Impact of comprehensive smoke-free policy compliance on SHS exposure and health condition of the Georgian population

Bakhturidze, George; Peikrishvili, Nana; Gvinianidze, Kakha

doi:10.18332/tpc/143329

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…The implementation of SFPs in the hospitality industry has various impacts. High SFPs compliance has a positive effect on smoking cessation (Troelstra et al, 2016), decreased second-hand smoking, improved air quality, and reducing the risk of cardiovascular diseases (Bakhturidze et al, 2021). Similarly, most managers in the study implemented SFPs because of health considerations.…”

Section: Discussionmentioning

confidence: 91%

A Qualitative Evaluation of Smoke-Free Policy Implementation among the Hospitality Industry in Yogyakarta, Indonesia

Sutantri,

Sugiyo,

Sutrisno

et al. 2024

Public Health of Indonesia

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Background: The Indonesian government has implemented various regulations, including smoke-free policies (SFPs) aimed at reducing exposure to second-hand smoke and improving public health. However, the implementation of these policies has encountered challenges. Objective: This study aimed to investigate the implementation of SFP in the hospitality industry in Yogyakarta, Indonesia. Methods: Three focus group discussions with the managers of hotels, restaurants, and coffee shops (n=19) were conducted in November 2021. Thematic analysis was used to analyse the data. Results: Three themes were identified: 1) Efforts to implement SFPs at hospitality premises; 2) Reasons for adopting SFPs; and 3) Challenges for policy implementation. Many hospitalities industry have undertaken efforts to implement SFPs, though they are not comprehensive. The reasons for implementing SFPs include protecting second-hand smokers, meeting guest preferences, and creating a fresher environment. Resistance from customers has become a significant challenge, as some view SFPs as an infringement on personal freedom. Furthermore, unclear sanctions and enforcement from the government also highlighted by participant as the main barriers of SFPs implementation. Conclusion: Overall, while there is significant effort to implement SFPs in hospitality venues, challenges such as customer resistance and unclear government guidance persist. This condition underscores the need for clearer policies and support mechanisms for successful implementation.

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Section: Discussionmentioning

confidence: 91%

A Qualitative Evaluation of Smoke-Free Policy Implementation among the Hospitality Industry in Yogyakarta, Indonesia

Sutantri,

Sugiyo,

Sutrisno

et al. 2024

Public Health of Indonesia

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“…Reduction in indoor PM2.5 levels and the number of people observed smoking in restaurants, cafeterias and coffee shops was also observed in Vietnam and Scotland 5 years after the introduction of a smoke-free law 19 20. A study conducted in Georgia by Bakhturidze et al also indicated that, in addition to the tremendous improvement in indoor air quality, the implementation of comprehensive smoke-free provisions with a high compliance rate had positive effects on the reduction of secondhand smoke exposure, a decline in cardiovascular illness and enhanced demand for tobacco cessation services 21. Hence, Ethiopia’s smoke-free laws are an important step towards protecting the health of its citizens.…”

Section: Discussionmentioning

confidence: 96%

“…19 20 A study conducted in Georgia by Bakhturidze et al also indicated that, in addition to the tremendous improvement in indoor air quality, the implementation of comprehensive smoke-free provisions with a high compliance rate had positive effects on the reduction of secondhand smoke exposure, a decline in cardiovascular illness and enhanced demand for tobacco cessation services. 21 Hence, Ethiopia's smoke-free laws are an important step towards protecting the health of its citizens. However, our study found that public places and government buildings had low compliance rates with smoke-free provisions, regardless of the type of site and region, indicating that greater enforcement is needed.…”

Section: Original Researchmentioning

confidence: 99%

Smoke-free law compliance and predictive factors in Ethiopia: observational assessment of public places and workplaces

