Factors that influence attitude and enforcement of the smoke-free law in Turkey: a survey of hospitality venue owners and employees

Aherrera, Angela; Carkoglu, Asli; Hayran, Mutlu; Ergör, Gül; Eirüder, Toker; Kaplan, Bekir; Susan, Jolie; Zheng, Laura; Cohen, Joanna E.; Navas‐Acien, Ana

doi:10.1136/tobaccocontrol-2016-053088

Cited by 15 publications

(13 citation statements)

References 36 publications

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“…Our study has shown that only 28.3% of respondents cautioning the others to stop smoking in smoke-free areas, which also means that more than 70% of respondents are tolerant to tobacco smoke in smoke-free areas. This result is similar to a study among hospitality venue owners and employees in 7 cities of Turkey where 71.3% of participants displayed a positive attitude towards the smoke-free law, but only 19.5% of participants reported requesting customers or employees to stop smoking in the venues [ 27 ]. The practice of intervening a smoker who is both smoking and violating smoke-free regulations plays an important role in tobacco control for several reasons.…”

Section: Discussionsupporting

confidence: 87%

“…Similarly, a study by the Ministry of Health of Vietnam et al in 2010 [ 19 ] also reported that the higher proportion of supporting for smoke-free law fell on the group of the older age, married and higher educational attainment. The reason is that these people are more knowledgeable about the health effects of secondhand smoke and show more positive attitudes towards smoke-free law [ 27 , 29 ]. Interestingly, we found that people with lower economic status such as in the second and middle quintile were more likely to request smokers to stop smoking than those in the fourth and richest quintile.…”

Section: Discussionmentioning

confidence: 99%

“…The second factor is educational level. Some previous studies indicate that the educational attainment is one of the key elements for the success of smoke-free policies [ 1 , 27 , 33 ]. According to the Ministry of Health of Vietnam et al [ 19 ] and Thrasher et al [ 33 ], the group with higher education was more likely to support the smoke-free policy.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Smoke-free environment policy in Vietnam: What did people see and how did they react when they visited various public places?

Nguyen

et al. 2019

Journal of Preventive Medicine and Hygiene

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Smoke-free environment policy in Vietnam: What did people see and how did they react when they visited various public places?

Nguyen

et al. 2019

Journal of Preventive Medicine and Hygiene

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“…Most of the included articles were selected for meeting the criteria of discussing problems faced or lessons learned. Additionally, we incorporated relevant findings from our own work on smoke-free policies in South-East Asia 22,23 , Africa 24,25 , and globally 26-30 . We focus on post-legislation implementation — which we define as putting a smoke-free policy into practice and enforcing it to achieve the public’s compliance with the policy.…”

Section: Methodsmentioning

confidence: 99%

Implementing smoke-free policies in low- and middle-income countries: A brief review and research agenda

Byron¹,

Cohen²,

Frattaroli³

et al. 2019

Tob. Induc. Dis.

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INTRODUCTIONSome low- and middle-income countries (LMICs) struggle to implement smoke-free policies. We sought to review the academic and gray literature, and propose a research agenda to improve implementation of smoke-free policies and make them more effective in LMICs.METHODSWe reviewed 10 databases for variations of (‘implementation’ /‘enforcement’ /‘compliance’) and (‘smoke-free’ /‘ban’ /‘restriction’) and (‘tobacco’ /‘smoking’). We also reviewed cited sources and the gray literature including non-governmental organization reports.We included articles that described problems that arose, attempted solutions, lessons learned, and research questions posed regarding smoke-free policy implementation in LMICs. We excluded studies of high-income countries, institution-level implementation, voluntary smoke-free policies, smoke-free homes, and outdoor smoke-free policies.RESULTSThe academic literature review led to 4931 unique articles, reduced to 1541 after title screening, 331 after abstract screening, and 101 after full-text review. The citation and gray literature review led to an additional 179 publications of which 67 met the inclusion criteria. In total we retained 168 sources. We conducted a narrative review and synthesis of the literature, extracting key themes and noting research gaps.CONCLUSIONSWe find that progress is urgently needed in five categories: identifying the critical lessons learned for effective implementation, evaluating different enforcement approaches, learning how to rejuvenate stalled smoke-free policies, learning how to increase ground-level will to enforce policies, and developing a conceptual framework that explains implementation. Investigation into these topics can improve implementation of smoke-free policies in LMICs.

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“…Sociodemographic analysis showed that only the education level of the respondents significantly affected the compliance in worship places. The effect of education level on compliance with SFL is not only found in developing countries, but also in developed countries which have implemented SFL with many approaches (Aherrera et al, 2017). The education level of respondent in our study showed that most of them has passed high school and undergraduate degree.…”

Section: Discussionmentioning

confidence: 53%

Factors Associated to Smoking Behavior in Worship Places in Denpasar Bali Indonesia

Suarjana¹,

Chalidyanto²,

Qomaruddin³

et al. 2021

International Conference on Public Health

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Since 2013, City of Denpasar government has adopted smoke-free law regarding smokefree areas including worship places. However, compliance with smoke-free law at worship places remains low. The implementation of the law faces several obstacles particularly at Hindu temples since it is mostly semi-opened spaces and high social acceptability of smoking where cigarette and smoking have been deeply engrained within social and religious life. Hence, this study aims to assess factors that associated with smoking behavior at worship places particularly at Hindu temple in Denpasar Bali Indonesia. This study was a cross-sectional study, conducted in the city of Denpasar, involving 192 samples which selected using multistage random sampling. The data was collected using a structured questionnaire then analyzed using path analysis. There were 12 factors analyzed such as past behavior of smoking, exposure to anti-smoking policies, nicotine dependence, knowledge and attitude regarding second-hand smoke, knowledge and attitude regarding implementation of smoke-free law, sociodemographic (age, education), social norms of smoking (descriptive and injunctive). Of the 11 factors, 5 factors had a significant effect on smoking behavior. Past behavior of smoking had a direct negative effect with a standardized coefficient (beta) -0.34 (p<0.01); followed by nicotine dependence which had an indirect negative effect (beta -0.07; p=0.01). Meanwhile, positive direct and indirect effects showed by descriptive norms (beta 0.14; p=0.04); injunctive norms (beta 0.15; p=0.02) and education (beta 0.14; p=0.03). Past behavior of smoking had the highest effect on smoking behavior in worship places. Hence, continuous education, socialization and improved supervision to the implementation of smoke-free law remain crucial. Moreover, social norm factors also need more attention, so that a culture-sensitive strategy could be considered. Keywords: Smoking behavior, worship places, compliance, smoke-free law, Denpasar Bali

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Factors that influence attitude and enforcement of the smoke-free law in Turkey: a survey of hospitality venue owners and employees

Abstract: Although the attitude towards the law was positive, interventions are needed to increase knowledge on the health effects of SHS and facilitate enforcement of the law, particularly among subgroups less likely to have a positive attitude and enforce the law.

Cited by 15 publications

References 36 publications

Smoke-free environment policy in Vietnam: What did people see and how did they react when they visited various public places?

Smoke-free environment policy in Vietnam: What did people see and how did they react when they visited various public places?

Implementing smoke-free policies in low- and middle-income countries: A brief review and research agenda

Factors Associated to Smoking Behavior in Worship Places in Denpasar Bali Indonesia

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