Compliance with indoor and outdoor smoke-free ban in Catalan hospitals: what do patients think?

Background In Catalan hospitals, compliance with smoke-free regulation has been evaluated by direct (air markers of tobacco consumption) and indirect methods (surveys to healthcare workers); however, patients have never been asked about their insight on this matter. The objective is to describe the...

Full description

Bibliographic Details
Main Authors: Laura Antón, Marcela Fu, Yolanda Castellano, Anna Riccobene, Esteve Fernández, Cristina Martínez
Format: Article
Language:English
Published: European Publishing 2018-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Compliance-with-indoor-and-outdoor-smoke-free-ban-in-Catalan-hospitals-what-do-patients,84116,0,2.html
_version_ 1829465812048543744
author Laura Antón
Marcela Fu
Yolanda Castellano
Anna Riccobene
Esteve Fernández
Cristina Martínez
author_facet Laura Antón
Marcela Fu
Yolanda Castellano
Anna Riccobene
Esteve Fernández
Cristina Martínez
author_sort Laura Antón
collection DOAJ
description Background In Catalan hospitals, compliance with smoke-free regulation has been evaluated by direct (air markers of tobacco consumption) and indirect methods (surveys to healthcare workers); however, patients have never been asked about their insight on this matter. The objective is to describe the perception of hospitalized patients about compliance with indoor and outdoor smoke-free ban in hospitals. Methods Cross-sectional study in 13 hospitals of the Catalan Network of Smoke-Free Hospitals (Catalonia, Spain) in 2015. The sample size considered the number of beds in each hospital (41-205 patients; 1047 patients in total). We included adult patients hospitalized >24 hours. A face-to-face questionnaire was conducted to collect information about patients (age, sex, reason for admission, smoking status) and smoke-free regulation (having received information about the smoke-free regulation, level of knowledge and perception of compliance). A descriptive analysis was performed and a logistic regression model was calculated to assess the association between the perception of compliance by patients and individual and hospital characteristics (type of hospital, care unit, workers' prevalence of tobacco use, etc.). Results 57.6% of the participants had seen information banners about the smoke-free ban; 4.8% of the participants reported having been verbally informed; 6.4% reported receiving written information. 72.8% of the participants perceived that people respected smoke-free ban in the perimeter of the hospital, but 3.0% had seen smoking indoors and 53.7% outdoors. 65.0% were aware of the current regulation indoors and outdoors. The belief in the compliance with smoke-free ban was higher among older participants. Former (OR=2.08, 95%CI 1.29-3.36) and never smokers (OR=2.49, 95%CI 1.53-4.03) were the ones who most believed in ban's compliance. Conclusions In Catalan hospitals, the compliance with the smoke-free ban is high, according to hospitalized patients. Despite of this, there is room for improvement, especially in outdoor areas. The communication of smoke-free bans addressed to patients should be improved.
first_indexed 2024-12-13T17:02:27Z
format Article
id doaj.art-84369c5bb3e34ed3a9be4fce24e868f8
institution Directory Open Access Journal
issn 1617-9625
language English
last_indexed 2024-12-13T17:02:27Z
publishDate 2018-03-01
publisher European Publishing
record_format Article
series Tobacco Induced Diseases
spelling doaj.art-84369c5bb3e34ed3a9be4fce24e868f82022-12-21T23:37:47ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8411684116Compliance with indoor and outdoor smoke-free ban in Catalan hospitals: what do patients think?Laura Antón0Marcela Fu1Yolanda Castellano2Anna Riccobene3Esteve Fernández4Cristina Martínez5Catalan Institute of Oncology (ICO), SpainCatalan Institute of Oncology (ICO), SpainCatalan Institute of Oncology (ICO), SpainCatalan Institute of Oncology (ICO), SpainCatalan Institute of Oncology (ICO), SpainCatalan Institute of Oncology (ICO), SpainBackground In Catalan hospitals, compliance with smoke-free regulation has been evaluated by direct (air markers of tobacco consumption) and indirect methods (surveys to healthcare workers); however, patients have never been asked about their insight on this matter. The objective is to describe the perception of hospitalized patients about compliance with indoor and outdoor smoke-free ban in hospitals. Methods Cross-sectional study in 13 hospitals of the Catalan Network of Smoke-Free Hospitals (Catalonia, Spain) in 2015. The sample size considered the number of beds in each hospital (41-205 patients; 1047 patients in total). We included adult patients hospitalized >24 hours. A face-to-face questionnaire was conducted to collect information about patients (age, sex, reason for admission, smoking status) and smoke-free regulation (having received information about the smoke-free regulation, level of knowledge and perception of compliance). A descriptive analysis was performed and a logistic regression model was calculated to assess the association between the perception of compliance by patients and individual and hospital characteristics (type of hospital, care unit, workers' prevalence of tobacco use, etc.). Results 57.6% of the participants had seen information banners about the smoke-free ban; 4.8% of the participants reported having been verbally informed; 6.4% reported receiving written information. 72.8% of the participants perceived that people respected smoke-free ban in the perimeter of the hospital, but 3.0% had seen smoking indoors and 53.7% outdoors. 65.0% were aware of the current regulation indoors and outdoors. The belief in the compliance with smoke-free ban was higher among older participants. Former (OR=2.08, 95%CI 1.29-3.36) and never smokers (OR=2.49, 95%CI 1.53-4.03) were the ones who most believed in ban's compliance. Conclusions In Catalan hospitals, the compliance with the smoke-free ban is high, according to hospitalized patients. Despite of this, there is room for improvement, especially in outdoor areas. The communication of smoke-free bans addressed to patients should be improved.http://www.journalssystem.com/tid/Compliance-with-indoor-and-outdoor-smoke-free-ban-in-Catalan-hospitals-what-do-patients,84116,0,2.htmlWCTOH
spellingShingle Laura Antón
Marcela Fu
Yolanda Castellano
Anna Riccobene
Esteve Fernández
Cristina Martínez
Compliance with indoor and outdoor smoke-free ban in Catalan hospitals: what do patients think?
Tobacco Induced Diseases
WCTOH
title Compliance with indoor and outdoor smoke-free ban in Catalan hospitals: what do patients think?
title_full Compliance with indoor and outdoor smoke-free ban in Catalan hospitals: what do patients think?
title_fullStr Compliance with indoor and outdoor smoke-free ban in Catalan hospitals: what do patients think?
title_full_unstemmed Compliance with indoor and outdoor smoke-free ban in Catalan hospitals: what do patients think?
title_short Compliance with indoor and outdoor smoke-free ban in Catalan hospitals: what do patients think?
title_sort compliance with indoor and outdoor smoke free ban in catalan hospitals what do patients think
topic WCTOH
url http://www.journalssystem.com/tid/Compliance-with-indoor-and-outdoor-smoke-free-ban-in-Catalan-hospitals-what-do-patients,84116,0,2.html
work_keys_str_mv AT lauraanton compliancewithindoorandoutdoorsmokefreebanincatalanhospitalswhatdopatientsthink
AT marcelafu compliancewithindoorandoutdoorsmokefreebanincatalanhospitalswhatdopatientsthink
AT yolandacastellano compliancewithindoorandoutdoorsmokefreebanincatalanhospitalswhatdopatientsthink
AT annariccobene compliancewithindoorandoutdoorsmokefreebanincatalanhospitalswhatdopatientsthink
AT estevefernandez compliancewithindoorandoutdoorsmokefreebanincatalanhospitalswhatdopatientsthink
AT cristinamartinez compliancewithindoorandoutdoorsmokefreebanincatalanhospitalswhatdopatientsthink