An exploratory study of smokers’ and stakeholders’ expectations of the implementation of a smoke-free policy in a university setting
Sharyn Burns A C , Nicole Bowser A , Jenny Smith B , Jonine Jancey A and Gemma Crawford A
+ Author Affiliations
- Author Affiliations
A Western Australian Centre for Health Promotion Research, School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia.
B School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia.
C Corresponding author. Email: s.burns@curtin.edu.au
Health Promotion Journal of Australia 25(2) 129-135 https://doi.org/10.1071/HE13044
Submitted: 15 June 2013 Accepted: 12 April 2014 Published: 3 July 2014
Abstract
Issues addressed: Smoke-free policies restricting tobacco use in public places are common in many middle- and high-income countries. Implementation of a smoke-free policy does not automatically result in a smoke-free environment, and appropriate enforcement procedures must be clearly communicated and implemented. Safety and restrictions in private spaces, especially student housing, are also issues that need to be explored. This research explored perceptions and attitudes of staff and student smokers and key stakeholders before the implementation of a complete campus ban on smoking at a large Australian university.
Methods: Interviews were conducted with staff and student smokers (n = 9) and stakeholders (n = 9). The interviews explored attitudes towards a completely smoke-free policy in the university environment, perceptions relating to enforcement of and compliance with a completely smoke-free policy, and support needed from the university for smokers.
Results: Participants generally supported a complete smoke-free policy. Key themes associated with the policy implementation included health implications, stigmatisation and labelling, liberty, and enforcement.
Conclusion: Smoke-free policies require careful planning, evaluation, and appropriate enforcement to ensure maximum impact. Further research is needed to improve compliance with smoke-free policies in outdoor environments and diverse spaces.
So what?: A better understanding of attitudes and intentions towards a smoke-free policy before implementation may provide useful insight into the potential challenges and provide guidelines for the development of strategies to improve policy readiness and adherence. University support for smokers to quit is essential when implementing a smoke-free policy.
References
[1] Hyland A, Barnoya J, Corral JE (2012) Smoke-free air policies: past, present and future. Tob Control 21, 154–61.| Smoke-free air policies: past, present and future.Crossref | GoogleScholarGoogle Scholar | 22345239PubMed |
[2] Bauer JE, Hyland A, Li Q, Steger C, Cummings KM (2005) A longitudinal assessment of the impact of smoke-free worksite policies on tobacco use. Am J Public Health 95, 1024–9.
| A longitudinal assessment of the impact of smoke-free worksite policies on tobacco use.Crossref | GoogleScholarGoogle Scholar | 15914828PubMed |
[3] Chapman S, Borland R, Scollo M, Brownson RC, Dominello A, Woodward S (1999) The impact of smoke-free workplaces on declining cigarette consumption in Australia and the United States. Am J Public Health 89, 1018–23.
| The impact of smoke-free workplaces on declining cigarette consumption in Australia and the United States.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1Mzit1KisQ%3D%3D&md5=b8f67e80c8e7a036c78e13bd856c383bCAS | 10394309PubMed |
[4] Fichtenberg CM, Glantz SA (2002) Effect of smoke-free workplaces on smoking behaviour: systematic review. BMJ 325, 188–91.
| Effect of smoke-free workplaces on smoking behaviour: systematic review.Crossref | GoogleScholarGoogle Scholar | 12142305PubMed |
[5] Seo D-C, Macy JT, Torabi MR, Middlestadt SE (2011) The effect of a smoke-free campus policy on college students’ smoking behaviors and attitudes. Prev Med 53, 347–52.
| The effect of a smoke-free campus policy on college students’ smoking behaviors and attitudes.Crossref | GoogleScholarGoogle Scholar | 21851836PubMed |
[6] Callinan J, Clarke A, Doherty K, Kelleher C (2010) Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev 4, CD005992
| Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption.Crossref | GoogleScholarGoogle Scholar | 20393945PubMed |
[7] Fong GT, Hyland A, Borland R, Hammond D, Hastings G, McNeill A, et al (2006) Reductions in tobacco smoke pollution and increases in support for smoke-free public places following the implementation of comprehensive smoke-free workplace legislation in the Republic of Ireland: findings from the ITC Ireland/UK Survey. Tob Control 15, 51–8.
