Barriers to introduction of smoke-free workplaces in Central Europe: example of the Czech Republic

Abstract

Objectives: Smoking at the workplace has a negative impact both on employers' economic interests and employees' health. The aim of this study is to describe the current situation, mainly barriers in implementation and resources in the Czech Republic as an example of a Central European country. Methods: We synthesised relevant review papers with our knowledge of the local situation based upon professional experience of both authors. Results: Despite smoke-free laws, some EU workers are still exposed to passive smoking during working hours. The main barriers towards smoke-free workplace implementation are the lack of resources, perception of smoking as a norm, and exceptions for leading personalities and their smoking. Social support increases smoking cessation effectiveness. Low availability of local smoking cessation services is an overall problem in Central Europe. Conclusions: The working environment influences smoking habits. Smoking cessation support is cost-effective not only for the smoking employee but for employers as well. Smoking cessation resources should be available during the working day. No exceptions should be made as they serve as barriers to a smoke-free working environment.

Implementation fidelity of a smoke-free workplace intervention in a private medical company: A mixed-methods process evaluation

“…Further, due to the obligatory change of clothes, smokers have to decide either to smoke or to have a meal break. A review on barriers to the introduction of smoke-free workplaces in Central Europe concludes that when implementing a smoke-free policy, 'no exceptions should be made, as they serve as a barrier to a smoke-free working environment' 24 . However, smoke-free work hours are difficult to implement in the private sector where employees have self-paid breaks, and a company cannot control what their employees do in their free time.…”