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  • 1
    Keywords: IMPLEMENTATION ; SECONDHAND SMOKE ; 4 COUNTRY SURVEY ; IRELAND ; RESTRICTIONS ; CROSS-SECTIONAL SURVEY ; CHILD EXPOSURE ; SCOTLAND ; LAW ; HOUSEHOLDS
    Abstract: ObjectivesTo measure changes in prevalence and predictors of home smoking bans (HSBs) among smokers in four European countries after the implementation of national smoke-free legislation.DesignTwo waves of the International Tobacco Control Policy Evaluation Project Europe Surveys, which is a prospective panel study. Pre- and post-legislation data were used from Ireland, France, Germany and the Netherlands. Two pre-legislation waves from the UK were used as control.Participants4634 respondents from the intervention countries and 1080 from the control country completed both baseline and follow-up and were included in the present analyses.MethodsMultiple logistic regression models to identify predictors of having or of adopting a total HSB, and Generalised Estimating Equation models to compare patterns of change after implementation of smoke-free legislation to a control country without such legislation.ResultsMost smokers had at least partial smoking restrictions in their home, but the proportions varied significantly between countries. After implementation of national smoke-free legislation, the proportion of smokers with a total HSB increased significantly in all four countries. Among continuing smokers, the number of cigarettes smoked per day either remained stable or decreased significantly. Multiple logistic regression models indicated that having a young child in the household and supporting smoking bans in bars were important correlates of having a pre-legislation HSB. Prospective predictors of imposing a HSB between survey waves were planning to quit smoking, supporting a total smoking ban in bars and the birth of a child. Generalised Estimating Equation models indicated that the change in total HSB in the intervention countries was greater than that in the control country.ConclusionsThe findings suggest that smoke-free legislation does not lead to more smoking in smokers homes. On the contrary, our findings demonstrate that smoke-free legislation may stimulate smokers to establish total smoking bans in their homes.
    Type of Publication: Journal article published
    PubMed ID: 22331456
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  • 2
    Keywords: IMPLEMENTATION ; TOBACCO-SMOKE ; ATTITUDES ; SECONDHAND SMOKE ; 4 COUNTRY SURVEY ; FREE BAR LAW ; FREE WORKPLACE LEGISLATION ; ITC NETHERLANDS SURVEY ; REPUBLIC-OF-IRELAND ; RESTAURANTS
    Abstract: BACKGROUND: Support for smoke-free policies increases over time and particularly after implementation of the policy. In this study we examined whether the comprehensiveness of such policies moderates the effect on support among smokers. METHODS: We analysed two waves (pre- and post-smoke-free legislation) of the International Tobacco Control (ITC) surveys in France, Germany, and the Netherlands, and two pre-legislation waves of the ITC surveys in UK as control. Of 6,903 baseline smokers, 4,945 (71.6%) could be followed up and were included in the analyses. Generalised Estimating Equations (GEE) were used to compare changes in support from pre- to post-legislation to the secular trend in the control country. Multiple logistic regression models were employed to identify predictors of individual change in support. Findings: In France, the comprehensive smoking ban was associated with sharp increases in support for a total smoking ban in drinking establishments and restaurants that were above secular trends. In Germany and the Netherlands, where smoke-free policies and compliance are especially deficient in drinking establishments, only support for a total smoking ban in restaurants increased above the secular trend. Notable prospective predictors of becoming supportive of smoking bans in these countries were higher awareness of cigarette smoke being dangerous to others and weekly visiting of restaurants. CONCLUSIONS: Our findings suggest that smoke-free policies have the potential to improve support once the policy is in place. This effect seems to be most pronounced with comprehensive smoking bans, which thus might be the most valid option for policy-makers despite their potential for creating controversy and resistance in the beginning.
    Type of Publication: Journal article published
    PubMed ID: 22294779
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