Correlates of compliance with national comprehensive smoke-free laws

Peruga, Armando; Hayes, Luminita S; Aguilera, Ximena; Prasad, Vikram; Bettcher, Douglas

doi:10.1136/tobaccocontrol-2017-053920

Cited by 12 publications

(12 citation statements)

References 15 publications

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“…Greece, where regulation on e-cigarette use came into force in 2010 (Law 3868/2010) 28 , is the country with the highest prevalence of observed e-cigarette use in public places and reported SHA exposure. This may reveal other hidden aspects hindering adherence to current legislation, such as low level of enforcement and penalties application, degree of local government involvement, and tobacco industry investment in novel tobacco products 29,30 .…”

Section: Discussionmentioning

confidence: 99%

Secondhand exposure to e-cigarette aerosols among smokers: A cross-sectional study in six European countries of the EUREST-PLUS ITC Europe Surveys

Tigova¹,

Amalia²,

Castellano³

et al. 2019

Tob. Induc. Dis.

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INTRODUCTION Electronic cigarette (e-cigarette) use has grown significantly in some European Union (EU) Member States (MS). A better understanding of the exposure to secondhand e-cigarette aerosols (SHA) is necessary to develop and implement comprehensive regulations on e-cigarette use in public places. This study aims to assess the observation of e-cigarette use in public places, the self-reported exposure to SHA, and the level of users’ comfort using e-cigarettes in the presence of others. METHODS This is a cross-sectional study of the Wave 1 International Tobacco Control 6 European Countries Survey recruiting adult smokers (n=6011) across six EU MS: Germany, Greece, Hungary, Poland, Romania, and Spain, within the EURESTPLUS Project. A descriptive analysis was conducted to estimate the prevalence (%) of observed e-cigarette use in different places, frequency of self-reported exposure to SHA, and level of comfort using e-cigarettes in the presence of others. RESULTS In all, 31.0% of smokers observed others using e-cigarette in public places, 19.7% in indoor places where smoking is banned, and 14.5% indoors at work. Almost 37% of smokers reported to be ever exposed to SHA, ranging from 17.7% in Spain to 63.3% in Greece. The higher prevalence of observed e-cigarette use and passive exposure to SHA was reported by smokers of younger age, of higher educational level and those being current or former e-cigarette users. Part (8.8%) of the smokers who were also e-cigarette users reported feeling uncomfortable using e-cigarettes in the presence of others. CONCLUSIONS A third of smokers from six EU MS reported being exposed to SHA. Prevalence differences were observed among the countries. In the context of scarce evidence on long-term health effects of exposure to SHA, precautionary regulations protecting bystanders from involuntary exposure should be developed.

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Section: Discussionmentioning

confidence: 99%

Secondhand exposure to e-cigarette aerosols among smokers: A cross-sectional study in six European countries of the EUREST-PLUS ITC Europe Surveys

Tigova¹,

Amalia²,

Castellano³

et al. 2019

Tob. Induc. Dis.

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“…A multinational study showed that high compliance with comprehensive smoke-free laws was associated with robust local enforcement activities. 62 Current enforcement of POS policies in India appears to lack coordination and is inconsistent. 63 The Government of India Ministry of Health has the central enforcement authority, but improvements in communication and coordination between the federal Ministry and local agencies is needed, for example, identification of local enforcement agencies like health ministries, police departments and schools.…”

Section: Discussionmentioning

confidence: 99%

Compliance with point-of-sale tobacco control policies and student tobacco use in Mumbai, India

et al. 2018

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“…Although only limited research has been conducted, some studies investigated factors associated with achieving high compliance of national smoke-free laws. For example, compliance with national smoke-free laws was positively associated with government involvement (training and guidelines for inspections) and perceived corruption control [11].…”

Section: Discussionmentioning

confidence: 99%