Public Place Smoke-Free Regulations, Secondhand Smoke Exposure and Related Beliefs, Awareness, Attitudes, and Practices among Chinese Urban Residents

Yang, Tingzhong; Abdullah, Abu S.; Li, Li; Rockett, Ian Richard Hildreth; Lin, Yan; Ying, Jun; Guo, Wei; Wu, Dan

doi:10.3390/ijerph10062370

Cited by 13 publications

(13 citation statements)

References 14 publications

(44 reference statements)

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“…Studies have demonstrated an association between smoke-free regulations and change in beliefs, attitudes and behaviors among both the public and health care providers (Yang et al, 2013; Gonzalez, Sanders-Jackson, Glantz, 2014). For health care workers, smoke-free air policies may work to denormalize smoking and increase the salience of addressing tobacco use.…”

Section: Discussionmentioning

confidence: 99%

Tobacco cessation in Vietnam: Exploring the role of village health workers

Nguyen¹,

Nguyen²,

Chapman³

et al. 2017

Global Public Health

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Purpose The purpose of this study was to explore current tobacco use treatment (TUT) practice patterns, and attitudes and beliefs among Village Health Workers (VHWs) about expanding their role to include delivering smoking cessation interventions and the perceived barriers. Methods We conducted a survey of 449 VHWs from 26 communes in Thai Nguyen province, Vietnam. We assessed TUT practices patterns including asking about tobacco use, advising smokers to quit, offering assistance (3As) and attitudes, self-efficacy, and norms related to TUT. Results Seventy two percent of VHWs reported asking patients if they use tobacco, 78.6% offered advice to quit, and 41.4% offered cessation assistance to few or more patients in the past month. Self-efficacy was low, with 53.2% agreeing that they did not have the skills to counsel patients about smoking cessation. The most commonly reported barriers to offering TUT were a lack of training and perceived lack of patient interest. Greater awareness of their commune health center’s smoke-free policy and higher levels of self-efficacy were associated with screening and offering cessation assistance. Conclusion VHWs support an expanded role in tobacco cessation but require additional resources and training to increase their self-efficacy and skills to provide effective treatment.

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Section: Discussionmentioning

confidence: 99%

Tobacco cessation in Vietnam: Exploring the role of village health workers

Nguyen¹,

Nguyen²,

Chapman³

et al. 2017

Global Public Health

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“…47 Still, previous research has found self-reports of SHS exposure to be strongly correlated with other biological markers of SHS such as ambient nicotine measurements. 56,57 A second limitation was that certain studies lacked clarity in reporting results (eg, not explicitly stating if results were statistically significantly different pre-and post-ban 36,39,46 or relying on small figures to demonstrate differences 52 ). Half of the studies did not mention missing data.…”

Section: Discussionmentioning

confidence: 99%

“…Only five of the studies that Callinan et al reviewed were included in the present review. 29,36,37,39,52 Of the studies included in this review but not in Callinan et al's, 10 were published after their final literature search was conducted in July 2009 20,35,40,[46][47][48][49][50][51]54 and one was published prior. 53 Overall, the Callinan et al 2 article found no effect of legislative bans on home smoking restrictions.…”

Section: Discussionmentioning

confidence: 99%

“…Half of the studies did not mention missing data. 36,40,[46][47][48][49]53,54 Without transparency about missing data, there is a potential for bias and other issues of coverage and generalizability. An additional limitation of this review is the exclusion of grey literature which may have introduced possible publishing bias whereby published literature is more likely to have statistically significant results compared to grey literature.…”

Section: Discussionmentioning

confidence: 99%

“…30,46,49,[51][52][53] All studies either reported overall significant positive effects post-legislative ban (ie, social diffusion) or no significant differences pre-and post-legislation. 20,29,[35][36][37]39,40,[46][47][48][49][50][51][52][53][54] For example, a study by Guzman et al 49 reported on cross-sectional analysis of participants surveyed before and after a statewide smoke-free law enacted in the summer of 2010 and found that participants with smoking restrictions in their homes increased significantly from 74% to 79.6% (p = .04). No studies reported an overall significant decrease in home smoking restrictions (ie, displacement of smoking into the home) after legislation was enacted although some studies did report smokers who had started smoking within the home after the smoking ban.…”

Section: Effects Of Smoking Legislation On Home Smoking Restrictionsmentioning

confidence: 99%

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Effects of Enactment of Legislative (Public) Smoking Bans on Voluntary Home Smoking Restrictions: A Review

Monson

Arsenault

2016

NICTOB

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Introduction: The positive effects of worldwide increases in enactment of legislative bans on smoking in public areas have been well documented. Relatively little is known about the effects of such bans on voluntary home smoking behavior. Meanwhile, private spaces, such as homes, have replaced public spaces as the primary milieu of secondhand smoke exposure. Methods: A systematic search of peer-reviewed articles was conducted using multiple databases including Cochrane Library, Cinahl, Embase, Global Health, Health Star, Joanna Briggs, MEDLINE, PsycINFO, PAIS International, PubMed, and Web of Science. We examined peer-reviewed studies that considered the impact of legislation-based public smoking bans on enactment of private home smoking restrictions. Results: Sixteen articles published between 2002 and 2014 were identified and included. Our results suggest overall positive effects post-legislative ban with the majority of studies demonstrating significant increases in home smoking restrictions. Studies focusing on smoking and nonsmoking samples as well as child populations are discussed in depth. Conclusions: Existing evidence indicates an overall significant positive effect post-legislative ban on voluntary home smoking restrictions. While disentangling these effects over space and time remains a challenge, scientific research has converged in dispelling any notion of significant displacement of smoking into the home. Policy makers, especially those in countries without existing public smoking legislation, can rest assured that these types of bans contribute to the minimization of tobacco-related harm. Implications: Findings converge in dispelling notions of displacement of smoking into the home as a consequence of legislative bans that prohibit smoking in public spaces. Evidence from the studies reviewed suggests that through their influence on social norms, legislative bans on smoking in public places may encourage citizens to establish voluntary home smoking restrictions, thus decreasing harm related to secondhand smoke.

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