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Section C. Case Study: Ireland. Smoke-Free Policies in Other Places: Ireland. Image source: adapted by CTLT from Wikimedia Commons. (2004). Implementing Smoke-Free Workplace Policy in Ireland. Ireland’s smoke-free policy took effect in March, 2004 ITC project: www.itcproject.org
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Section C Case Study: Ireland
Smoke-Free Policies in Other Places: Ireland Image source: adapted by CTLT from Wikimedia Commons. (2004).
Implementing Smoke-Free Workplace Policy in Ireland • Ireland’s smoke-free policy took effect in March, 2004 • ITC project: www.itcproject.org • Ireland: 1,000 randomly selected adult smokers • United Kingdom (U.K.): 600 randomly selected adult smokers • 35-minute phone survey • Cohort • Assessments January, 2004; January, 2005; and January, 2006 Image source: Ireland’s Department of Health and Children. (2004).
International Tobacco Control (ITC) Survey Details Image source: Tobacco Control. (2006).
Support for Smoke-Free Laws among Smokers • Important barrier to policy • The perception that smokers would not support a smoke-free law • Key question • How did support among Irish smokers change after the implementation of the law?
Support for Total Ban in Bars/Pubs Source: adapted by CTLT from Fong, et al. (2006).
Support for Total Ban in Restaurants Source: adapted by CTLT from Fong, et al. (2006).
Support for Total Ban in Workplaces Source: adapted by CTLT from Fong, et al. (2006).
What Happens When Places Go Smoke-Free? • Evaluation questions • Does SHS exposure decrease and health improve? • Do people comply with the rules? • Does the hospitality economy suffer? • Unintended consequences • Are smokers more likely to seek treatment services and stop smoking? • Smoke more at home?
Secondhand Smoke Exposure: Ireland and the U.K. Source: adapted by CTLT from Fong, et al. (2006).
Secondhand Smoke Exposure: Ireland and the U.K. Source: adapted by CTLT from Fong, et al. (2006).
Secondhand Smoke Exposure: Ireland and the U.K. Source: adapted by CTLT from Fong, et al. (2006).
What Happens When Places Go Smoke-Free? • Does SHS exposure decrease and health improve? • Do people comply with the rules? • Does the hospitality economy suffer? • Unintended consequences • Are smokers more likely to seek treatment services and stop smoking? • Smoke more at home?
Smoking Cessation Indicators: Ireland and UK Source: adapted by CTLT from Hyland, et al.
What Happens When Places Go Smoke-Free? • Does SHS exposure decrease and health improve? • Do people comply with the rules? • Does the hospitality economy suffer? • Unintended consequences • Are smokers more likely to seek treatment services and stop smoking? • Smoke more at home? • Smoke more and drink more in the home?
Home Smoking Indicators: Ireland and UK Source: adapted by CTLT from Hyland, et al.
Home Smoking Indicators: Ireland, Scotland, UK Source: adapted by CTLT from Hyland, et al. (In press).
Alcohol Drinking Patterns: Ireland, Scotland, UK Source: adapted by CTLT from Hyland, et al. (In press).
Summary: Ireland Experience • Secondhand smoke exposure dramatically reduced • No large clear trend toward increased cessation behavior, but people report the law was a factor in decisions about quitting • Might have missed the uptake in Ireland • Long pre-law campaign • Delayed implementation • Could be other policies/programs • Advertising ban • Warning labels • Different media campaigns • Effects might take more time to manifest
Summary • Evaluation questions • Less SHS exposure? better health outcomes? • Support and compliance? • Economic changes? • Unintended consequences? • Evaluation methods • Examples provided during talk • See IARC handbook chapter for specific details • Evidence from New York, Ireland, and elsewhere suggests smoke-free policies work to clean up the air and increase public support without adverse economic harm
Questions Contact me at:Andrew.hyland@roswellpark.org Website:www.tobaccofreeair.org