Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.18/1510
Título: Compliance and enforcement of a partial smoking ban in Lisbon taxis: an exploratory cross-sectional study
Autor: Ravara, Sofia B.
Castelo-Branco, Miguel
Aguiar, Pedro
Calheiros, José M.
Palavras-chave: Tobacco Control
Second-hand Smoke
Smoking Partial Ban
Smoke-free Policy
Compliance
Enforcement
Taxi
Smoke-free Cars
Políticas de Saúde
Data: 14-Fev-2013
Editora: BioMed Central
Citação: BMC Public Health. 2013 Feb 14;13:134. doi: 10.1186/1471-2458-13-134
Resumo: BACKGROUND: Research evaluating enforcement and compliance with smoking partial bans is rather scarce, especially in countries with relative weak tobacco control policies, such as Portugal. There is also scarce evidence on specific high risk groups such as vehicle workers. In January 2008, Portugal implemented a partial ban, followed by poor enforcement. The purpose of this study was to explore the effectiveness of a partial smoking ban in a pro-smoking environment, specifically transportation by taxi in the city of Lisbon. Ban effectiveness was generally defined by ban awareness and support, compliance and enforcement. METHODS: Exploratory cross-sectional study; purposive sampling in selected Lisbon streets. Structured interviews were conducted by trained researchers while using taxi services (January 2009-December 2010). Participants: 250 taxi drivers (98.8% participation rate). Chi-square, McNemar, Man Whitney tests and multiple logistic regression were performed. RESULTS: Of the participants, 249 were male; median age was 53.0 years; 43.6% were current smokers. Most participants (82.8%) approved comprehensive bans; 84.8% reported that clients still asked to smoke in their taxis; 16.8% allowed clients to smoke. Prior to the ban this value was 76.9% (p < 0.001). The major reason for not allowing smoking was the legal ban and associated fines (71.2%). Of the smokers, 66.1% admitted smoking in their taxi. Stale smoke smells were detected in 37.6% of the cars. None of the taxi drivers did ever receive a fine for non-compliance. Heavy smoking, night-shift and allowing smoking prior the ban predicted non-compliance. CONCLUSIONS: Despite the strong ban support observed, high smoking prevalence and poor enforcement contribute to low compliance. The findings also suggest low compliance among night-shift and vehicle workers. This study clearly demonstrates that a partial and poorly-enforced ban is vulnerable to breaches, and highlights the need for clear and strong policies.
Peer review: yes
URI: http://hdl.handle.net/10400.18/1510
ISSN: 1471-2458
Versão do Editor: http://www.biomedcentral.com/1471-2458/13/134
Aparece nas colecções:CD - Artigos em revistas internacionais

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