Mengesha

Shimeles²,

Zewdie³

et al. 2023

Tob Control

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ObjectivesThe primary objective of this observational study was to assess the status of public place and workplace compliance with smoke-free provisions in Ethiopia.MethodsThis study was conducted in four regions of Ethiopia (Oromia; Sidama; Harari; and Southern Nations, Nationalities, and Peoples’ Region) from September to October 2021. Data were collected using a standardised smoke-free checklist. Χ2tests were used to assess the association between categorical variables and the smoke-free status. Multivariable binary logistic regression analysis was used to identify factors associated with the presence of at least one person actively smoking.ResultsApproximately 97% (95% CI 93.1%, 98.8%) of government buildings, 92.5% (95% CI 85.7%, 96.2%) of educational institutions, 89.8% (95% CI 86.3%, 92.5%) of bars, restaurants and cafés, 88.4% (95% CI 82.9%, 92.3%) of food establishments and 84.0% of hotels (95% CI 79.5%, 87.6%) were non-compliant with the tobacco control law. Overall, only 12.3% of sites met the requirements of the current smoke-free law. The multivariable logistic regression models showed that transit facilities (adjusted OR (AOR)=26.66 (95% CI 7.53, 94.41)) and being located in the Harari region (AOR=4.14 (95% CI 2.30, 7.45)) were strongly associated with the presence of active smoking observed during the site visit.ConclusionThis study indicated that public place and workplace non-compliance level was very high in all sites. This calls for more effective implementation of complete smoke-free provisions across all government buildings and institutions in all regions, such as public educational campaigns about the laws and enforcement action for non-compliance. Furthermore, all regional states should adopt Federal Proclamation 1112/2019.

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“…Internationally, regulations that specify smoke-free and designated outdoor smoking areas vary widely [ 25 , 62 – 64 ]. Moreover, there is divergence regarding the stringent enforcement and compliance with these smoke-free regulations and policies in both indoor and outdoor public spaces [ 65 – 67 ]. However, the reviewed studies indicate that current smoke-free policies with partial smoking bans or legal exemptions, such as designated smoking areas in hospitality venues, did not provide adequate protection to non-smokers [ 43 – 46 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of secondhand smoke on air quality in partially enclosed outdoor hospitality venues: a review

Tong,

Goodman,

Vardoulakis

2024

BMC Public Health

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Background Smoking is a leading cause of premature mortality and morbidity globally. The pollutants generated from smoke are not only harmful to smokers, but also to those exposed to secondhand smoke. As a result of increasingly restrictive indoor smoke-free policies in many countries, there is a tendency for tobacco smoking to move outdoors into partially enclosed settings in hospitality venues. The aim of this systematic review was to evaluate the impact of secondhand smoke on air quality in outdoor hospitality venues. Methods Two electronic databases PubMed and Scopus were searched from 1 January 2010 to 30 June 2022 for studies of air quality impacts from tobacco smoking in outdoor hospitality venues. A total of 625 studies were screened and 13 studies were included in this review. Results The majority (9 studies) of reviewed studies monitored PM2.5 concentration as an indicator of secondhand smoke. PM2.5 was reported from 10.9 µg/m3 to 91.0 µg/m3 in outdoor smoking areas, compared to 4.0 µg/m3 to 20.4 µg/m3 in outdoor control sites unaffected by smoking. Secondhand smoke can also drift into adjacent outdoor areas or infiltrate into indoor environments thus affecting air quality in spaces where smoking is not permitted. Conclusions The reviewed studies indicated that air quality within outdoor hospitality venues where smoking is permitted is unlikely to meet current World Health Organization (WHO) ambient air quality guidelines for PM2.5. Customers and staff in outdoor hospitality venues with active smoking, and in adjacent outdoor and indoor non-smoking areas, are potentially exposed to secondhand smoke at levels exceeding WHO guidelines. Stronger smoking control policies are recommended for outdoor hospitality venues to protect the health of customers and staff from harmful secondhand smoke exposure. Prospero registration CRD42022342417.

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Impact of comprehensive smoke-free policy compliance on SHS exposure and health condition of the Georgian population

Cited by 6 publications

References 14 publications

A Qualitative Evaluation of Smoke-Free Policy Implementation among the Hospitality Industry in Yogyakarta, Indonesia

A Qualitative Evaluation of Smoke-Free Policy Implementation among the Hospitality Industry in Yogyakarta, Indonesia

Smoke-free law compliance and predictive factors in Ethiopia: observational assessment of public places and workplaces

Impact of secondhand smoke on air quality in partially enclosed outdoor hospitality venues: a review

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