Opinion and perception of attitudes related to smoking and its prohibition in mental health services

Introduction: The opinions and perceptions about smoking in the psychiatric population contribute to the fact that its prevalence in this population remains two or three times higher than that found in other groups.Aims: 1) To compare the opinions of the psychiatric population and general population regarding the smoking ban in mental health services, as well as their perception of mental health professionals’ attitudes in relation to smoking; 2) To identify the association between personal and clinical variables with opinions and perception of attitudes.Methods: This Brazilian cross-sectional epidemiological study took place in: Mental Health Outpatient Unit (n=126), Psychiatric Hospital (n=126) and Primary Health Unit (n=126). Individual interviews were performed using a questionnaire.Results: Most participants believe that smoking ban may aggravate psychiatric symptoms. When comparing the responses of the psychiatric population with those of the general population, it is observed that the two groups have similar opinions regarding the effects of tobacco on psychiatric symptoms and behaviors. The population hospitalized in the psychiatric hospital was the one that most agreed with the perception of the attitudes of professionals working in mental health services towards smoking, possibly due to situations experienced in the psychiatric hospital. Among the personal and clinical variables, the illiterate or those who studied up to primary/junior high school were the ones who most agreed that the smoking ban aggravates psychiatric symptoms.Conclusions: This study contribute to the practice of psychiatric nursing by disclosing the opinions and perceptions of attitudes associated with smoking in mental health services. Introducción: Las opiniones y percepciones acerca del tabaquismo de la población psiquiátrica contribuyen a que su prevalencia, en esa población, sea de dos a tres veces superior a la encontrada en otros grupos.Objetivos: 1) Comparar las opiniones de la población psiquiátrica y de la población general en relación a la prohibición de fumar, en los servicios de salud mental, así como comparar la percepción que tienen de las actitudes de profesionales de salud mental, en relación al tabaquismo; 2) Identificar la asociación entre variables personales y clínicas con las opiniones y percepciones de las actitudes.Método: Este estudio epidemiológico brasileño de corte transversal fue realizado en Ambulatorio de Salud Mental (n=126), en Hospital psiquiátrico (n=126) y en Unidad Básica de Salud (n=126). Fueron realizadas entrevistas individuales usando un cuestionario.Resultados: La mayoría de los participantes cree que los síntomas psiquiátricos pueden agravarse con la prohibición de fumar. Al comparar las respuestas de la población psiquiátrica con la población general, se observó que los dos grupos tienen opiniones similares acerca de los efectos del tabaco en los síntomas psiquiátricos y en el comportamiento. La población internada en el hospital psiquiátrico fue la que más concordó con las afirmaciones relacionadas a las actitudes de los profesionales que trabajan en los servicios de salud mental, en relación al tabaquismo, posiblemente debido a las situaciones que experimentan en el hospital psiquiátrico. Entre las variables personales y clínicas, los analfabetos y los que estudiaron hasta la enseñanza fundamental fueron los que más concordaron que la prohibición de fumar puede agravar los síntomas psiquiátricos.Conclusión: Este estudio contribuye para la práctica de la enfermería psiquiátrica, al revelar las opiniones y percepciones de actitudes relacionadas al tabaquismo, en los servicios de salud mental. Introdução: As opiniões e percepções acerca do tabagismo da população psiquiátrica contribuem para sua prevalência, nessa população, ser duas a três vezes superior à encontrada em outros grupos.Objetivo: 1) Comparar as opiniões da população psiquiátrica e da população geral em relação à proibição do fumo nos serviços de saúde mental, bem como a percepção que elas têm das atitudes dos profissionais de saúde mental em relação ao tabagismo; 2) Identificar a associação entre variáveis pessoais e clínicas com as opiniões e percepção das atitudes.Método: Este estudo epidemiológico brasileiro de corte transversal foi realizado em: Ambulatório de Saúde Mental (n=126), Hospital psiquiátrico (n=126) e Unidade Básica de Saúde (n=126). Foram conduzidas entrevistas individuais usando questionário.Resultados: A maioria dos participantes acredita que os sintomas psiquiátricos podem ser agravados com a proibição do fumo. Ao comparar as respostas da população psiquiátrica com as da população geral, é observado que os dois grupos têm opiniões similares acerca dos efeitos do tabaco nos sintomas psiquiátricos e no comportamento. A população internada no hospital psiquiátrico foi a que mais concordou com as afirmativas relacionadas às atitudes dos profissionais que trabalham nos serviços de saúde mental em relação ao tabagismo, possivelmente devido às situações que experienciam no hospital psiquiátrico. Dentre as variáveis pessoais e clínicas, os analfabetos e os que estudaram até o ensino fundamental foram os que mais concordaram que a proibição do fumo pode agravar os sintomas psiquiátricos.Conclusão: Este estudo contribui para a prática da enfermagem psiquiátrica ao revelar as opiniões e percepções das atitudes relacionadas ao tabagismo nos serviços de saúde mental.

