- Title
- Signs, fines and compliance officers: a systematic review of strategies for enforcing smoke-free policy
- Creator
- Wynne, Olivia; Guillaumier, Ashleigh; Twyman, Laura; McCrabb, Sam; Denham, Alexandra M. J.; Paul, Christine; Baker, Amanda L.; Bonevski, Billie
- Relation
- International Journal of Environmental Research and Public Health Vol. 15, Issue 7, no. 1386
- Publisher Link
- http://dx.doi.org/10.3390/ijerph15071386
- Publisher
- MDPI AG
- Resource Type
- journal article
- Date
- 2018
- Description
- Background: Smoke-free environment policies limit or eliminate the use of smoke-producing tobacco in designated areas thereby reducing second hand smoke. Enforcement is perceived as critical to the successful adoption of a smoke-free policy. However, there is limited guidance available regarding effective enforcement strategies. A systematic review was conducted to examine the effectiveness of enforcement strategies at increasing compliance with and enforcement of smoke-free policies; and to determine circumstances other than enforcement strategies that are associated with compliance with smoke-free policies. Design: Medline, Medline in Process, The Cochrane Library, Embase, PsycInfo and CINAHL databases were searched using MeSH and keywords for relevant studies published between January 1980 and August 2017. A narrative synthesis and methodological quality assessment of included studies was undertaken. Results: Policy promotion and awareness-raising activities, signage, enforcement officers, and penalties for violations were the enforcement strategies most frequently cited as being associated with successful policy enforcement. Additionally, awareness of the laws, non-smoking management and lower staff smoking rates, and membership of a network guiding the policy enforcement contributed to higher compliance with smoke-free policies. Conclusions: There is weak evidence of the effectiveness of strategies associated with compliance with smoke-free policies. Given the evidence base is weak, well-designed trials utilizing appropriate evaluation designs are needed. Overall enforcement strategies associated with total smoke-free bans resulted in higher levels of compliance than strategies for policies that had only partial smoke-free bans.
- Subject
- smoke-free environment; enforcement strategies; smoke-free policy; smoking cessation
- Identifier
- http://hdl.handle.net/1959.13/1416554
- Identifier
- uon:37072
- Identifier
- ISSN:1661-7827
- Rights
- This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
- Language
- eng
- Full Text
- Reviewed
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