Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye

Introduction The study aims to understand the facilitators and barriers associated with enforcing and complying with Türkiye's smoke-free policy from the perspective of hospitality venue owners and employees. Methods A qualitative open-ended survey was conducted in Istanbul and Ankara in 2021...

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Main Authors: Ezgi Baltacı, Aslı Çarkoğlu, Sejal Saraf, Toker Ergüder, Gül Ergör, Mutlu Hayran, Connie Hoe
Format: Article
Language:English
Published: European Publishing 2024-01-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:https://www.tobaccoinduceddiseases.org/Understanding-the-dynamics-of-compliance-to-smoke-free-npolicy-regulations-Exploring,176226,0,2.html
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author Ezgi Baltacı
Aslı Çarkoğlu
Sejal Saraf
Toker Ergüder
Gül Ergör
Mutlu Hayran
Connie Hoe
author_facet Ezgi Baltacı
Aslı Çarkoğlu
Sejal Saraf
Toker Ergüder
Gül Ergör
Mutlu Hayran
Connie Hoe
author_sort Ezgi Baltacı
collection DOAJ
description Introduction The study aims to understand the facilitators and barriers associated with enforcing and complying with Türkiye's smoke-free policy from the perspective of hospitality venue owners and employees. Methods A qualitative open-ended survey was conducted in Istanbul and Ankara in 2021 with 58 respondents from 3 different districts in each city from four types of venues: restaurants, traditional coffee and waterpipe houses, and European-style cafés. The open-ended survey included questions to understand the knowledge, beliefs, and attitudes of respondents about Türkiye's smoke-free policy and their perceptions of the facilitators and/or barriers to smoke-free policy implementation and changes after COVID-19. The data were analyzed using an inductive approach to identify patterns and categorize the data into themes. Results The respondents expressed that the smoke-free policy aimed to protect employees and customers from secondhand smoke (SHS), respect human health, and improve air quality. Findings suggest that the positive attitude of venue owners and staff toward the smoke-free policy serves as a facilitator. However, fear of financial impact, customers’ negative attitudes, difficulties in meeting physical requirements, and insufficient enforcement were found to be barriers to implementing the smoke-free policy. The effects of the COVID-19 pandemic were reported as an initial increase in compliance and awareness among customers and staff, but some respondents noted negative changes due to the emotional and financial effects of prolonged restrictions. These challenges have led to decreased attention on the smoke-free policy among venue owners, staff and customers. Respondents’ suggested improvements were related to building infrastructure, such as the ventilation systems and educating the public on the harmful health effects of smoking. Conclusions Despite the general understanding of the dangers of secondhand smoke and the smoke-free policy, this study highlights the challenges in implementing smoke-free policy measures and the continued need to raise awareness about the importance of a 100% smoke-free venue. A comprehensive approach to addressing the tobacco epidemic as a multifaceted public health issue is essential.
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spelling doaj.art-304fa1ab3451425bad77490da01267c92024-02-13T09:09:30ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January11010.18332/tid/176226176226Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in TürkiyeEzgi Baltacı0https://orcid.org/0000-0001-8553-3858Aslı Çarkoğlu1https://orcid.org/0000-0002-7337-4631Sejal Saraf2Toker Ergüder3https://orcid.org/0000-0003-0471-3043Gül Ergör4https://orcid.org/0000-0002-2263-7526Mutlu Hayran5https://orcid.org/0000-0003-2594-6794Connie Hoe6https://orcid.org/0000-0001-8008-4010Heidelberg Institute of Global Health, Faculty of Medicine, Heidelberg University, Heidelberg, GermanyDepartment of Psychology, Kadir Has University, Istanbul, TürkiyeJohns Hopkins Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, United StatesSpecial Initiative on NCDs and Innovation (SNI), World Health Organization Country Office, Ankara, TürkiyeSchool of Public Health, Dokuz Eylül University, Izmir, TürkiyeCancer Institute, Hacettepe University, Ankara, TürkiyeJohns Hopkins Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, United StatesIntroduction The study aims to understand the facilitators and barriers associated with enforcing and complying with Türkiye's smoke-free policy from the perspective of hospitality venue owners and employees. Methods A qualitative open-ended survey was conducted in Istanbul and Ankara in 2021 with 58 respondents from 3 different districts in each city from four types of venues: restaurants, traditional coffee and waterpipe houses, and European-style cafés. The open-ended survey included questions to understand the knowledge, beliefs, and attitudes of respondents about Türkiye's smoke-free policy and their perceptions of the facilitators and/or barriers to smoke-free policy implementation and changes after COVID-19. The data were analyzed using an inductive approach to identify patterns and categorize the data into themes. Results The respondents expressed that the smoke-free policy aimed to protect employees and customers from secondhand smoke (SHS), respect human health, and improve air quality. Findings suggest that the positive attitude of venue owners and staff toward the smoke-free policy serves as a facilitator. However, fear of financial impact, customers’ negative attitudes, difficulties in meeting physical requirements, and insufficient enforcement were found to be barriers to implementing the smoke-free policy. The effects of the COVID-19 pandemic were reported as an initial increase in compliance and awareness among customers and staff, but some respondents noted negative changes due to the emotional and financial effects of prolonged restrictions. These challenges have led to decreased attention on the smoke-free policy among venue owners, staff and customers. Respondents’ suggested improvements were related to building infrastructure, such as the ventilation systems and educating the public on the harmful health effects of smoking. Conclusions Despite the general understanding of the dangers of secondhand smoke and the smoke-free policy, this study highlights the challenges in implementing smoke-free policy measures and the continued need to raise awareness about the importance of a 100% smoke-free venue. A comprehensive approach to addressing the tobacco epidemic as a multifaceted public health issue is essential.https://www.tobaccoinduceddiseases.org/Understanding-the-dynamics-of-compliance-to-smoke-free-npolicy-regulations-Exploring,176226,0,2.htmlsmoke-free policyfacilitatorsbarrierscompliancecovid-19
spellingShingle Ezgi Baltacı
Aslı Çarkoğlu
Sejal Saraf
Toker Ergüder
Gül Ergör
Mutlu Hayran
Connie Hoe
Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye
Tobacco Induced Diseases
smoke-free policy
facilitators
barriers
compliance
covid-19
title Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye
title_full Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye
title_fullStr Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye
title_full_unstemmed Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye
title_short Understanding the dynamics of compliance to smoke-free policy regulations: Exploring the perspectives of venue owners and staff in Türkiye
title_sort understanding the dynamics of compliance to smoke free policy regulations exploring the perspectives of venue owners and staff in turkiye
topic smoke-free policy
facilitators
barriers
compliance
covid-19
url https://www.tobaccoinduceddiseases.org/Understanding-the-dynamics-of-compliance-to-smoke-free-npolicy-regulations-Exploring,176226,0,2.html
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