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Support for a Campus Tobacco-Free Policy among Non-Smokers: Findings from a Developing Country

  • Yasin, Siti Munira (Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA) ;
  • Isa, Mohamad Rodi (Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA) ;
  • Fadzil, Mohd Ariff (Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA) ;
  • Zamhuri, Mohammad Idris (Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA) ;
  • Selamat, Mohamad Ikhsan (Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA) ;
  • Ruzlin, Aimi Nadira Mat (Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA) ;
  • Ibrahim, Nik Shamsidah Nik (Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA) ;
  • Ismail, Zaliha (Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA) ;
  • Majeed, Abu Bakar Abdul (Vice Chancellor Office, Faculty of Medicine, Universiti Teknologi MARA, Universiti Teknologi MARA)
  • Published : 2016.02.05

Abstract

Background: A tobacco-free workplace policy is identified as an effective means to reduce tobacco use and protect people from second-hand smoke; however, the number of tobacco-free policies (TFP) remains very low in workplaces in Malaysia. This study explored the factors affecting support for a tobacco-free policy on two healthcare campuses in Malaysia, prior to the implementation of TFP. Materials and Methods: This cross-sectional study was conducted among 286 non-smokers from two healthcare training centres and two nearby colleges in Malaysia from January 2015 to April 2015. A standardized questionnaire was administered via staff and student emails. The questionnaire collected information on sociodemographic characteristics, support for a tobacco-free policy and perceived respiratory and sensory symptoms due to tobacco exposure. Bivariate and multivariate logistic regression analyses were performed to estimate the independent effects of supporting a tobacco-free campus. Results: The percentage of individuals supporting completely tobacco-free facilities was 83.2% (N=238), as opposed to 16.7% (N=48) in support of partially tobacco-free facilities. Compared to the supporters of partially tobacco-free facilities, non-smokers who supported completely tobacco-free health facilities were more likely to be female, have higher education levels, to be very concerned about the effects of other people smoking on their health and to perceive a tobacco-free policy as very important. In addition, they perceived that tobacco smoke bothered them at work by causing headaches and coughs and, in the past 4 weeks, had experienced difficulty breathing. In the multivariate model, after adjusting for sociodemographic characteristics and other factors, only experiencing coughs and headaches increased the odds of supporting a completely tobacco-free campus, up to 2.5- and 1.9-fold, respectively. Conclusions: Coughs and headaches due to other people smoking at work enhances support for a completely tobacco-free campus among non-smokers.

