BMJ  2005;331:488-489 (3 September), doi:10.1136/bmj.38576.467292.EB (published 19 August 2005)

Paper

The partial smoking ban in licensed establishments and health inequalities in England: modelling study

Alan A Woodall, specialist registrar in public health1, Emma J Sandbach, health intelligence analyst1, Catherine M Woodward, director of public health1, Paul Aveyard, senior lecturer2, Graham Merrington, environmental health manager3

1 Telford and Wrekin Primary Care Trust, Telford TF1 5RY, 2 Department of Primary Care and General Practice, University of Birmingham, Edgbaston, Birmingham B15 2TT, 3 Borough of Telford and Wrekin Council, Social Care, Telford TF3 4LE

Correspondence to: A A Woodall (alan.woodall@telfordpct.nhs.uk)

The first 150 words of the full text of this article appear below.

Introduction

The UK government's white paper Choosing Health proposes prohibiting smoking in public places in England, but exempts public houses (pubs) not serving catered food and licensed establishments that require membership.1 However, passive inhalation of smoke at work may cause 600 deaths per year in the United Kingdom and increases morbidity and mortality among bar workers.2 Furthermore, people attempting to quit smoking find that socialising with other smokers makes quitting difficult, and lapses in quitting are more likely in premises where smoking is permitted.3

Concerns exist that exempt establishments are located primarily in deprived areas with the highest smoking prevalence and that a partial ban worsens health inequalities.4 We examined if exempt establishments were located predominantly in deprived areas in the borough of Telford and Wrekin.

Methods and results

We determined the catering status of pubs from regularly updated records of local authority licensing and environmental health. These allowed us to identify premises preparing . . . [Full text of this article]

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