Evaluating a tobacco-free university policy: A repeated cross-sectional survey of faculty and staff in Lebanon

Introduction A growing body of research has evaluated the effect of university tobacco-free policies on faculty and staff, however, none of these studies has been carried out in the Eastern Mediterranean Region. This study evaluates changes in faculty and staff attitudes, perceptions and smoking beh...

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Main Authors: Dina Farran, Rima Nakkash, Mahmoud Al-Hindi, Maya Romani, Martin J. O. Asser, Mary Khairallah, Monique Chaaya
Format: Article
Language:English
Published: European Publishing 2021-05-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Evaluating-a-tobacco-free-university-policy-A-repeated-cross-sectional-nsurvey-of,133751,0,2.html
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author Dina Farran
Rima Nakkash
Mahmoud Al-Hindi
Maya Romani
Martin J. O. Asser
Mary Khairallah
Monique Chaaya
author_facet Dina Farran
Rima Nakkash
Mahmoud Al-Hindi
Maya Romani
Martin J. O. Asser
Mary Khairallah
Monique Chaaya
author_sort Dina Farran
collection DOAJ
description Introduction A growing body of research has evaluated the effect of university tobacco-free policies on faculty and staff, however, none of these studies has been carried out in the Eastern Mediterranean Region. This study evaluates changes in faculty and staff attitudes, perceptions and smoking behavior, at 1 year post adoption of a tobacco-free policy in a medium-sized university in Lebanon and the region. Methods Two cross-sectional surveys were conducted in 2017 and 2018: baseline and at 1 year post policy implementation. A random sample of 625 and 624 participants took part in the 2017 and 2018 studies, respectively. Results Faculty and staff had a positive attitude towards the policy at the two time points. The belief that there should be exceptions to the policy significantly decreased from 79% to 59% (p=0.002) among all smokers, particularly those with lower educational attainment (81% to 57%, p=0.007). Perception of compliance among peer smokers increased from 73% to 87% (p=0.009). The proportion of smokers did not significantly change at 1 year post policy implementation, however, 44% of smokers with lower educational attainment, compared to only 7% of those with higher educational attainment (p<0.001), reported a decrease in their smoking behavior outside campus. Conclusions The policy had a positive effect on the attitude, behavior and perception of policy benefits among smokers with lower educational attainment, who constitute the majority of smokers. Findings from this study inform and support future efforts to develop university and workplace tobacco-free policies.
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spelling doaj.art-588697208f5144a39db836cfaddc629e2022-12-22T02:41:27ZengEuropean PublishingTobacco Induced Diseases1617-96252021-05-0119May11010.18332/tid/133751133751Evaluating a tobacco-free university policy: A repeated cross-sectional survey of faculty and staff in LebanonDina Farran0Rima Nakkash1Mahmoud Al-Hindi2Maya Romani3Martin J. O. Asser4Mary Khairallah5Monique Chaaya6Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonDepartment of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonDepartment of Chemical Engineering and Advanced Energy, Maroun Semaan Faculty of Engineering and Architecture, American University of Beirut, Beirut, LebanonDepartment of Family Medicine, American University of Beirut, Beirut, LebanonOffice of Communications, American University of Beirut, Beirut, LebanonOffice of Human Resources, American University of Beirut, Beirut, LebanonDepartment of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonIntroduction A growing body of research has evaluated the effect of university tobacco-free policies on faculty and staff, however, none of these studies has been carried out in the Eastern Mediterranean Region. This study evaluates changes in faculty and staff attitudes, perceptions and smoking behavior, at 1 year post adoption of a tobacco-free policy in a medium-sized university in Lebanon and the region. Methods Two cross-sectional surveys were conducted in 2017 and 2018: baseline and at 1 year post policy implementation. A random sample of 625 and 624 participants took part in the 2017 and 2018 studies, respectively. Results Faculty and staff had a positive attitude towards the policy at the two time points. The belief that there should be exceptions to the policy significantly decreased from 79% to 59% (p=0.002) among all smokers, particularly those with lower educational attainment (81% to 57%, p=0.007). Perception of compliance among peer smokers increased from 73% to 87% (p=0.009). The proportion of smokers did not significantly change at 1 year post policy implementation, however, 44% of smokers with lower educational attainment, compared to only 7% of those with higher educational attainment (p<0.001), reported a decrease in their smoking behavior outside campus. Conclusions The policy had a positive effect on the attitude, behavior and perception of policy benefits among smokers with lower educational attainment, who constitute the majority of smokers. Findings from this study inform and support future efforts to develop university and workplace tobacco-free policies.http://www.tobaccoinduceddiseases.org/Evaluating-a-tobacco-free-university-policy-A-repeated-cross-sectional-nsurvey-of,133751,0,2.htmltobacco-free policiessmoking behavioruniversityfacultystaff
spellingShingle Dina Farran
Rima Nakkash
Mahmoud Al-Hindi
Maya Romani
Martin J. O. Asser
Mary Khairallah
Monique Chaaya
Evaluating a tobacco-free university policy: A repeated cross-sectional survey of faculty and staff in Lebanon
Tobacco Induced Diseases
tobacco-free policies
smoking behavior
university
faculty
staff
title Evaluating a tobacco-free university policy: A repeated cross-sectional survey of faculty and staff in Lebanon
title_full Evaluating a tobacco-free university policy: A repeated cross-sectional survey of faculty and staff in Lebanon
title_fullStr Evaluating a tobacco-free university policy: A repeated cross-sectional survey of faculty and staff in Lebanon
title_full_unstemmed Evaluating a tobacco-free university policy: A repeated cross-sectional survey of faculty and staff in Lebanon
title_short Evaluating a tobacco-free university policy: A repeated cross-sectional survey of faculty and staff in Lebanon
title_sort evaluating a tobacco free university policy a repeated cross sectional survey of faculty and staff in lebanon
topic tobacco-free policies
smoking behavior
university
faculty
staff
url http://www.tobaccoinduceddiseases.org/Evaluating-a-tobacco-free-university-policy-A-repeated-cross-sectional-nsurvey-of,133751,0,2.html
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