Keywords

Tobacco policy;support;workplace;campus;non-smokers;Malaysia

References

  1. Abidin EZ, Hashim Z, Semple S (2013). Second-hand smoke in public spaces: How effective has partial smoke-free legislation been in Malaysia. Asian Pac J Cancer Prev, 14, 6845-50. https://doi.org/10.7314/APJCP.2013.14.11.6845
  2. Azagba S (2015). Effect of smoke-free patio policy of restaurants and bars on exposure to second-hand smoke. Prev Med, 76, 74-8. https://doi.org/10.1016/j.ypmed.2015.04.012
  3. Barnoya J, Glantz SA (2005). Cardiovascular effects of secondhand smoke nearly as large as smoking. Circulation, 111, 2684-98. https://doi.org/10.1161/CIRCULATIONAHA.104.492215
  4. Braun JM, Kahn RS, Froehlich T, et al (2006). Exposures to environmental toxicants and attention deficit hyperactivity disorder in US children. Environmental health perspectives, 1904-9.
  5. Danishevski K, Gilmore A, McKee M (2008). Public attitudes towards smoking and tobacco control policy in Russia. Tobacco Control, 17, 276-83. https://doi.org/10.1136/tc.2008.025759
  6. Etter M, Etter JF (2007). Acceptability and impact of a partial smoking ban in a psychiatric hospital. Prev Med, 44, 64-9. https://doi.org/10.1016/j.ypmed.2006.08.011
  7. Farrelly MC, Nonnemaker JM, Chou R, et al (2005). Changes in hospitality workers' exposure to secondhand smoke following the implementation of New York's smoke-free law. Tobacco Control, 14, 236-41. https://doi.org/10.1136/tc.2004.008839
  8. Fernandez E, Fu M, Pascual JA, et al (2009). Impact of the Spanish smoking law on exposure to second-hand smoke and respiratory health in hospitality workers: a cohort study. PLoS One, 4, 23.
  9. Frieden TR (2014). Tobacco control progress and potential. JAMA, 311, 133-4. https://doi.org/10.1001/jama.2013.284534
  10. Giraldi G, De Ruggiero GF, Cattaruzza M, et al (2013). Perception of smoke-free policies among workers in an Italian Local Health Agency: survey of opinions, knowledge and behaviours. Ann Ig, 25, 397-409.
  11. Hardigan PC, Succar CT, Fleisher JM (2012). An analysis of response rate and economic costs between mail and webbased surveys among practicing dentists: a randomized trial. J Community Health, 37, 383-94. https://doi.org/10.1007/s10900-011-9455-6
  12. Health UDo, Services H (2014). The health consequences of smoking-50 years of progress. A report of the Surgeon General.
  13. Ickes MJ, Hahn EJ, McCann M, et al (2013). Tobacco free take action!: increasing policy adherence on a college campus. World medical & health policy, 5, 47-56. https://doi.org/10.1002/wmh3.20
  14. Jha P, Peto R (2014). Global effects of smoking, of quitting, and of taxing tobacco. New England Journal of Medicine, 370, 60-8. https://doi.org/10.1056/NEJMra1308383
  15. Lim HK, Ghazali SM, Kee CC, et al (2013). Epidemiology of smoking among Malaysian adult males: prevalence and associated factors. BMC Public Health, 13, 8. https://doi.org/10.1186/1471-2458-13-8
  16. Lim K, Sumarni M, Amal N, et al (2009). Tobacco use, knowledge and attitude among Malaysians age 18 and above. Trop Biomed, 26, 92-9.
  17. Mamudu HM, Veeranki SP, Kioko DM, et al (2015). Exploring support for 100% college tobacco-free policies and tobaccofree campuses among college tobacco users. J Public Health Manag Pract, 8, 8.
  18. Organization WH (2013). Global action plan for the prevention and control of noncommunicable diseases 2013-2020.
  19. Radwan GN, Latif S, Amin N, et al (2014). Occupational exposure to second hand smoke and respiratory and sensory symptoms: A cross-sectional survey of hospital workers in Egypt. International journal of occupational medicine and environmental health, 27, 60-70.
  20. Rashid A, Ab Manan A, Yahya N, et al (2014). The support for smoke free policy and how it is influenced by tolerance to smoking-experience of a developing country.
  21. Reuband KH (2014). Tobacco consumption in a changing society. Extent of consumption and attitudes to smoking bans, Dusseldorf 1997-2009. Gesundheitswesen, 76, 32-40 (in German).
  22. Serafin A, Franklin S, Mehta R, et al (2014). NHS patients, staff, and visitor viewpoints of smoking within a hospitals' ground: a qualitative analysis. BMC public health, 14, 1015. https://doi.org/10.1186/1471-2458-14-1015
  23. Skeer M, Cheng DM, Rigotti NA, et al (2005). Secondhand smoke exposure in the workplace. Am J Prev Med, 28, 331-7. https://doi.org/10.1016/j.amepre.2005.01.007
  24. Sopori M (2002). Effects of cigarette smoke on the immune system. Nature Reviews Immunology, 2, 372-7. https://doi.org/10.1038/nri803
  25. Voci S, Bondy S, Zawertailo L, et al (2010). Impact of a smokefree policy in a large psychiatric hospital on staff attitudes and patient behavior. Gen Hosp Psychiatry, 32, 623-30. https://doi.org/10.1016/j.genhosppsych.2010.08.005
  26. Wernz FD, Friederich HM, Buchkremer G, et al (2009). [Acceptance of smoke-free policy in a psychiatric department by in-patients and staff]. Wien Med Wochenschr, 159, 33-9. https://doi.org/10.1007/s10354-008-0638-4
  27. Yong H-H, Foong K, Borland R, et al (2010). Support for and reported compliance among smokers with smoke-free policies in air-conditioned hospitality venues in Malaysia and Thailand: findings from the International Tobacco Control Southeast Asia Survey. Asia-Pac J Public Hlth, 22, 98-109. https://doi.org/10.1177/1010539509351303