Finally a Smoking Gun? Compensating Differentials and the Introduction of Smoking Bans

Using the staggered introduction of smoking bans in the German hospitality industry over 2007–2008, I find a robust 2.4 percent decline in the daily earnings of workers in bars and restaurants associated with the most comprehensive smoking ban. This effect is unlikely to be driven by a decline in hospitality revenues or hours worked but is consistent with a simple model of compensating differentials. (JEL I12, I18, J22, J31, J81, L83)

SMOKE FREE AREA (SFA) DISTRICT REGULATION SUPPORT FOR ESTABLISHMENT OF A CHILD FRIENDLY SCHOOL (CFS) IN KULON PROGO DISTRICT

ABSTRACTFollowing the Child-Friendly School (CFS) Guidelines made by the Deputy for Child Development, Ministry of Women Empowerment and Child Protection (2015), one of the components that must be fulfilled is a commitment to make schools a Smoke-Free Area (SFA). Kulon Progo has District Regulation No. 5 of 2014 concerning SFA, thus it can be used as a commitment by a school guide, making it an SFA. The results of interviews with the District Social Service for Women's Empowerment and Child Protection Office stated that CFS currently remains at the initiation stage. Efforts should be made to create comfortable learning conditions for children with the support of the SFA District Regulation in the formation of CFS in Kulon Progo Regency. Analysis of the implementation monitoring checklist/compliance with District Regulation No. 5/2014 concerning SFA in 2020 which is carried out by the SFA supervision task force. Descriptive analysis method by looking at trends based on the proportion of the 10 variables used. The results of the data study show that 89.5% have been exposed to the socialization of District Regulations, 52.6% have a supervisory task force, 86.8% have installed SFA signs at the Entrance, 100% have a smoking ban warning installed, 23.7% has a place specifically for smoking, 10.5% found an ashtray in the building, 7.9% found cigarette butts, 2.6% found cigarette advertisements, 5.3% found cigarette sellers, 7.9% smoked people. From the data analysis, it is known that 81.58% have complied with SFA. However, this compliance is not optimal. This is indicated by the high percentage of availability of designated smoking areas in schools and ashtrays, cigarette butts, cigarette advertisements, cigarette sellers, and smoking people found. Schools should have a zero percentage in these variables; thus, they are not fully committed as a condition for the formation of CFS. It is necessary to optimize the application of District Regulations to create a smoke-free school environment as evidenced by not providing smoking places in schools, not allowing cigarette advertisements, smoking outside, and imposing sanctions for non-smoking violators in the school environment. Keywords: Support, Smoke-Free Area (SFA), Child Friendly Schools, Kulon Progo

Change in exposure of children to second-hand smoke with impact on children’s health and change in parental smoking habits after smoking ban in Bavaria – a multiple cross-sectional study

Background Concerns about smoking displacement from public places to private amenities aroused following smoking ban implementation in Bavaria in 2008. We analysed children’s exposure to second-hand smoke (SHS) before and after the ban, its effect on children’s health and prevalence of active smoking in adults. Methods Six cross-sectional surveys (n = 32,443) on pre-school children in Bavaria were analysed, two surveys before the smoking ban in years 2004 and 2005 (S1 and S2) and four after the ban in 2008, 2012, 2014 and 2016 (S4, S6, S7 and S8). Using multivariable logistic regression, we analysed change in children’s intra- and extrauterine SHS exposure and its adverse health effects (Asthma, wheezing, bronchitis and neurodermatitis) as well as change in parental active smoking. Results The response rates were 78% for S1, 73% for S2, 61% for S4, 62% for S6, 56% for S7 and 54% for S8. Odds of parents never smoked at home in presence of children increased significantly from before to after the ban with odds ratios (OR) 1.17 (CI95% 1.01–1.35), 1.65 (CI95% 1.39–1.95), 2.85 (CI95% 2.32–3.51), 2.24 (CI95% 1.84–2.72) and 3.66 (CI95% 2.89–4.63) for S2, S4, S6, S7 and S8, respectively with S1 as reference. Compared to S4, odds of parents who were not actively smoking is significantly higher in S7 (OR = 1.13 (CI95% 1.03–1.24)) and S8 (OR = 1.24 (CI95% 1.13–1.36)). The odds of mothers who never smoked during pregnancy increased over time with OR = 1.22 (CI95% 1.06–1.40) for S2 and 1.57 (CI95% 1.33–1.86) for S8 compared to S1. Adverse health effects related to children’s exposure to SHS are significantly less in S8 compared to S1. Conclusion After 11 years of smoking ban in Bavaria, smoking displacement to homes was disproved. Exposure of children to SHS intrauterine and at home is decreasing. Number of parents who are not actively smoking is increasing over time. Prevalence of health problems in children related to exposure to SHS is decreasing.