| Reductions in tobacco smoke pollution and increases in support for smoke-free public places following the implementation of comprehensive smoke-free workplace legislation in the Republic of Ireland: findings from the ITC Ireland/UK Survey.Crossref | GoogleScholarGoogle Scholar |
[8] Lazuras L, Zlatev M, Rodafinos A, Eiser JR (2012) Smokers’ compliance with smoke-free policies, and non-smokers’ assertiveness for smoke-free air in the workplace: a study from the Balkans. Int J Public Health 57, 769–75.
| Smokers’ compliance with smoke-free policies, and non-smokers’ assertiveness for smoke-free air in the workplace: a study from the Balkans.Crossref | GoogleScholarGoogle Scholar | 22314541PubMed |
[9] Hyland A, Higbee C, Borland R, Travers M, Hastings G, Fong GT, Cummings KM (2009) Attitudes and beliefs about secondhand smoke and smoke-free policies in four countries: findings from the International Tobacco Control Four Country Survey. Nicotine Tob Res 11, 642–9.
| Attitudes and beliefs about secondhand smoke and smoke-free policies in four countries: findings from the International Tobacco Control Four Country Survey.Crossref | GoogleScholarGoogle Scholar | 19454550PubMed |
[10] Mons U, Nagelhout GE, Guignard R, McNeill A, van den Putte B, Willemsen MC, et al (2012) Comprehensive smoke-free policies attract more support from smokers in Europe than partial policies. Eur J Public Health 22, 10–6.
| Comprehensive smoke-free policies attract more support from smokers in Europe than partial policies.Crossref | GoogleScholarGoogle Scholar | 22294779PubMed |
[11] Thrasher JF, Perez-Hernandez R, Swayampakala K, Arillo-Santillan E, Bottai M (2010) Policy support, norms, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico City. Am J Public Health 100, 1789–98.
| Policy support, norms, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico City.Crossref | GoogleScholarGoogle Scholar | 20466952PubMed |
[12] Lazuras L, Eiser JR, Rodafinos A (2009) Predicting smokers’ non-compliance with smoking restrictions in public places. Tob Control 18, 127–31.
| Predicting smokers’ non-compliance with smoking restrictions in public places.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1M3ivFGmtA%3D%3D&md5=e9883db2b5037422f90cda4dbca50bffCAS | 19131455PubMed |
[13] Verdonk-Kleinjan WMI, Rijswijk PCP, de Vries H, Knibbe RA (2013) Compliance with the workplace-smoking ban in the Netherlands. Health Policy 109, 200–6.
| Compliance with the workplace-smoking ban in the Netherlands.Crossref | GoogleScholarGoogle Scholar |
[14] Fennell R (2012) Should college campuses become tobacco free without an enforcement plan? J Am Coll Health 60, 491–4.
| Should college campuses become tobacco free without an enforcement plan?Crossref | GoogleScholarGoogle Scholar | 23002796PubMed |
[15] Loukas A, Garcia MR, Gottlieb NH (2006) Texas college students’ opinions of no-smoking policies, secondhand smoke, and smoking in public places. J Am Coll Health 55, 27–32.
| Texas college students’ opinions of no-smoking policies, secondhand smoke, and smoking in public places.Crossref | GoogleScholarGoogle Scholar | 16889312PubMed |
[16] Rigotti NA, Regan S, Moran SE, Wechsler H (2003) Students’ opinion of tobacco control policies recommended for US colleges: a national survey. Tob Control 12, 251–6.
| Students’ opinion of tobacco control policies recommended for US colleges: a national survey.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3svhvV2muw%3D%3D&md5=8118ef819bf074beeba317f5e4c7a53fCAS | 12958381PubMed |
[17] Giacomini M. Theory matters in qualitative research. In Borgeault I, Dingwall R, de Vries R, editors. The Sage handbook of qualitative methods in health research. Los Angeles: Sage; 2010.
[18] Denzin NK, Lincoln YS. Introduction: the discipline and practice of qualitative research. In Denzin NK, Lincoln YS, editors. The Sage handbook of qualitative research (pp. 1–32). Thousand Oaks, California: Sage; 2005.
[19] Liamputtong P. The science of words and the science of numbers. In Liamputtong P, editor. Research method in health: foundations for evidence-based practice. South Melbourne: Oxford; 2013.
