Barriers and facilitators to implementation of smoke-free area policy in public places: a scoping review 10.55131/jphd/2024/220323
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Abstract
Enforcing laws requiring smoke-free areas in different locations is one way the government can lower cigarette consumption and exposure to cigarette smoke. The purpose of this study was, thus, to examine and summarize studies that identified facilitators and barriers to the implementation of a smoke-free area policy in public places. The researchers carried out systematic searches in December 2023 within these specific databases: Scopus, PubMed, ProQuest, Emerald Insight, and EBSCO and included studies on the implementation of smoke-free area policy that were published in English between 2018-2021. Out of the 684 research reports that were found, only 12 were accepted into the scoping study. The findings exhibited several barriers to the implementation of smoke-free area policy, including personal characteristics, the presence of tobacco sellers and smoking aids, lack of enforcement management, lack of support and collaboration from local government, lack of examples of policy implementation by local government, and no smoking signs or smoke-free policy signs. Meanwhile, the facilitating factors encompass fines and penalties, the presence of access to tobacco cessation services, smoke-free policy campaigns, and knowledge and attitudes toward smoke-free area policies. The evidence collected from the review’s findings suggests that there are more barriers than facilitating factors. This indicates that numerous adverse behaviors in the implementation of the smoke-free area policy are still present. The subsequent step following this study is to carry out primary research to thoroughly investigate the execution of the smoke-free area policy in public places.
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References
Varghese J, Muntode Gharde P. A Comprehensive Review on the Impacts of Smoking on the Health of an Individual. Cureus. 2023;15(10): e46532. doi: 10.7759/cureus.46532
Radó MK, Mölenberg FJM, Westenberg LEH, Sheikh A, Millett C, Burdorf A, et al. Effect of smoke-free policies in outdoor areas and private places on children’s tobacco smoke exposure and respiratory health: a systematic review and meta-analysis. Lancet Public Health. 2021 Aug;6(8): e566-e578. doi: 10.1016/S2468-2667 (21)00097-9
Napirah MR, Vidyanto V, Hasanah H. Preventing Smoking in Children: Implementation Non-Smoking Area in Palu City. Divers Dis Prev Res Integr. 2022;2(2):84–97. doi: 10.24252/ diversity.v2i2.25229
Riza Y, Budiarto W, Haksama S, Kuntoro K, Yudhastuti R, Wibowo A, et al. Determinants of participation in the implementation of non-smoking area policies for restaurant and cafe managers in Indonesia. J Public Health Afr. 2023;14(2):2557. doi: 10.4081/ jphia.2023.2557
Štěpánková L, Kostelecká L, Stejskalová V, Kalvachová M, Králíková E. Hospital as a smoke-free workplace. Cent Eur J Public Health. 2020;28Suppl:S26-S30. doi: 10.21101/cejph.a6172
Wijayanti PM, Kurnia AR, Soeharso E. Developing of need assessment on policy makers and stakeholders applying a non-smoking area program at district office of Dukun, Magelang regency. JKKI. 2020;11(1):60–66. doi: 10.20885/JKKI.Vol11.Iss1.art9
Fu M, Castellano Y, Feliu A, Saura J, Estrada J, Galimany-Masclans J, et al. Compliance with the smoke-free policy in hospitals in Spain: the patients’ perspective. Eur J Cancer Prev Off J Eur Cancer Prev. 2023;32(1):81–88. doi: 10.1097/CEJ.0000000000000757
Suarjana K, Astuti PAS, Artawan Eka Putra IWG, Duana MK, Mulyawan KH, Chalidyanto D, et al. Implementation of smoke-free law in Denpasar Bali: Between compliance and social norms of smoking. J Public Health Res. 2020;9(3):1747. doi: 10.4081/jphr.2020.1747
Chowdhury SR, Sunna TC, Das DC, Chowdhury MR, Mahmud HMM, Hossain A. Compliance with smoke-free legislation in public places: An observational study in a northeast city of Bangladesh. PLoS One. 2023;18(4): e0283650. doi: 10.1371/journal.pone. 0283650
Cham B, Mdege ND, Bauld L, Britton J, D’Alessandro U. Exposure to Second-Hand Smoke in Public Places and Barriers to the Implementation of Smoke-Free Regulations in The Gambia: A Population-Based Survey. Int J Environ Res Public Health. 2021; 18(12):6263. doi: 10.3390/ijerph 18126263
Gatto A, Powell SE, Walters EF, Zamani S, Sales LB, DeBate R. A Mixed-Methods Assessment of a Peer-Enforced Tobacco- and Smoke-Free Policy at a Large Urban University. J Community Health. 2019;44(2):365–376. doi: 10.1007/s10900-018-0593-y
Cheung E, Romero T, Crespi CM, Perez C, Huang JE, Pechmann C, et al. Undergraduate support for university smoke-free and vape-free campus policies and student engagement: a quasi-experimental intervention. J Am Coll Health. 2022;70(4):992–1000. doi: 10.1080/07448481.2020.1782920
