Smokefree policies to reduce tobacco use. A systematic review
- PMID: 20117612
- DOI: 10.1016/j.amepre.2009.10.029
Smokefree policies to reduce tobacco use. A systematic review
Abstract
In 2001, a systematic review for the Guide to Community Preventive Services identified strong evidence of effectiveness of smoking bans and restrictions in reducing exposure to environmental (secondhand) tobacco smoke. As follow-up to that earlier review, the focus here was on the evidence on effectiveness of smokefree policies in reducing tobacco use. Smokefree policies implemented by worksites or communities prohibit smoking in workplaces and designated public areas. The conceptual approach was modified for this review; an updated search for evidence was conducted; and the available evidence was evaluated. Published articles that met quality criteria and evaluated changes in tobacco-use prevalence or cessation were included in the review. A total of 57 studies were identified in the period 1976 through June 2005 that met criteria to be candidates for review; of these, 37 met study design and quality of execution criteria to qualify for final assessment. Twenty-one studies measured absolute differences in tobacco-use prevalence with a median effect of -3.4 percentage points (interquartile interval: -6.3 to -1.4 percentage points). Eleven studies measured differences in tobacco-use cessation among tobacco users exposed to a smokefree policy compared with tobacco users not exposed to a smokefree policy. The median absolute change was an increase in cessation of 6.4 percentage points (interquartile interval: 1.3 to 7.9 percentage points). The qualifying studies provided sufficient evidence that smokefree policies reduce tobacco use among workers when implemented in worksites or by communities. Finally, a systematic economic review identified four studies that, overall, demonstrated economic benefits from a smokefree workplace policy. Additional research is needed to more fully evaluate the total economic effects of these policies.
Published by Elsevier Inc.
Similar articles
-
Worksite-based incentives and competitions to reduce tobacco use. A systematic review.Am J Prev Med. 2010 Feb;38(2 Suppl):S263-74. doi: 10.1016/j.amepre.2009.10.034. Am J Prev Med. 2010. PMID: 20117611 Review.
-
A qualitative assessment of the smoking policies and cessation activities at smaller workplaces.BMC Public Health. 2018 Sep 5;18(1):1094. doi: 10.1186/s12889-018-6001-9. BMC Public Health. 2018. PMID: 30185177 Free PMC article.
-
Changes in Self-Reported Smokefree Workplace Policy Coverage Among Employed Adults-United States, 2003 and 2010-2011.Nicotine Tob Res. 2018 Sep 25;20(11):1327-1335. doi: 10.1093/ntr/ntx202. Nicotine Tob Res. 2018. PMID: 29059420 Free PMC article.
-
Effect of workplace smoking policies on smoking cessation: results of a longitudinal study.J Occup Environ Med. 1999 Dec;41(12):1121-7. doi: 10.1097/00043764-199912000-00017. J Occup Environ Med. 1999. PMID: 10609233
-
Smokefree legislation: a review of health and economic outcomes research.Am J Prev Med. 2010 Dec;39(6 Suppl 1):S66-76. doi: 10.1016/j.amepre.2010.08.013. Am J Prev Med. 2010. PMID: 21074680 Review.
Cited by
-
Predictor of smoking cessation among school-going adolescents in Indonesia: a secondary analysis based on the transtheoretical model of behavioral change.Front Psychiatry. 2024 Mar 7;15:1374731. doi: 10.3389/fpsyt.2024.1374731. eCollection 2024. Front Psychiatry. 2024. PMID: 38516262 Free PMC article.
-
Prevalence and factors associated with second hand smoke exposure among a sample of pregnant women in Cairo, Egypt.BMC Womens Health. 2024 Feb 26;24(1):145. doi: 10.1186/s12905-023-02821-2. BMC Womens Health. 2024. PMID: 38409025 Free PMC article.
-
Pharmaceuticalisation as the tobacco industry's endgame.BMJ Glob Health. 2024 Feb 5;9(2):e013866. doi: 10.1136/bmjgh-2023-013866. BMJ Glob Health. 2024. PMID: 38316465 Free PMC article.
-
Use of Machine Learning Tools in Evidence Synthesis of Tobacco Use Among Sexual and Gender Diverse Populations: Algorithm Development and Validation.JMIR Form Res. 2024 Jan 24;8:e49031. doi: 10.2196/49031. JMIR Form Res. 2024. PMID: 38265858 Free PMC article.
-
Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses.BMC Med. 2023 Sep 29;21(1):378. doi: 10.1186/s12916-023-03087-z. BMC Med. 2023. PMID: 37775745 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous