@article{Faber:2017:10.1016/S2468-2667(17)30144-5,
author = {Faber, T and Kumar, A and Mackenbach, JP and Millett, C and Basu, S and Sheikh, A and Been, JV},
doi = {10.1016/S2468-2667(17)30144-5},
journal = {Lancet Public Health},
pages = {e420--e437},
title = {Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis.},
url = {http://dx.doi.org/10.1016/S2468-2667(17)30144-5},
volume = {2},
year = {2017}
}

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TY  - JOUR
AB  - BACKGROUND: Tobacco smoking and smoke exposure during pregnancy and childhood cause considerable childhood morbidity and mortality. We did a systematic review and meta-analysis to investigate whether implementation of WHO's recommended tobacco control policies (MPOWER) was of benefit to perinatal and child health. METHODS: We searched 19 electronic databases, hand-searched references and citations, and consulted experts to identify studies assessing the association between implementation of MPOWER policies and child health. We did not apply any language restrictions, and searched the full time period available for each database, up to June 22, 2017. Our primary outcomes of interest were perinatal mortality, preterm birth, hospital attendance for asthma exacerbations, and hospital attendance for respiratory tract infections. Where possible and appropriate, we combined data from different studies in random-effects meta-analyses. This study is registered with PROSPERO, number CRD42015023448. FINDINGS: We identified 41 eligible studies (24 from North America, 16 from Europe, and one from China) that assessed combinations of the following MPOWER policies: smoke-free legislation (n=35), tobacco taxation (n=11), and smoking cessation services (n=3). Risk of bias was low in 23 studies, moderate in 16, and high in two. Implementation of smoke-free legislation was associated with reductions in rates of preterm birth (-3·77% [95% CI -6·37 to -1·16]; ten studies, 27530183 individuals), rates of hospital attendance for asthma exacerbations (-9·83% [-16·62 to -3·04]; five studies, 684826 events), and rates of hospital attendance for all respiratory tract infections (-3·45% [-4·64 to -2·25]; two studies, 1681020 events) and for lower respiratory tract infections (-18·48% [-32·79 to -4·17]; three studies, 887414 events). Associations appeared to be stronger when comprehensive smoke-free laws w
AU  - Faber,T
AU  - Kumar,A
AU  - Mackenbach,JP
AU  - Millett,C
AU  - Basu,S
AU  - Sheikh,A
AU  - Been,JV
DO  - 10.1016/S2468-2667(17)30144-5
EP  - 437
PY  - 2017///
SN  - 2468-2667
SP  - 420
TI  - Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis.
T2  - Lancet Public Health
UR  - http://dx.doi.org/10.1016/S2468-2667(17)30144-5
UR  - http://hdl.handle.net/10044/1/52813
VL  - 2
ER  - 

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