Protection projects include an exploratory study of the physical and social exposure to smoking by adolescents and their impact on behaviour, a literature synthesis of the health effects of exposure to second smoke in outdoor settings and the impacts of outdoor smoking bans, a review of the evidence related to thirdhand smoke, studies looking at exposure and policies in home environments, and an observational study of waterpipe use.

Current Protection Projects

Outdoor Exposure to Secondhand Smoke: Health Effects and Economic Costs

Focus Areas: Exposure, Health Effects, Economics

This study reviews the literature on health effects of exposure to secondhand smoke in outdoor settings (i.e. patios, setbacks from entrances and windows, parks and playgrounds, hospital grounds etc.), and the economic costs and impacts associated with outdoor smoking bans.

Physical and Social Exposure to Smoking among Youth and Young Adults

Focus Areas: Youth, Young Adults, Social Exposure

It is hypothesized that reducing social exposure (i.e., visual and sensory cues associated with the use of tobacco products) will lead to decreased youth initiation. However, few studies have examined this relationship. The purpose of this project is to develop a research study to measure the frequency and context of social exposure to smoking, and the relationship between social exposure and smoking attitudes and behaviours among adolescents.

Putting Thirdhand Smoke on the Policy Agenda: An Expert Panel

Areas of Focus: Third Hand Smoke, Policies

Thirdhand smoke is tobacco smoke contamination that remains after a cigarette is extinguished. Its role in the broader context of tobacco control efforts is still unknown. An international, multidisciplinary expert panel has met and is reviewing and disseminating evidence on thirdhand smoke (THS) to knowledge users in science, medicine, public health and policy.

Smoke-Free Affordable Housing in Canada: Promoting Health and Health Equity

Focus Areas: Homes, Multi-Unit Dwellings, Exposure

Smoke-free policies have been gaining momentum in recent years in North America. While there are some smoke-free policies in multi-unit dwellings across Canada, few housing authorities have implemented such policies in their social housing.

This research uses a case study approach to investigate the impact of Canadian residential tenancy legislation and policy approaches on the implementation of smoke-free policies in affordable housing, the experiences and behaviours of residents, and levels of SHS exposure.

Smoke-Free Homes and Asthma Pilot Intervention Study

Focus Areas: Homes, Cars, Motivational Interviewing, Coaching, Asthma

Exposure to second-hand smoke (SHS) by children and adolescents is an important health and social policy concern in Canada and elsewhere. A promising intervention to reduce children’s exposure involves the use of coaching and Motivational Interviewing (MI) to counsel families to develop the capacity for establishing smoke-free homes and vehicles.

This project is a pilot intervention to assess the effectiveness of this approach in promoting smoke-free homes among Ontario families. The delivery of the intervention is through the Primary Care Asthma Program (PCAP), which has a mandate to provide asthma management to families through 12 regional sites in Ontario.

Waterpipe Use in Toronto Canada

Focus Areas: Hookah, Waterpipe, Exposure

Waterpipe smoking is becoming a growing public health concern. The evidence to date suggests that waterpipe smoke is at least as toxic as cigarette smoke. There are gaps in understanding/knowledge about exposure levels to toxic constituents of waterpipe in various public venues, and the context of use. This study contributes to understanding of the context of waterpipe use and exposure to toxic constituents, and to the development of survey items to inform our understanding of prevalence, knowledge, attitudes and behaviours of use.