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Non-compliance with smoke-free law in public places: a systematic review and meta-analysis of global studies.
Daba, Chala; Atamo, Amanuel; Gasheya, Kassahun Ayele; Geto, Abebe Kassa; Gebrehiwot, Mesfin.
Afiliación
  • Daba C; Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
  • Atamo A; Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
  • Gasheya KA; Department of Occupational Health and Safety, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
  • Geto AK; Department of Nursing and Midwifery, Dessie Health Science College, Dessie, Ethiopia.
  • Gebrehiwot M; Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Front Public Health ; 12: 1354980, 2024.
Article en En | MEDLINE | ID: mdl-38694973
ABSTRACT

Introduction:

Non-compliance with smoke-free law is one of the determinants of untimely mortality and morbidity globally. Various studies have been conducted on non-compliance with smoke-free law in public places in different parts of the world; however, the findings are inconclusive and significantly dispersed. Moreover, there is a lack of internationally representative data, which hinders the evaluation of ongoing international activities towards smoke-free law. Therefore, this meta-analysis aimed to assess the pooled prevalence of non-compliance with smoke-free law in public places.

Methods:

International electronic databases, such as PubMed/MEDLINE, Science Direct, Cochrane Library, CINAHL, African Journals Online, HINARI, Semantic Scholar, google and Google Scholar were used to retrieve the relevant articles. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA) guidelines. The Higgs I2 statistics were used to determine the heterogeneity of the reviewed articles. The random-effects model with a 95% confidence interval was carried out to estimate the pooled prevalence of non-compliance.

Results:

A total of 23 articles with 25,573,329 study participants were included in this meta-analysis. The overall pooled prevalence of non-compliance with smoke-free law was 48.02% (95% CI 33.87-62.17). Extreme heterogeneity was observed among the included studies (I2 = 100%; p < 0.000). The highest non-compliance with smoke-free law was noted in hotels (59.4%; 95% CI 10.5-108.3) followed by homes (56.8%; 95% CI 33.2-80.4), with statistically significant heterogeneity.

Conclusion:

As the prevalence of non-compliance with smoke-free law is high in public places, it calls for urgent intervention. High non-compliance was found in food and drinking establishments and healthcare facilities. In light of these findings, follow-up of tobacco-free legislation and creating awareness that focused on active smokers particularly in food and drinking establishments is recommended.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Política para Fumadores Límite: Humans Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Política para Fumadores Límite: Humans Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Suiza