IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v10y2013i6p2370-2383d26321.html
   My bibliography  Save this article

Public Place Smoke-Free Regulations, Secondhand Smoke Exposure and Related Beliefs, Awareness, Attitudes, and Practices among Chinese Urban Residents

Author

Listed:
  • Tingzhong Yang

    (Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China)

  • Abu S. Abdullah

    (School of Public Health, Guangxi Medical University, Nanning 530021, China
    Boston Medical Center, Boston University Medical Campus, Boston, MA 02118, USA)

  • Li Li

    (Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China)

  • Ian R. H. Rockett

    (Injury Control Research Center and Department of Epidemiology (School of Public Health), West Virginia University, Morgantown, WV 26506, USA)

  • Yan Lin

    (International Union Against Tuberculosis and Lung Disease, Beijing 100005, China)

  • Jun Ying

    (Department of Environmental Health, University of Cincinnati, Cincinnati, OH 45221, USA)

  • Wei Guo

    (Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China)

  • Dan Wu

    (Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China)

  • Mu Li

    (Sydney School of Public Health, University of Sydney, NSW 2006, Australia)

Abstract

Objective: To evaluate the association between smoke-free regulations in public places and secondhand smoke exposure and related beliefs, awareness, attitudes, and behavior among urban residents in China. Methods: We selected one city (Hangzhou) as the intervention city and another (Jiaxing) as the comparison. A structured self-administered questionnaire was used for data collection, and implemented at two time points across a 20-month interval. Both unadjusted and adjusted logistic methods were considered in analyses. Multiple regression procedures were performed in examining variation between final and baseline measures. Results: Smoke-free regulations in the intervention city were associated with a significant decline in personal secondhand smoke exposure in government buildings, buses or taxis, and restaurants, but there was no change in such exposure in healthcare facilities and schools. In terms of personal smoking beliefs, awareness, attitudes, and practices, the only significant change was in giving quitting advice to proximal family members. Conclusions: There was a statistically significant association between implementation of smoke-free regulations in a city and inhibition of secondhand tobacco smoking exposure in public places. However, any such impact was limited. Effective tobacco control in China will require a combination of strong public health education and enforcement of regulations.

Suggested Citation

  • Tingzhong Yang & Abu S. Abdullah & Li Li & Ian R. H. Rockett & Yan Lin & Jun Ying & Wei Guo & Dan Wu & Mu Li, 2013. "Public Place Smoke-Free Regulations, Secondhand Smoke Exposure and Related Beliefs, Awareness, Attitudes, and Practices among Chinese Urban Residents," IJERPH, MDPI, vol. 10(6), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:6:p:2370-2383:d:26321
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/10/6/2370/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/10/6/2370/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ward, Mark & Currie, Laura M. & Kabir, Zubair & Clancy, Luke, 2013. "The efficacy of different models of smoke-free laws in reducing exposure to second-hand smoke: A multi-country comparison," Health Policy, Elsevier, vol. 110(2), pages 207-213.
    2. Wells, A.J. & English, P.B. & Posner, S.F. & Wagenknecht, L.E. & Perez-Stable, E.J., 1998. "Misclassification rates for current smokers misclassified as nonsmokers," American Journal of Public Health, American Public Health Association, vol. 88(10), pages 1503-1509.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nakata, Akinori & Ikeda, Tomoko & Takahashi, Masaya & Haratani, Takashi & Hojou, Minoru & Fujioka, Yosei & Araki, Shunichi, 2006. "Non-fatal occupational injury among active and passive smokers in small- and medium-scale manufacturing enterprises in Japan," Social Science & Medicine, Elsevier, vol. 63(9), pages 2452-2463, November.
    2. Mlinarić, Martin & Hoffmann, Laura & Lindfors, Pirjo & Richter, Matthias, 2020. "Enhancing implementation of smoke-free places: A comparative qualitative study across seven European cities," Social Science & Medicine, Elsevier, vol. 247(C).
    3. Sungroul Kim, 2016. "Overview of Cotinine Cutoff Values for Smoking Status Classification," IJERPH, MDPI, vol. 13(12), pages 1-15, December.
    4. Kuili Zhang & Bing Ran, 2022. "Active Health Governance—A Conceptual Framework Based on a Narrative Literature Review," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    5. Virtanen, Marianna & Kivimäki, Mika & Kouvonen, Anne & Elovainio, Marko & Linna, Anne & Oksanen, Tuula & Vahtera, Jussi, 2007. "Average household income, crime, and smoking behaviour in a local area: The Finnish 10-Town study," Social Science & Medicine, Elsevier, vol. 64(9), pages 1904-1913, May.
    6. Leah K. Lakdawala & David Simon, 2017. "The Intergenerational Consequences of Tobacco Policy: A Review of Policy's Influence on Maternal Smoking and Child Health," Southern Economic Journal, John Wiley & Sons, vol. 84(1), pages 229-274, July.
    7. Ellen Meara, 2001. "Why is Health Related to Socioeconomic Status?," NBER Working Papers 8231, National Bureau of Economic Research, Inc.
    8. Jae Won Hong & Jung Hyun Noh & Dong-Jun Kim, 2018. "The prevalence of and factors associated with urinary cotinine-verified smoking in Korean adults: The 2008–2011 Korea National Health and Nutrition Examination Survey," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-14, June.
    9. Jasmine N Khouja & Marcus R Munafò & Caroline L Relton & Amy E Taylor & Suzanne H Gage & Rebecca C Richmond, 2020. "Investigating the added value of biomarkers compared with self-reported smoking in predicting future e-cigarette use: Evidence from a longitudinal UK cohort study," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-15, July.
    10. George Halkos & Georgia Argyropoulou, 2021. "Pollution and Health Effects: A Nonparametric Approach," Computational Economics, Springer;Society for Computational Economics, vol. 58(3), pages 691-714, October.
    11. Martin Lange & Ole Monscheuer, 2022. "Spreading the disease: Protest in times of pandemics," Health Economics, John Wiley & Sons, Ltd., vol. 31(12), pages 2664-2679, December.
    12. Nihaya Al-Sheyab & Khalid A Kheirallah & Linda J Thomson Mangnall & Robyn Gallagher, 2015. "Agreement Between Exhaled Breath Carbon Monoxide Threshold Levels and Self-Reported Cigarette Smoking in a Sample of Male Adolescents in Jordan," IJERPH, MDPI, vol. 12(1), pages 1-14, January.
    13. Newbold, K. Bruce & Neligan, David, 2012. "Disaggregating Canadian immigrant smoking behaviour by country of birth," Social Science & Medicine, Elsevier, vol. 75(6), pages 997-1005.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:10:y:2013:i:6:p:2370-2383:d:26321. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.