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Abstract

Aim: The population’s attitude towards smoking bans in public arenas is important for their passing, implementation and compliance. Smoking bans are believed to reduce the social acceptability of smoking, and once people experience them, public support increases – also among pre-ban sceptics. This study aimed to examine the temporal changes in public attitude towards smoking bans in public arenas from 2007 to 2010 and whether these changes differed across educational attainment, smoking status and intention to quit among smokers. Methods: Data from two surveys among adults (aged 25–79 years) in 2007 and 2010 in the Capital Region of Denmark (n=36,472/42,504, response rate = 52.3) was linked with data on sex, age and educational attainment from central registers. Age-standardised prevalence of supportive attitude towards smoking bans was estimated. Temporal changes in supportive attitude were explored in workplaces, restaurants and bars using logistic regression models. Results: The prevalence of supportive attitude towards smoking bans increased significantly in all arenas from 2007 to 2010. Positive temporal changes in supportive attitude towards smoking bans were seen across educational attainment, smoking status and intention to quit smoking in restaurants and across smoking status for smoking bans in workplaces and bars. Conclusions: The results of this study show that the public’s attitude towards smoking in public arenas has changed after the implementation of a comprehensive smoking ban. This change in attitude can support implementation of future legislation on smoking and may lead to positive changes in smoking norms.

Keywords

Smoking smoking bans attitude public opinion tobacco smoke pollution legislation health surveys health promotion

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References

Glümer

Hammer-Helmich

Buhelt

. Health Profile 2010 – Prevention (Sundhedsprofil 2010 – Forebyggelse). Region Hovedstaden: Research Centre for Prevention and Health, The Capital Region of Denmark; 2010.

Jorgensen

Capewell

Prescott

. Population-level changes to promote cardiovascular health. Eur J Prev Cardiol 2013;20(3):409–21.

WHO. WHO Report on the global tobacco epidemic, 2009: Implementing smoke-free environments. Geneva: World Health Organization; 2009.

U.S.Department of Health and Human Services. Issues in reducing tobacco use, summary, and conclusions. In: U.S.Department of Health and Human Services, editor. Reducing tobacco use: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2000, pp. 1–34.

Giskes

Kunst

Ariza

. Applying an equity lens to tobacco-control policies and their uptake in six Western-European countries. J Public Health Policy 2007;28(2):261–80.

Brown

Moodie

Hastings

. A longitudinal study of policy effect (smoke-free legislation) on smoking norms: ITC Scotland/United Kingdom. Nicotine Tob Res 2009;11(8):924–32.

International Agency for Research on Cancer. IARC handbooks of cancer prevention, tobacco control, Vol. 13: Evaluating the effectiveness of smoke-free policies. Lyon, France: International Agency for Research on Cancer; 2009.

Schaap

Kunst

Leinsalu

. Effect of nationwide tobacco control policies on smoking cessation in high and low educated groups in 18 European countries. Tob Control 2008;17(4):248–55.

Smoke-free Environments Act, Act No. 512 of June 6th 2007. Ministry of the Interior and Health Department (2007).

10.

Albæk

. Holy Smoke, no more? Tobacco control in Denmark. In: Feldman

Bayer

, editors. Unfiltered: conflicts over tobacco policy and public health.Cambridge, MA: Harvard University Press; 2004. p. 190–218.

11.

Mons

Nagelhout

Guignard

. Comprehensive smoke-free policies attract more support from smokers in Europe than partial policies. Eur J Public Health 2012 ;22(Suppl 1):10–6.

12.

Verwohlt

. The smoking revolution: Interdependent medicalisation between the state, citizen and epidemiology. Phd thesis. Aalborg, Denmark: Aalborg University, Department of Culture and Global Studies; 2013.

13.

Gilpin

Lee

Pierce

. Changes in population attitudes about where smoking should not be allowed: California versus the rest of the USA. Tob Control 2004;13(1):38–44.

14.

Lader

. Smoking-related Behaviour and attitudes, 2008/09. London: Office for National Statistics; 2009.

15.

Borland

Yong

Siahpush

. Support for and reported compliance with smoke-free restaurants and bars by smokers in four countries: Findings from the International Tobacco Control (ITC) Four Country Survey. Tob Control 2006;15(Suppl 3):iii34–iii41.

16.

Gallus

Zuccaro

Colombo

. Effects of new smoking regulations in Italy. Ann Oncol 2006;17(2):346–7.

17.

Cooper

Borland

Yong

. Compliance and support for bans on smoking in licensed venues in Australia: Findings from the International Tobacco Control Four-Country Survey. Aust N Z J Public Health 2010;34(4):379–85.

18.

Aarestrup

Due

Juel

. Evaluation of the ‘Smokefree Environment Act’ (Evaluering af loven om røgfri miljøer – lov nr. 512 af 6. juni 2007). Copenhagen, Denmark: The National Board of Health & The National Institute of Public Health, University of Southern Denmark; 2009.

19.

Christensen

Ekholm

Glumer

. The Danish National Health Survey 2010. Study design and respondent characteristics. Scand J Public Health 2012;40(4):391–7.

20.

Glümer

Hilding-Nørkjær

Jensen

. Health Profile for Region and Municipalities 2008 (Sundhedsprofil for region og kommuner 2008). the Capital Region of Denmark: Research Centre for Prevention and Health; 2008.

21.

Hammer-Helmich

Buhelt

Andreasen

. Health profile for region and municipalities 2010 (Sundhedsprofil for region og kommuner 2010). The Capital Region of Denmark, Research Centre for Prevention and Health; 2010.

22.

Fong

Hyland

Borland

. Reductions in tobacco smoke pollution and increases in support for smoke-free public places following the implementation of comprehensive smoke-free workplace legislation in the Republic of Ireland: findings from the ITC Ireland/UK Survey. Tob Control 2006;15(Suppl 3):iii51–iii58.

23.

European Commision. Survey on Tobacco: Analytical Report. Eurobarometer #253. Hungary: The Gallup Organisation; 2009.

24.

Hyland

Higbee

Borland

. Attitudes and beliefs about secondhand smoke and smoke-free policies in four countries: findings from the International Tobacco Control Four Country Survey. Nicotine Tob Res 2009;11(6):642–9.

25.

Nagelhout

van den Putte

. The influence of newspaper coverage and a media campaign on smokers’ support for smoke-free bars and restaurants and on secondhand smoke harm awareness: findings from the International Tobacco Control (ITC) Netherlands Survey. Tob Control 2012;21(1):24–9.

26.

Koh

Joossens

Connolly

. Making smoking history worldwide. N Engl J Med 200712;356(15):1496–8.

27.

Callinan

Clarke

Doherty

. Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev 2010;(4):CD005992.

28.

Christensen

Davidsen

Ekholm

. The National Health Profile 2010 – How are you? (Den nationale sundhedsprofil 2010 – Hvordan har du det?). Copenhagen: The Danish National Board of Health; 2011.

Temporal changes in the attitude towards smoking bans in public arenas among adults in the Capital Region of Denmark from 2007 to 2010

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