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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">About half of the children worldwide are exposed secondhand smoke &#40;SHS&#41; at home&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Additionally&#44; children are also exposed to SHS inside the vehicles in which they are usually carried&#44; where smoking use results in high levels of SHS concentration&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The largest study conducted in Portugal about children exposure at SHS in the car revealed that 28&#46;9&#37; of children had been daily or occasionally exposed to tobacco smoke inside cars&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">SHS exposure among children is associated with the development of respiratory infections and chronic symptoms such as cough&#44; impaired lung growth and function&#44; wheezing or dyspnea&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Beyond the risks for children&#39;s health&#44; evidence support the fact that children who live in a microsocial environment where tobacco use is a common behavior have an increased risk of becoming smokers&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> Also&#44; on a different perspective&#44; smoking while driving represents an increased risk of traffic accidents&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Laws banning smoking in cars carrying children have been introduced in a number of jurisdictions in the United States&#44; Australia and Canada&#44; and others&#44; as the United Kingdom&#44; will introduce a similar law in the near future&#46; South Africa and Bahrain have bans on smoking in cars with children&#44; while Mauritius has banned smoking in all cars carrying any passenger&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Understanding the public opinion about the implementation of new policies is a needful guide for public health decision-makers&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Taking into account the lack of information on this important matter in Portugal&#44; a study aiming to describe the level of agreement with a car smoking ban was developed&#46; It consisted in a cross-sectional study with telephone interviews &#40;based on the protocol of L&#243;pez et al&#46;&#41;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a>&#44; conducted between May 2013 and October 2014&#44; with a random and representative sample of the population of three Portuguese cities&#58; Barcelos &#40;Bar&#41;&#44; Braga &#40;Br&#41; and Lisbon &#40;Lx&#41;&#46; The sample consisted of 129 individuals in Br &#40;67 women&#41;&#44; 85 in Bar &#40;44 women&#41; and 146 in Lx &#40;74 women&#41;&#44; proportional in city size&#44; sex and age group&#46; Overall&#44; 360 individuals&#44; aged between 15-74 years&#44; were asked about their level of agreement on a nation-wide ban on smoking in cars&#8211;with and without children&#46; Descriptive analysis was performed&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The majority of the participants supported a smoking ban in cars with children &#40;85&#37; Bar&#59; Br 93&#37;&#44; 88&#37; Lx&#41;&#46; Non-smokers were more likely to support this policy &#40;90&#37; Bar&#44; 100&#37; Br&#44; 90&#37; Lx&#41; than smokers &#40;80&#37; Bar&#44; 76&#37; Br&#44; 77&#37; Lx&#41;&#46; <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> presents the agreement with a smoking ban in cars&#44; with and without children&#44; by city and smoking status of the respondents&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">A large public support to ban smoking in cars carrying children was shown&#46; Raising awareness among parents and educators about the health consequences of tobacco use inside the car and encouraging them not to smoke indoors is an urgent need to promote smoke-free cars&#46; Mainly&#44; a ban on smoking inside cars would have immediate impacts on children&#39;s health protection&#46; Results from this study strengthens the call for policy-makers to implement strategies to protect this fragile group&#44; starting by banning tobacco use inside vehicles while carrying children&#46;</p><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0055" class="elsevierStylePara elsevierViewall">This study was supported through FEDER from the Operational Programme Factors of Competitiveness&#8211;COMPETE and through national funding from the Foundation for Science and Technology&#8211;FCT &#40;Portuguese Ministry of Education and Science&#41; &#40;FCOMP-01-0124-FEDER-009117&#41;&#46;</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Statement of authorship</span><p id="par0035" class="elsevierStylePara elsevierViewall">The study was designed by J&#46; Precioso&#44; F&#46; Reis and J&#46; Machado&#46; J&#46; Precioso and L Dias wrote the &#64257;rst draft of the manuscript&#46; I&#46; Sousa and C&#46; Sousa collected the data&#46; J&#46; Precioso and J&#46; Machado designed and carried out statistical analysis&#46; All authors gave a substantial contribution to the interpretation of data&#44; critical discussion and revision of the manuscript&#44; and approved its &#64257;nal version&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of Interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">None&#46;</p></span></span>"
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Letter to the Editor
Opinions on a car smoking ban: a needed guide for public health decision-makers
Opiniones sobre la prohibición de fumar en el coche: la guía necesaria para la toma de decisiones de salud pública
José Preciosoa,
Autor para correspondencia
precioso@ie.uminho.pt

Corresponding author.
