Efficacy of tobacco dependence treatment in the context of a “smoke‐free grounds” worksite policy: A case study

Osinubi, Omowunmi; Sinha, Sharmila; Rovner, Elisheva; Pérez-Lugo, Marla; Jain, Neeraj; Demissie, Kitaw; Goldman, M.

doi:10.1002/ajim.20020

Cited by 18 publications

(14 citation statements)

References 11 publications

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“…Following the extension of a smoke-free indoor policy to include outdoor spaces at 1 worksite, participants who enrolled in smoking cessation programs had higher 6-month quit rates after the extension (52.4%) than before (43.0%); post-ban participants were 80% less likely to relapse than pre-ban participants, and nonquitters decreased their consumption by 6.6 cigarettes per day, a 39% decrease. 442 …”

Section: Resultsmentioning

confidence: 99%

Population Approaches to Improve Diet, Physical Activity, and Smoking Habits

Mozaffarian¹,

Afshin²,

Benowitz³

et al. 2012

Circulation

511

427

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Background Poor lifestyle, including suboptimal diet, physical inactivity, and tobacco use are leading causes of preventable diseases globally. Although even modest population shifts in risk substantially alter health outcomes, the optimal population-level approaches to improve lifestyle are not well established. Methods and Results For this American Heart Association Scientific Statement, the writing group systematically reviewed and graded the current scientific evidence for effective population approaches to improve dietary habits, increase physical activity, and reduce tobacco use. Strategies were considered in 6 broad domains: (1) media and education campaigns; (2) labeling and consumer information; (3) taxation, subsidies, and other economic incentives; (4) school and workplace approaches; (5) local environmental changes; and (6) direct restrictions and mandates. The writing group also reviewed the potential contributions of healthcare systems and surveillance systems to behavior change efforts. Several specific population interventions that achieved a Class I or IIa recommendation with grade A or B evidence were identified, providing a set of specific evidence-based strategies that deserve close attention and prioritization for wider implementation. Effective interventions included specific approaches in all 6 domains evaluated for improving diet, increasing activity, and reducing tobacco use. The writing group also identified several specific interventions in each of these domains for which current evidence was less robust, as well as other inconsistencies and evidence gaps, informing the need for further rigorous and interdisciplinary approaches to evaluate population programs and policies. Conclusions This systematic review identified and graded the evidence for a range of population-based strategies to promote lifestyle change. The findings provide a framework for policy makers, advocacy groups, researchers, clinicians, communities, and other stakeholders to understand and implement the most effective approaches. New strategic initiatives and partnerships are needed to translate this evidence into action.

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Section: Resultsmentioning

confidence: 99%

Population Approaches to Improve Diet, Physical Activity, and Smoking Habits

Mozaffarian¹,

Afshin²,

Benowitz³

et al. 2012

Circulation

511

427

View full text Add to dashboard Cite

show abstract

“…Smoke-free policies in campuses certainly reduces exposure to tobacco smoke, increases quit rates, prevents initiation of smoking among youths and also reduces daily cigarette consumption among habitual smokers. [910] It might also change the behavior of the health-care professionals and patients towards smoking.…”

Section: Introductionmentioning

confidence: 99%

Compliance monitoring of prohibition of smoking (under section-4 of COTPA) at a tertiary health-care institution in a smoke-free city of India

2013

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Background:India enacted a comprehensive tobacco control law known as cigarettes and other tobacco products act (COTPA) in 2003. However, enforcement of the provisions under the law is still a matter of concern. Compliance survey is an effective tool to measure the status of implementation of the law at various public places. Smoke-free hospital campus demonstrates commitment to good health and sends a pro-healthy signal to the community.Objective:The objective of this study was to assess the compliance to the prohibition of smoking at public places (under section-4 of COTPA) in a tertiary health-care institution in a smoke-free city of India.Materials and Methods:An observational cross-sectional study was conducted at 40 different venues within a tertiary health-care institution in a smoke-free city of India. These places were observed for certain parameters of assessment by a structured checklist, which included evidence of active smoking, evidence of recent smoking, display of signages, presence of smoking aids, cigarette butts and bidi ends.Results:Overall compliance rate for section-4 of COTPA was found to be mere 23%. Evidence of active smoking was observed in 21 (52.5%) venues. Signages were seen at only 8 places (20%). Butt ends and other smoking aids were seen in 37 (92.5%) and 26 (65%) places respectively.Conclusion:These dismal findings suggest non-compliance to the provisions under COTPA, which calls for a sensitization workshop and advocacy for all the stakeholders.

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“…Research on adoption of 100% smoke-free campus wide policies in schools and workplaces has shown that, if enforced, these policies decrease tobacco consumption [7,8]. While research documenting the successes or effectiveness of SFHC or TFHC policies on employees, patients, or visitors to U.S. hospitals is quite limited, the potential positive health effects are substantial [9].…”

Section: Resultsmentioning

confidence: 99%

State Adoption of 100% Smoke-Free Acute Non Federal Hospital Campus Policies

Goldstein

Steiner

McCullough

et al. 2009

IJERPH

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To assess the number and percentage of acute care hospitals in the U.S. that have adopted smoke-free hospital campus (SFHC) policies, researchers conducted an assessment from January 2008 to May 2008 of available data on SFHC policy adoption in each state. Slightly more than one third (34.4%) of acute care, non-Federal hospitals had adopted such policies, with wide variation of policy adoption between states.

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Efficacy of tobacco dependence treatment in the context of a “smoke‐free grounds” worksite policy: A case study

Abstract: A "smoke-free grounds" policy encourages abstinence and may play a significant role in harm reduction among continuing tobacco users.

Cited by 18 publications

References 11 publications

Population Approaches to Improve Diet, Physical Activity, and Smoking Habits

Population Approaches to Improve Diet, Physical Activity, and Smoking Habits

Compliance monitoring of prohibition of smoking (under section-4 of COTPA) at a tertiary health-care institution in a smoke-free city of India

State Adoption of 100% Smoke-Free Acute Non Federal Hospital Campus Policies

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