Introduction In 2009, Turkey extended the smoke-free legislation to hospitality venues. Compliance, however, remains low in some hospitality venues. We identified characteristics associated with knowledge of health effects that can be prevented by the smoke-free law, the attitude towards and enforcement of the law.
Methods In 2014, we conducted 400 interviews with hospitality venue owners and employees in 7 cities in Turkey. The venues were identified based on a random sampling strategy in a previous phase of the study.
Results Over one-third (37.3%) of hospitality owners and employees had adequate knowledge of the health effects from secondhand smoke (SHS), 71.3% had a positive attitude towards the law and 19.5% had personally enforced the law. Participants who worked 70 hours or more per week were more likely to have a positive attitude towards the law. Older individuals, women, participants working in bars/nightclubs, venue owners receiving fines for non-compliance and current smokers were less likely to have a positive attitude towards the law. Participants working in traditional coffee houses, former smokers, and participants with a high school education or greater were more likely to enforce the law. Smokers who quit or reduced smoking because of the law were more likely to enforce the law compared with those who were not influenced by the law.
Conclusions Although the attitude towards the law was positive, interventions are needed to increase knowledge on the health effects of SHS and facilitate enforcement of the law, particularly among subgroups less likely to have a positive attitude and enforce the law.
- Public policy
- Secondhand smoke
- Public opinion
- Priority/special populations
- Surveillance and monitoring
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Correction notice This article has been corrected since it was published Online First. The author surname ‘Eirüder’ has been corrected to ‘Ergüder’.
Contributors AN-A, JEC, AÇ, MH and GE developed the idea for this research. AA and AN-A wrote the first draft of the article. AA conducted the data analysis and developed the tables. Presubmission review and editing were completed by AA, AÇ, MH, GE, TE, BK, JS, LZ, JEC, AN-A. AN-A is the guarantor.
Funding This study was supported by an award from the Institute for Global Tobacco Control at the Johns Hopkins Bloomberg School of Public Health, with funding from the Bloomberg Initiative to Reduce Tobacco Use.
Competing interests None declared.
Patient consent Obtained.
Ethics approval Johns Hopkins University (Maryland, USA), Kadir Has University (Istanbul, Turkey).
Provenance and peer review Not commissioned; externally peer reviewed.
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