[20] Burns S, Jancey J, Bowser N, Comfort J, Crawford C, Hallett J, Shields B, Portsmouth L (2013) Moving forward: a cross sectional baseline study of staff and student attitudes towards a totally smoke free university campus. BMC Public Health 13, 738–43.
| Moving forward: a cross sectional baseline study of staff and student attitudes towards a totally smoke free university campus.Crossref | GoogleScholarGoogle Scholar | 23924040PubMed |
[21] Australian Institute of Health and Welfare. 2010 National Drug Strategy Household Survey report. Drug statistics series no. 25. Cat. no. PHE 145. Canberra: Australian Institute of Health and Welfare; 2011.
[22] Bryman A. Social research methods. New York: Oxford University Press; 2004.
[23] Borland R, Yong H-H, Siahpush M, Hyland A, Campbell S, Hastings G, Cummings KM, Fong GT (2006) Support for and reported compliance with smoke-free restaurants and bars by smokers in four countries: findings from the International Tobacco Control (ITC) Four Country Survey. Tob Control 15, 34–41.
| Support for and reported compliance with smoke-free restaurants and bars by smokers in four countries: findings from the International Tobacco Control (ITC) Four Country Survey.Crossref | GoogleScholarGoogle Scholar |
[24] Glassman TJ, Reindl DM, Whewell AT (2011) Strategies for implementing a tobacco-free campus policy. J Am Coll Health 59, 764–8.
| Strategies for implementing a tobacco-free campus policy.Crossref | GoogleScholarGoogle Scholar | 21950260PubMed |
[25] Pickett MS, Schober SE, Brody DJ, Curtin LR, Giovino GA (2006) Smoke-free laws and secondhand smoke exposure in US non-smoking adults, 1999–2002. Tob Control 15, 302–7.
| Smoke-free laws and secondhand smoke exposure in US non-smoking adults, 1999–2002.Crossref | GoogleScholarGoogle Scholar | 16885579PubMed |
[26] Blanco-Marquizo A, Goja B, Peruga A, Jones MR, Yuan J, Samet JM, Breysse PN, Navas-Acien A (2010) Reduction of secondhand tobacco smoke in public places following national smoke-free legislation in Uruguay. Tob Control 19, 231–4.
| Reduction of secondhand tobacco smoke in public places following national smoke-free legislation in Uruguay.Crossref | GoogleScholarGoogle Scholar | 20501496PubMed |
[27] Borland R, Owen N, Hocking B (1991) Changes in smoking behaviour after a total workplace smoking ban. Aust J Public Health 15, 130–4.
[28] Weber MD, Bagwell DAS, Fielding JE, Glantz SA (2003) Long term compliance with California’s Smoke-Free Workplace law among bars and restaurants in Los Angeles County. Tob Control 12, 269–73.
| Long term compliance with California’s Smoke-Free Workplace law among bars and restaurants in Los Angeles County.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3svhvV2lsQ%3D%3D&md5=3f833009a183a9b4d8d9328f5ea714cfCAS | 12958386PubMed |
[29] Becker H. Outsiders: studies in the sociology of deviance. New York: The Free Press; 1963.
[30] Baillie L, Callaghan D, Smith ML (2011) Canadian campus smoking policies: investigating the gap between intent and outcome from a student perspective. J Am Coll Health 59, 260–5.
| Canadian campus smoking policies: investigating the gap between intent and outcome from a student perspective.Crossref | GoogleScholarGoogle Scholar | 21308585PubMed |
[31] Hahn EJ, Fallin A, Darville A, Kercsmar SE, McCann M, Record RA (2012) The three Ts of adopting tobacco-free policies on college campuses. Nurs Clin North Am 47, 109–17.
| The three Ts of adopting tobacco-free policies on college campuses.Crossref | GoogleScholarGoogle Scholar | 22289402PubMed |
[32] Plaspohl SSD, Parrillo AVPC, Vogel R, Tedders S, Epstein A (2012) An Assessment of America’s tobacco-free colleges and universities. J Am Coll Health 60, 162–7.
| An Assessment of America’s tobacco-free colleges and universities.Crossref | GoogleScholarGoogle Scholar |
