Duarte Department of Public Health, Faculty of Medical Sciences, New University of Lisbon, Portugal
Rita Lucas Department of Public Health, Faculty of Medical Sciences, New University of Lisbon, Portugal
Joao Pires Department of Public Health, Faculty of Medical Sciences, New University of Lisbon, Portugal
Inês Matos Department of Public Health, Faculty of Medical Sciences, New University of Lisbon, Portugal
Joana Figueiredo Department of Public Health, Faculty of Medical Sciences, New University of Lisbon, Portugal
Ágata Areias Department of Public Health, Faculty of Medical Sciences, New University of Lisbon, Portugal
Ana Glória Fonseca Department of Public Health, Faculty of Medical Sciences, New University of Lisbon, Portugal
José Luis Castanheira Department of Public Health, Faculty of Medical Sciences, New University of Lisbon, Portugal
In January of 2008, Portugal implanted new legislation that restricts indoor smoking in collective places. As second-hand smoke results in exacerbation of Asthma's symptoms, it became pertinent to know the perception of asthmatic patients about the repercussions of this new law in their well-being. A descriptive cross-sectional study was conducted, in a convenience sample, formed by 96 asthmatic patients of the Pulido Valente's Hospital and Santa Marta's Hospital Pulmonology appointments. All data was collected from a standardised questionnaire with volunteer, anonymous and confidential answers. Epi InfoTM software was used for statistical processing purposes, and the results analysed by Qui-square test (α=5%). From the patients polled, the percentage of those exposed to second-hand smoke until December 2007 was 67.7%, with higher prevalence in the actively working individuals subgroup. A considerable percentage (39.6%) stated positive changes (measured by improvement of the performance in daily life activities, decrease in symptoms and lesser usage of SOS medication), even though the majority did not recognize any improvement. From those who marked positive changes, 81.6% said they were no longer exposed to second-hand smoke after the new law, and 65.8% referred the smoking ban as the responsible factor for those changes. These results, only two months after the law's implementation, strengthen the importance of approving effective measures to create and enforce smoke-free environments, therefore reducing the exacerbation of symptoms and improving the asthmatic patients' well-being.

Learning Objectives: 1) Link the second-hand smoke in indoor places to the implementation of smoke-free laws and respiratory pathology. 2) Discuss the impact of smoke-free laws in the well-being of people, mostly of chronic respiratory patients. 3) Understand that smoke-free laws are a helpful way that can improve the well-being of asthmatic patients (increasing performance in daily life activities, reducing symptoms and reducing the usage of SOS medication)

Sub-Theme: Public Health and Research: Evidence Based Policy on Health