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dc.contributor.authorSimon Mendez, Lorena 
dc.contributor.authorPastor-Barriuso, Roberto 
dc.contributor.authorBoldo, Elena 
dc.contributor.authorFernandez-Cuenca, Rafael 
dc.contributor.authorOrtiz Burgos, Cristina 
dc.contributor.authorLinares-Gil, Cristina 
dc.contributor.authorMedrano, Maria Jose 
dc.contributor.authorGalan, Iñaki 
dc.date.accessioned2020-06-02T10:15:19Z
dc.date.available2020-06-02T10:15:19Z
dc.date.issued2017-06
dc.identifier.citationPediatrics . 2017 Jun;139(6):e20162068.es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/10253
dc.description.abstractBackground and objective: Spain implemented a partial smoking ban in 2006 followed by a comprehensive ban in 2011. The objective was to examine the association between these smoke-free policies and different perinatal complications. Methods: Cross-sectional study including all live births between 2000 and 2013. Selected adverse birth outcomes were: preterm births (<37 gestational weeks), small for gestational age (SGA; <10th weight percentile according to Spanish reference tables), and low birth weight (<2500 g). We estimated immediate and gradual rate changes after smoking bans by using overdispersed Poisson models with different linear trends for 2000 to 2005 (preban), 2006 to 2010 (partial ban), and 2011 to 2013 (comprehensive ban). Models were adjusted for maternal sociodemographics, health care during the delivery, and smoking prevalence during pregnancy. Results: The comprehensive ban was associated with preterm birth rate reductions of 4.5% (95% confidence interval [CI]: 2.9%-6.1%) and 4.1% (95% CI: 2.5%-5.6%) immediately and 1 year after implementation, respectively. The low birth weight rate also dropped immediately (2.3%; 95% CI: 0.7%-3.8%) and 1 year after the comprehensive ban implementation (3.5%; 95% CI: 2.1%-5.0%). There was an immediate reduction in the SGA rate at the onset of the partial ban (4.9%; 95% CI: 3.5%-6.2%), which was sustained 1 year postimplementation. Although not associated with the comprehensive ban at the onset, the SGA rate declined by 1.7% (95% CI: 0.3%-3.1%) 1 year postimplementation. Conclusions: The implementation of the Spanish smoke-free policies was associated with a risk reduction for preterm births and low birth weight infants, especially with the introduction of the more restrictive ban.es_ES
dc.description.sponsorshipSupported by grant FIS PI11/01276 from the Institute of Health Carlos III, Ministry of Economy and Competitivenesses_ES
dc.language.isoenges_ES
dc.publisherAmerican Academy of Pediatrics (AAP) es_ES
dc.type.hasVersionSMURes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subject.meshSmoke-Free Policy es_ES
dc.subject.meshAdult es_ES
dc.subject.meshBirth Weight es_ES
dc.subject.meshCross-Sectional Studies es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshInfant es_ES
dc.subject.meshInfant, Low Birth Weight es_ES
dc.subject.meshInfant, Newborn es_ES
dc.subject.meshInfant, Premature es_ES
dc.subject.meshInfant, Small for Gestational Age es_ES
dc.subject.meshMale es_ES
dc.subject.meshPregnancy es_ES
dc.subject.meshPremature Birth es_ES
dc.subject.meshPrevalence es_ES
dc.subject.meshRegistries es_ES
dc.subject.meshSmoke es_ES
dc.subject.meshSmoking es_ES
dc.subject.meshSpain es_ES
dc.subject.meshTobacco Smoke Pollution es_ES
dc.titleSmoke-Free Legislation in Spain and Prematurityes_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.identifier.pubmedID28562257es_ES
dc.format.volume139es_ES
dc.format.number6es_ES
dc.identifier.doi10.1542/peds.2016-2068es_ES
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderMinisterio de Economía y Competitividad (España) 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1098-4275es_ES
dc.relation.publisherversionhttps://doi.org/10.1542/peds.2016-2068es_ES
dc.identifier.journalPediatricses_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiología
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES
dc.relation.projectFISinfo:fis/Instituto de Salud Carlos III/null/null/Subprograma de proyectos de investigacion en salud (AES 2011) (2011)/PI11/01276


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