, Fátima Reisb, Isabel Sousaa, Carla Sousab, José Machadoc, Luís Diasa, Catarina Samorinhad, Henedina Antunese
a Instituto de Educação, Universidade do Minho, Braga, Portugal
b Instituto de Saúde Ambiental, Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina da Universidade de Lisboa, Lisboa, Portugal
c Instituto de Ciências Sociais, Universidade do Minho, Braga, Portugal
d EPIUnit - Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal
e Serviço de Pediatria, Hospital de Braga; Instituto de Ciências da Vida e da Saúde (ICVS); Escola de Ciências da Saúde da Universidade do Minho e Laboratório associado ICVS/3B's, Braga/Guimarães, Portugal
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">About half of the children worldwide are exposed secondhand smoke &#40;SHS&#41; at home&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Additionally&#44; children are also exposed to SHS inside the vehicles in which they are usually carried&#44; where smoking use results in high levels of SHS concentration&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The largest study conducted in Portugal about children exposure at SHS in the car revealed that 28&#46;9&#37; of children had been daily or occasionally exposed to tobacco smoke inside cars&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">SHS exposure among children is associated with the development of respiratory infections and chronic symptoms such as cough&#44; impaired lung growth and function&#44; wheezing or dyspnea&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Beyond the risks for children&#39;s health&#44; evidence support the fact that children who live in a microsocial environment where tobacco use is a common behavior have an increased risk of becoming smokers&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> Also&#44; on a different perspective&#44; smoking while driving represents an increased risk of traffic accidents&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Laws banning smoking in cars carrying children have been introduced in a number of jurisdictions in the United States&#44; Australia and Canada&#44; and others&#44; as the United Kingdom&#44; will introduce a similar law in the near future&#46; South Africa and Bahrain have bans on smoking in cars with children&#44; while Mauritius has banned smoking in all cars carrying any passenger&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Understanding the public opinion about the implementation of new policies is a needful guide for public health decision-makers&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Taking into account the lack of information on this important matter in Portugal&#44; a study aiming to describe the level of agreement with a car smoking ban was developed&#46; It consisted in a cross-sectional study with telephone interviews &#40;based on the protocol of L&#243;pez et al&#46;&#41;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a>&#44; conducted between May 2013 and October 2014&#44; with a random and representative sample of the population of three Portuguese cities&#58; Barcelos &#40;Bar&#41;&#44; Braga &#40;Br&#41; and Lisbon &#40;Lx&#41;&#46; The sample consisted of 129 individuals in Br &#40;67 women&#41;&#44; 85 in Bar &#40;44 women&#41; and 146 in Lx &#40;74 women&#41;&#44; proportional in city size&#44; sex and age group&#46; Overall&#44; 360 individuals&#44; aged between 15-74 years&#44; were asked about their level of agreement on a nation-wide ban on smoking in cars&#8211;with and without children&#46; Descriptive analysis was performed&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The majority of the participants supported a smoking ban in cars with children &#40;85&#37; Bar&#59; Br 93&#37;&#44; 88&#37; Lx&#41;&#46; Non-smokers were more likely to support this policy &#40;90&#37; Bar&#44; 100&#37; Br&#44; 90&#37; Lx&#41; than smokers &#40;80&#37; Bar&#44; 76&#37; Br&#44; 77&#37; Lx&#41;&#46; <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> presents the agreement with a smoking ban in cars&#44; with and without children&#44; by city and smoking status of the respondents&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">A large public support to ban smoking in cars carrying children was shown&#46; Raising awareness among parents and educators about the health consequences of tobacco use inside the car and encouraging them not to smoke indoors is an urgent need to promote smoke-free cars&#46; Mainly&#44; a ban on smoking inside cars would have immediate impacts on children&#39;s health protection&#46; Results from this study strengthens the call for policy-makers to implement strategies to protect this fragile group&#44; starting by banning tobacco use inside vehicles while carrying children&#46;</p><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0055" class="elsevierStylePara elsevierViewall">This study was supported through FEDER from the Operational Programme Factors of Competitiveness&#8211;COMPETE and through national funding from the Foundation for Science and Technology&#8211;FCT &#40;Portuguese Ministry of Education and Science&#41; &#40;FCOMP-01-0124-FEDER-009117&#41;&#46;</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Statement of authorship</span><p id="par0035" class="elsevierStylePara elsevierViewall">The study was designed by J&#46; Precioso&#44; F&#46; Reis and J&#46; Machado&#46; J&#46; Precioso and L Dias wrote the &#64257;rst draft of the manuscript&#46; I&#46; Sousa and C&#46; Sousa collected the data&#46; J&#46; Precioso and J&#46; Machado designed and carried out statistical analysis&#46; All authors gave a substantial contribution to the interpretation of data&#44; critical discussion and revision of the manuscript&#44; and approved its &#64257;nal version&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of Interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">None&#46;</p></span></span>"
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                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Agreement with a smoking ban in cars</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">82 &#40;90&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  "referenciaCompleta" => "USDHHS-U&#46;S&#46; Department of Health and Human Services&#46; The health consequences of involuntary exposure to tobacco smoke&#58; a report of the surgeon general&#46; Atlanta&#44; GA&#58; U&#46;S&#46; Department of Health and Human Services&#59; 2006&#46;"
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                      "titulo" => "Portuguese children&#39;s exposure to second-hand tobacco smoke in the family car"
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                            0 => "P&#46;D&#46; Vit&#243;ria"
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                      "doi" => "10.1016/j.gaceta.2014.10.011"
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                        "tituloSerie" => "Gac Sanit&#46;"
                        "fecha" => "2015"
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                  "referenciaCompleta" => "Canadian Cancer Society&#46; Laws banning smoking in cars with children &#8211; international overview&#46; 2014&#46; &#91;Consulted on 14&#47;04&#47;2015&#93;&#46; Available at&#58; http&#58;&#47;&#47;www&#46;ash&#46;org&#46;uk&#47;files&#47;documents&#47;ASH&#95;909&#46;pdf&#46;"
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                  "referenciaCompleta" => "L&#243;pez MJ&#44; Schiaffino A&#44; P&#233;rez-R&#237;os M&#44; et al&#46; Opiniones sobre la prohibici&#243;n de fumar en espacios exteriores tras la ley de control del tabaquismo de 2011 &#40;ley 42&#47;2010&#41;&#46; In&#58; Congreso Iberoamericano de Epidemiolog&#237;a y Salud P&#250;blica&#59; 4 September 2013&#46; Granada&#44; Spain&#46; Gaceta Sanitaria&#59; 2013&#59; p&#46;125&#46;"
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ISSN: 02139111
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