Exposure to Second-Hand Smoke in Public Places and Barriers to the Implementation of Smoke-Free Regulations in The Gambia: A Population-Based Survey

Cham, Bai; Mdege, Noreen Dadirai; Bauld, Linda; Britton, John; D’Alessandro, Umberto

doi:10.3390/ijerph18126263

Cited by 9 publications

(9 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Findings suggest that the positive attitude of venue owners and staff toward the smoke-free policy serves as a facilitator. This is consistent with existing literature, which has shown that public awareness and support for smoke-free legislation contributed to effective smoke-free policy implementation 13 , and increased support is associated with knowledge of the harmful effects of SHS 14 , 15 and the requirements of the smoke-free legislation 16 , 17 . Strengthening public knowledge about the adverse effects of SHS and the health benefits of the smoke-free policy can help hospitality venue owners and staff to better enforce the smoking ban.…”

Section: Discussionsupporting

confidence: 91%

Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye

Baltacı,

Çarkoğlu,

Saraf

et al. 2024

Tob. Induc. Dis.

View full text Add to dashboard Cite

INTRODUCTION The study aims to understand the facilitators and barriers associated with enforcing and complying with Türkiye's smoke-free policy from the perspective of hospitality venue owners and employees. METHODS A qualitative open-ended survey was conducted in Istanbul and Ankara in 2021 with 58 respondents from 3 different districts in each city from four types of venues: restaurants, traditional coffee and waterpipe houses, and European-style cafés. The open-ended survey included questions to understand the knowledge, beliefs, and attitudes of respondents about Türkiye's smoke-free policy and their perceptions of the facilitators and/or barriers to smoke-free policy implementation and changes after COVID-19. The data were analyzed using an inductive approach to identify patterns and categorize the data into themes. RESULTS The respondents expressed that the smoke-free policy aimed to protect employees and customers from secondhand smoke (SHS), respect human health, and improve air quality. Findings suggest that the positive attitude of venue owners and staff toward the smoke-free policy serves as a facilitator. However, fear of financial impact, customers’ negative attitudes, difficulties in meeting physical requirements, and insufficient enforcement were found to be barriers to implementing the smoke-free policy. The effects of the COVID-19 pandemic were reported as an initial increase in compliance and awareness among customers and staff, but some respondents noted negative changes due to the emotional and financial effects of prolonged restrictions. These challenges have led to decreased attention on the smoke-free policy among venue owners, staff and customers. Respondents’ suggested improvements were related to building infrastructure, such as the ventilation systems and educating the public on the harmful health effects of smoking. CONCLUSIONS Despite the general understanding of the dangers of secondhand smoke and the smoke-free policy, this study highlights the challenges in implementing smoke-free policy measures and the continued need to raise awareness about the importance of a 100% smoke-free venue. A comprehensive approach to addressing the tobacco epidemic as a multifaceted public health issue is essential.

show abstract

Section: Discussionsupporting

confidence: 91%

Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye

Baltacı,

Çarkoğlu,

Saraf

et al. 2024

Tob. Induc. Dis.

View full text Add to dashboard Cite

show abstract

“…A recent analysis of SHS exposure among adolescents aged 12–15 years across 68 LMICs also reported a positive association between SHS exposure and parental smoking, with the association being larger for maternal smoking than paternal smoking [ 28 ]. Another study in The Gambia also found that lower education attainment, lower household income, urban residence, and not being aware of smoke-free regulations increased the risk of SHS exposure [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Second-Hand Tobacco Smoke Exposure and Smoke-Free Environments in Ethiopia: A Scoping Review and Narrative Synthesis

Gelibo

Kassa

Mdege

2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Ethiopia passed a law prohibiting tobacco smoking in all public places in 2019. We conducted a scoping review to identify gaps in the existing literature on second-hand smoke (SHS) exposure and smoke-free environments in Ethiopia that need to be prioritised for future research to support policy and practice. We conducted systematic searches in January 2022 in the following databases: Medline, EMBASE, and PsycInfo. Two reviewers independently screened the identified study reports for eligibility and extracted data from the eligible studies. The extracted data was descriptively analysed, and research recommendations were drawn. A stakeholder consultation workshop was held to identify research topics on SHS exposure and smoke-free environments in Ethiopia that they perceived to be priorities for primary research. Of the 388 research reports identified, only nine were included in the scoping review. The topics explored includes prevalence of SHS exposure (six studies); knowledge on SHS exposure (three studies); compliance to smoke-free environments legislation (two studies); and exposure to anti-smoking messages (one study). The stakeholders prioritised further research addressing compliance monitoring and enforcement of the smoke free laws in Ethiopia. There is a need for studies that test new methods for compliance monitoring and enforcement, evaluate strategies to increase knowledge on the harms of SHS exposure and the smoke-free legislation, and evaluate the current smoke-free legislation in Ethiopia.

show abstract

“…The country ratified the WHO Framework Convention on Tobacco Control in September 2007 22. There are several regulations and policies on tobacco control in The Gambia, including the Prohibition of Smoking in Public Places Act 1998, the Tax Policy Reform Act 2013, the Tobacco Control Act 2016 and the Tobacco Control Regulations 2019 23 24. These legal instruments seek to protect children from exposure to tobacco products.…”

Section: Introductionmentioning

confidence: 99%

“…These legal instruments seek to protect children from exposure to tobacco products. However, despite the numerous achievements in tobacco control as highlighted above, there are still gaps, especially on the implementation of smoke-free regulation in the Gambia 24. There has also been some regression, specifically with the Tax Policy Reform Act, which has been stalled since 2017, following a change in government.…”

Section: Introductionmentioning

confidence: 99%

Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data

et al. 2022

Self Cite

View full text Add to dashboard Cite

ObjectivesTo investigate the relationship between cigarette prices and smoking experimentation among children in the Gambia, and thereby expanding the evidence base of the likely impact of excise taxes on cigarette demand in low-income and middle-income countries.DesignA survival analysis using the Gambia 2017 Global Youth Tobacco Survey data.SettingThe Gambia.ParticipantsThe survey sample was 12 585 youths, aged 12–17 years, but our analysis was restricted to 11 030 respondents with information on smoking status.Primary and secondary outcome measuresOur outcome variable was smoking experimentation defined as the first time the respondent smoked (at least part of) a cigarette.ResultsA 1% increase in the price of cigarettes reduces the probability to experiment with smoking by 0.7%. We also found that children are more likely to experiment with smoking if they have at least one smoking parent, friends who smoke and see teachers who smoke. The probability to experiment with cigarette smoking increases with age and is higher among boys than girls.ConclusionThere is strong evidence that increasing excise taxes can play an effective role in discouraging children from experimenting with cigarette smoking. Considering the relatively low excise tax burden in the Gambia, the government should consider substantially increasing the excise tax burden.

show abstract

Exposure to Second-Hand Smoke in Public Places and Barriers to the Implementation of Smoke-Free Regulations in The Gambia: A Population-Based Survey

Cited by 9 publications

References 9 publications

Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye

Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye

Second-Hand Tobacco Smoke Exposure and Smoke-Free Environments in Ethiopia: A Scoping Review and Narrative Synthesis

Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data

Contact Info

Product

Resources

About