The contribution of a ‘whole of government’ smoke-free policy on the island of St Helena

Under its Health Promotion Strategic Framework 2018–19 the St Helena Government prioritised action to address smoking and obesity to reduce a high non-communicable disease burden. The first tobacco control measure was a policy, ‘Smoke-Free Government’ (SFG), to create smoke-free public outdoor and i...

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Main Author: Angela Mary Jackson-Morris
Format: Article
Language:English
Published: Taylor & Francis Group 2019-01-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2019.1681756
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author Angela Mary Jackson-Morris
author_facet Angela Mary Jackson-Morris
author_sort Angela Mary Jackson-Morris
collection DOAJ
description Under its Health Promotion Strategic Framework 2018–19 the St Helena Government prioritised action to address smoking and obesity to reduce a high non-communicable disease burden. The first tobacco control measure was a policy, ‘Smoke-Free Government’ (SFG), to create smoke-free public outdoor and indoor sites across all sites and services for staff and public users, abolish ‘official’ staff ‘smoking breaks’, and establish and promote community-wide cessation support. This paper assesses the perceived acceptability and preliminary impact of SFG in St Helena 2018–19. An online survey of government staff was undertaken 6 months post-SFG implementation to obtain insight into perceived impact, implementation, and acceptability. A population-wide health survey provided smoking prevalence and quit data prior to, and 11 months post-implementation. A majority of staff believed the policy contributed to reducing smoking, was generally observed, accepted, and entailed one or more positive effects, including reduced second-hand smoke exposure, increased quit attempts, and reduced disruption from ‘smoke-breaks’. Recommendations were consistent enforcement and expanded quit support. Population data for the SFG period indicated that smoking, and particularly daily smoking declined, quit intentions increased, and quit attempts almost doubled. The SFG policy appears to have contributed positively towards stronger tobacco control in St Helena in 2018–19.
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spelling doaj.art-1cb93ddb7f0546528cf00be2291c71962022-12-22T01:54:25ZengTaylor & Francis GroupGlobal Health Action1654-98802019-01-0112110.1080/16549716.2019.16817561681756The contribution of a ‘whole of government’ smoke-free policy on the island of St HelenaAngela Mary Jackson-Morris0St Helena GovernmentUnder its Health Promotion Strategic Framework 2018–19 the St Helena Government prioritised action to address smoking and obesity to reduce a high non-communicable disease burden. The first tobacco control measure was a policy, ‘Smoke-Free Government’ (SFG), to create smoke-free public outdoor and indoor sites across all sites and services for staff and public users, abolish ‘official’ staff ‘smoking breaks’, and establish and promote community-wide cessation support. This paper assesses the perceived acceptability and preliminary impact of SFG in St Helena 2018–19. An online survey of government staff was undertaken 6 months post-SFG implementation to obtain insight into perceived impact, implementation, and acceptability. A population-wide health survey provided smoking prevalence and quit data prior to, and 11 months post-implementation. A majority of staff believed the policy contributed to reducing smoking, was generally observed, accepted, and entailed one or more positive effects, including reduced second-hand smoke exposure, increased quit attempts, and reduced disruption from ‘smoke-breaks’. Recommendations were consistent enforcement and expanded quit support. Population data for the SFG period indicated that smoking, and particularly daily smoking declined, quit intentions increased, and quit attempts almost doubled. The SFG policy appears to have contributed positively towards stronger tobacco control in St Helena in 2018–19.http://dx.doi.org/10.1080/16549716.2019.1681756tobaccosmokinggovernmentpolicyisland
spellingShingle Angela Mary Jackson-Morris
The contribution of a ‘whole of government’ smoke-free policy on the island of St Helena
Global Health Action
tobacco
smoking
government
policy
island
title The contribution of a ‘whole of government’ smoke-free policy on the island of St Helena
title_full The contribution of a ‘whole of government’ smoke-free policy on the island of St Helena
title_fullStr The contribution of a ‘whole of government’ smoke-free policy on the island of St Helena
title_full_unstemmed The contribution of a ‘whole of government’ smoke-free policy on the island of St Helena
title_short The contribution of a ‘whole of government’ smoke-free policy on the island of St Helena
title_sort contribution of a whole of government smoke free policy on the island of st helena
topic tobacco
smoking
government
policy
island
url http://dx.doi.org/10.1080/16549716.2019.1681756
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