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Policy support, norms, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico City

Author

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  • Thrasher, J.F.
  • Pérez-Hernández, R.
  • Swayampakala, K.
  • Arillo-Santillán, E.
  • Bottai, M.

Abstract

Objectives. We assessed attitudes and beliefs about smoke-free laws, compliance, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico City. Methods. Trends and odds of change in attitudes and beliefs were analyzed across 3 representative surveys of Mexico City inhabitants: before implementation of the policy (n=800), 4 months after implementation (n=961), and 8 months after implementation (n=761). Results. Results indicated high and increasing support for 100% smoke-free policies, although support did not increase for smoke-free bars. Agreement that such policies improved health and reinforced rights was high before policy implementation and increased thereafter. Social unacceptability of smoking increased substantially, although 25% of nonsmokers and 50% of smokers agreed with smokers' rights to smoke in public places at the final survey wave. Secondhand smoke exposure declined generally as well as in venues covered by the law, although compliance was incomplete, especially in bars. Conclusions. Comprehensive smoke-free legislation in Mexico City has been relatively successful, with changes in perceptions and behavior consistent with those revealed by studies conducted in high-income countries. Normative changes may prime populations for additional tobacco control interventions.

Suggested Citation

  • Thrasher, J.F. & Pérez-Hernández, R. & Swayampakala, K. & Arillo-Santillán, E. & Bottai, M., 2010. "Policy support, norms, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico City," American Journal of Public Health, American Public Health Association, vol. 100(9), pages 1789-1798.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.180950_1
    DOI: 10.2105/AJPH.2009.180950
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    1. Nagelhout, Gera E. & Mons, Ute & Allwright, Shane & Guignard, Romain & Beck, François & Fong, Geoffrey T. & de Vries, Hein & Willemsen, Marc C., 2011. "Prevalence and predictors of smoking in "smoke-free" bars. Findings from the International Tobacco Control (ITC) Europe Surveys," Social Science & Medicine, Elsevier, vol. 72(10), pages 1643-1651, May.
    2. Rosen, Laura J. & Rier, David A. & Schwartz, Robert & Oren, Anat & Kopel, Anna & Gevman, Alexandra & Zeller, Mitch & Connolly, Gregory, 2012. "Public support for smoke-free areas in Israel: A case for action," Health Policy, Elsevier, vol. 106(2), pages 161-168.
    3. Ernesto M. Sebrié & Verónica Schoj & Mark J. Travers & Barbara McGaw & Stanton A. Glantz, 2012. "Smokefree Policies in Latin America and the Caribbean: Making Progress," IJERPH, MDPI, vol. 9(5), pages 1-17, May.
    4. Genevieve Sansone & Geoffrey T. Fong & Gang Meng & Lorraine V. Craig & Steve S. Xu & Anne C. K. Quah & Janine Ouimet & Yumiko Mochizuki & Itsuro Yoshimi & Takahiro Tabuchi, 2020. "Secondhand Smoke Exposure in Public Places and Support for Smoke-Free Laws in Japan: Findings from the 2018 ITC Japan Survey," IJERPH, MDPI, vol. 17(3), pages 1-10, February.
    5. Xiang Li & Junling Gao & Zhixing Zhang & Minqi Wei & Pinpin Zheng & Eric J Nehl & Frank Y Wong & Carla J Berg, 2013. "Lessons from an Evaluation of a Provincial-Level Smoking Control Policy in Shanghai, China," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
    6. Miao Guan & Changsheng Xiong, 2022. "The Net Spatio-Temporal Impact of the International Tourism Is-Land Strategy on the Ecosystem Service Value of Hainan Island: A Counterfactual Analysis," Land, MDPI, vol. 11(10), pages 1-15, September.

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