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Home- and Car-Based Rules in Foster Care Settings to Reduce Exposure to Secondhand Smoke: Before and after Romanian National Clean Air Legislation

Author

Listed:
  • Kristie Foley

    (Department of Implementation Science, Wake Forest School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, USA)

  • Lorand Ferencz

    (Department of Hygiene, University of Medicine and Pharmacy Targu Mures, Targu Mures 540139, Romania)

  • Cristian Meghea

    (Department of Obstetrics, Gynecology and Reproductive Biology Michigan State University, East Lansing, MI 48824, USA)

  • Zoltan Abram

    (Department of Hygiene, University of Medicine and Pharmacy Targu Mures, Targu Mures 540139, Romania)

  • Melinda Pénzes

    (Institute of Public Health, Semmelweis University, Budapest 1088, Hungary)

  • Andrea Fogarasi-Grenczer

    (Institute of Public Health, Semmelweis University, Budapest 1088, Hungary)

  • Peter Balazs

    (Institute of Public Health, Semmelweis University, Budapest 1088, Hungary)

  • Lorand Schmidt

    (Department of General Directorate of Social Assistance and Child Protection of Mures County, Targu Mures 540139, Romania)

Abstract

Background : To evaluate changes in smoke free rules in the foster care system after the implementation of the Romanian national clean air law. Methods : A repeated cross-sectional, self-administered questionnaire among foster care employees ( n = 599) was conducted in 58 foster care homes during 2014 ( n = 295) and 51 homes during 2016 ( n = 304). We estimated the absolute difference in the proportion of employees who stated that smoke free rules existed before and after national clean air legislation. Results : There was an absolute increase in 4 of 5 smoke free measures after the law: bans on non-cigarette tobacco products ( n = 169 to 206, +10.6%), non-smoking on premises for adults ( n = 142 to 202, +18.3%), and for children ( n = 201 to 239, +10.3%), and no smoking in cars to transport children ( n = 194 to 227, +9%). There was a significant increase in the perception of outdoor bans that prohibit employees from smoking on foster care home premises (AOR 2.24, 95% CI 1.14–4.38). The increase in the perception of indoor smoking bans did not change. Conclusion : The national law may have had a spillover influence by strengthening smoke free rules in unregulated spaces. Nonetheless, foster care home rules could be further enhanced, particularly in cars that transport children.

Suggested Citation

  • Kristie Foley & Lorand Ferencz & Cristian Meghea & Zoltan Abram & Melinda Pénzes & Andrea Fogarasi-Grenczer & Peter Balazs & Lorand Schmidt, 2018. "Home- and Car-Based Rules in Foster Care Settings to Reduce Exposure to Secondhand Smoke: Before and after Romanian National Clean Air Legislation," IJERPH, MDPI, vol. 15(8), pages 1-6, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:8:p:1631-:d:161432
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    References listed on IDEAS

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    1. Valentin Nădăşan & Kristie L. Foley & Melinda Pénzes & Edit Paulik & Ştefan Mihăicuţă & Zoltán Ábrám & Jozsef Bálint & Robert Urbán, 2016. "Use of electronic cigarettes and alternative tobacco products among Romanian adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 199-207, March.
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