Fu M, Castellano Y, Laroussy K, Baena A, Margalef M, Feliu A, et al. Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter study. Tob Induc Dis. 2023;21:93. doi: 10.18332/tid/167390
Yunarman S, Zarkani A, Walid A, Ahsan A, Kusuma D. Compliance with Smoke-Free Policy and Challenges in Implementation: Evidence from Bengkulu, Indonesia. Asian Pac J Cancer Prev. 2020 Sep 1;21(9):2647–2651. doi: 10.31557/APJCP.2020. 21.9.2647
Wahyuti W, Hasairin S, Mamoribo S, Ahsan A, Kusuma D. Monitoring Compliance and Examining Challenges of a Smoke-free Policy in Jayapura, Indonesia. J Prev Med Pub Health. 2019 Nov 30;52(6):427–432. doi: 10.3961/jpmph.19.240
Basnet LB, Budhathoki SS, Adhikari B, Thapa J, Neupane B, Moses T, et al. Compliance with the smoke-free public places legislation in Nepal: A cross-sectional study from Biratnagar Metropolitan City. Bhatta DN, editor. PLoS One. 2022;17(3):e0264895. doi: 10.1371/journal.pone.0264895
Dang A, Tran B, Nguyen L, Do H, Nguyen C, Fleming M, et al. Customers’ Perceptions of Compliance with a Tobacco Control Law in Restaurants in Hanoi, Vietnam: A Cross-Sectional Study. Int J Environ Res Public Health. 2018;15(7):1451. doi: 10.3390/ijerph15071451
Nasution F, Gurning FP, Siregar PA, Ahsan A, Kusuma D. Implementation of the Smoke-Free Policy in Medan City, Indonesia: Compliance and Challenges. Int J Prev Med. 2022; 13:30. doi: 10.4103/ijpvm.IJPVM _106_20
Garritsen HH, Rozema AD, Am Van De Goor I, Kunst AE. Implementation of an outdoor smoke-free policy at sports clubs: Critical situations and determinants influencing implementation. Int J Drug Policy. 2021;92:103129. doi: 10.1016/j.drugpo.2021.103129
Luck KE, Doucet S. What Are the Perceptions, Experiences, and Behaviors of Health Care Providers After Implementation of a Comprehensive Smoke-Free Hospital Policy? Glob Qual Nurs Res. 2018;5: 2333393618756770. doi: 10.1177/ 2333393618756770
Nazriati E, Zulharman Z, Firdaus F, Alhakim MF. Implementation of 100% Tobacco Free Campus at the University of Riau, Efforts and the Challengees. Int J Soc Serv Res. 2023;3(6):1509–1516. doi: 10.46799/ijssr.v3i6.389
Petersen AB, Elser H, Nguyen T, Alizaga NM, Vijayaraghavan M. Smoke-Free or Not: Attitudes Toward Indoor Smoke-Free Policies Among Permanent Supportive Housing Residents. Am J Health Promot. 2020;34(1):32–41. doi: 10.1177/0890117119876763
Anthony J, Goldman R, Rees VW, Frounfelker RL, Davine J, Keske RR, et al. Qualitative Assessment of Smoke-Free Policy Implementation in Low-Income Housing: Enhancing Resident Compliance. Am J Health Promot. 2019;33(1):107–117. doi: 10.1177/0890117118776090
Sufri S, Nurhasanah N, Ahsan A, Saputra I, Jannah M, Yeni CM, et al. Barriers and opportunities for improving smoke-free area implementation in Banda Aceh city, Indonesia: a qualitative study. BMJ Open. 2023; 13(12):e072312. doi: 10.1136/ bmjopen-2023-072312
Martini S, Artanti KD, Hargono A, Widati S, Ahsan A, Prabandari YS. Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation. BMC Public Health. 2022;22(1):2202. doi: 10.1186/ s12889-022-14435-8.
Crosby S, Bell D, Savva G, Edlin B, Bewick BM. The impact of a social norms approach on reducing levels of misperceptions around smokefree hospital entrances amongst patients, staff, and visitors of a NHS hospital: a repeated cross-sectional survey study. BMC Public Health. 2018;18(1):1365. doi: 10.1186/s12889-018-6231-x
Al-Jayyousi GF, Kurdi R, Alsaei S, AL-Kaabi H, Alrushdi AJ, Abdul Rahim HF. Students’ perceptions of a university ‘No Smoking’ policy and barriers to implementation: a cross- sectional study. BMJ Open. 2021; 11(6):e043691. doi: 10.1136/bmjopen-2020-043691
Cerci D. Attitudes of staff towards smoke-free environments in psychiatric hospitals in Germany. Tob Induc Dis. 2022;20:76. doi: 10.18332/tid/152252
Kuang Hock L, Hui Li L, Chien Huey T, Yuvaneswary V, Sayan P, Muhd Yusoff MF, et al. Support for smoke-free policy among Malaysian adults: findings from a population-based study. BMJ Open. 2019;9(2):e020304. doi: 10.1136/bmjopen-2017-020304
Ridwan M, Syukri M, Solida A, Kalsum U, Ahsan A. Assessing the Policy of Non-Smoking Areas in Schools in Indonesia: A Mixed Methods Study. Asian Pac J Cancer Prev. 2023;24(10):3411–3417. doi: 10.31557/APJCP.2023.24.10.3411
Gartner CE, Wright A, Hefler M, Perusco A, Hoek J. It is time for governments to support retailers in the transition to a smoke‐free society. Med J Aust. 2021;215(10):446–448. doi: 10.5694/mja2.51312
Wei Y, Borland R, Zheng P, Fu H, Wang F, He J, et al. Evaluation of the Effectiveness of Comprehensive Smoke-Free Legislation in Indoor Public Places in Shanghai, China. Int J Environ Res Public Health. 2019; 16(20):4019. doi: 10.3390/ijerph 16204019
Thammawongsa P, Laohasiriwong W, Yotha N, Nonthamat A, Prasit N. Influence of socioeconomics and social marketing on smoking in Thailand: A National Survey in 2017. Tob Prev Cessat. 2023;9:28. doi: 10.18332/ tpc/169501