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Lessons from an Evaluation of a Provincial-Level Smoking Control Policy in Shanghai, China

Author

Listed:
  • Xiang Li
  • Junling Gao
  • Zhixing Zhang
  • Minqi Wei
  • Pinpin Zheng
  • Eric J Nehl
  • Frank Y Wong
  • Carla J Berg

Abstract

Background: The Shanghai Public Places Smoking Control Legislation was implemented in March 2010 as the first provincial-level legislation promoting smoke-free public places in China. Objective: To evaluate the compliance with this policy as well as its impact on exposure to secondhand smoke (SHS), respiratory symptoms, and related attitudes among employees in five kinds of workplaces (schools, kindergartens, hospitals, hotels, and shopping malls). Methods: A cross-sectional survey was conducted six months before and then six months after the policy was implemented. Five types of occupational employees from 52 work settings were surveyed anonymously using multistage stratified cluster sampling. Results: Six months after implementation, 82% of the participants agreed that “legislation is enforced most of the time”. The percentage of self-reported exposure to secondhand smoke declined from round up to 49% to 36%. High compliance rates were achieved in schools and kindergartens (above 90%), with less compliance in hotels and shopping malls (about 70%). Accordingly, prevalence of exposure to SHS was low in schools and kindergartens (less than 10%) and high in hotels and shopping malls (40% and above). The prevalence of respiratory and sensory symptoms (e.g., red or irritated eyes) among employees decreased from 83% to 67%. Conclusions: Initial positive effects were achieved after the implementation of Shanghai Smoking Control legislation including decreased exposure to SHS. However, compliance with the policies was a considerable problem in some settings. Further evaluation of such policy implementation should be conducted to inform strategies for increasing compliance in the future.

Suggested Citation

  • 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.
  • Handle: RePEc:plo:pone00:0074306
    DOI: 10.1371/journal.pone.0074306
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    References listed on IDEAS

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    1. 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.
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    Cited by:

    1. Pinpin Zheng & Carla J. Berg & Michelle C. Kegler & Wenjie Fu & Jing Wang & Xilan Zhou & Dong Liu & Hua Fu, 2014. "Smoke-Free Homes and Home Exposure to Secondhand Smoke in Shanghai, China," IJERPH, MDPI, vol. 11(11), pages 1-14, November.

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