All smoke and mirrors? The Taylor litigation and issues surrounding the smoking ban in New Zealand prisons

<p>A 2005 prisoner health survey found that almost three quarters of the New Zealand prison population identified as smokers. Tobacco was deeply engrained in prison culture and smoking was viewed as an aid for managing the stress and boredom associated with prison life. The Department of Corrections implemented a policy on 1 July 2011, banning smoking in all areas of all prisons in New Zealand. The policy aimed to improve the long-term health of prisoners, and create a healthier workplace environment. Arthur Taylor, a notorious and litigious criminal, successfully challenged the delegated legislation implementing the policy by way of judicial review. This paper argues that the judicial reasoning was flawed, as it was based on erroneous assumptions without a thorough assessment and interpretation of the legislative history. Despite Taylor’s successful claims, the smoking ban was then incorporated into primary legislation. This paper examines the method of implementation, finding issues with retrospective and privative clauses introduced by a late stage supplementary order paper. Prisoners are a group especially vulnerable to curtailment of rights and freedoms, and this paper concludes that removal of the freedom to smoke in prison cells and outside in prison yards was a step too far.</p>

All smoke and mirrors? The Taylor litigation and issues surrounding the smoking ban in New Zealand prisons

<p>A 2005 prisoner health survey found that almost three quarters of the New Zealand prison population identified as smokers. Tobacco was deeply engrained in prison culture and smoking was viewed as an aid for managing the stress and boredom associated with prison life. The Department of Corrections implemented a policy on 1 July 2011, banning smoking in all areas of all prisons in New Zealand. The policy aimed to improve the long-term health of prisoners, and create a healthier workplace environment. Arthur Taylor, a notorious and litigious criminal, successfully challenged the delegated legislation implementing the policy by way of judicial review. This paper argues that the judicial reasoning was flawed, as it was based on erroneous assumptions without a thorough assessment and interpretation of the legislative history. Despite Taylor’s successful claims, the smoking ban was then incorporated into primary legislation. This paper examines the method of implementation, finding issues with retrospective and privative clauses introduced by a late stage supplementary order paper. Prisoners are a group especially vulnerable to curtailment of rights and freedoms, and this paper concludes that removal of the freedom to smoke in prison cells and outside in prison yards was a step too far.</p>

Research on the Evaluation System of College Students’ Ideological Education Supporting Smoking Banon Campus in the AI Era-Based on the Analysis Framework of AGIL

Objectives: Artificial intelligence has profoundly changed the way of university education. The tobacco ban on university campuses has become a consensus among people. The public smoking ban among university students requires both external constraints and internal ideological education. The evaluation system construction of college students’ ideological education is an effective way to improve the quality of college students’ ideological education, and it has a guiding role in promoting the ideological education of college students. The evaluation system is a whole, so we should start from structural function, and pursue the system construction and implementation path from the inside to the outside. Parsons Structural Function Analysis Framework (AGIL) is a systematic analysis method to study the structural function of social action. Using AGIL for analysis, the evaluation subject, evaluation objective, evaluation organization and evaluation system constitute the functional structure of the evaluation. To build an ideological education evaluation system for college students, the implementation path involves optimizing evaluation subject and promoting result evaluation; focusing on evaluation objectives and enhancing process evaluation; strengthening evaluation organization and breaking through value-added evaluation; improving evaluation system and perfecting comprehensive evaluation.

A Quantitative Study on the Policy Text of Chinese Government Purchasing Public Sports Services under the Background of the Smoking Ban: From the Perspective of Policy Tools

Under the background of the smoking ban China, the quantitative analysis of policy texts is adopted to analyze 90 existing policy texts that are closely related to the government's purchase of public sports services in China. A two-dimensional analysis framework of policy instruments is constructed in this paper to analyze the government's purchase of public sports services policy from the perspective of the Y dimension of the policy instruments, which includes three participants: government departments, social organizations and individual citizens, and the X dimension of the economic, political, administrative, management and social policy instruments, revealing the concrete performance of the government's purchase of public sports services policy as the transformation of government functions. Some problems such as insufficient use of some policy instruments in the policy text and further improvement of the management system are found, and corresponding suggestions are put forward in order to provide theoretical reference for policy improvement.