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2007 Johns Hopkins Bloomberg School of Public Health
Section CSection C
Case Study: Ireland
2 2007 Johns Hopkins Bloomberg School of Public Health
Smoke-Free Policies in Other Places: Ireland
Image source: adapted by CTLT from Wikimedia Commons. (2004).
3 2007 Johns Hopkins Bloomberg School of Public Health
Image source: Ireland’s Department of Health and Children. (2004).
Implementing Smoke-Free Workplace Policy in Ireland
Ireland’s smoke-free policy took effect in March, 2004
ITC project: www.itcproject.org Ireland: 1,000 randomly
selected adult smokers United Kingdom (U.K.): 600
randomly selected adult smokers
35-minute phone survey Cohort
Assessments January, 2004; January, 2005; and January, 2006
4 2007 Johns Hopkins Bloomberg School of Public Health
International Tobacco Control (ITC) Survey Details
Image source: Tobacco Control. (2006).
5 2007 Johns Hopkins Bloomberg School of Public Health
Support for Smoke-Free Laws among Smokers
Important barrier to policy The perception that smokers would not support a
smoke-free law
Key question How did support among Irish smokers change after the
implementation of the law?
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Support for Total Ban in Bars/Pubs
Source: adapted by CTLT from Fong, et al. (2006).
7 2007 Johns Hopkins Bloomberg School of Public Health
Support for Total Ban in Restaurants
Source: adapted by CTLT from Fong, et al. (2006).
8 2007 Johns Hopkins Bloomberg School of Public Health
Support for Total Ban in Workplaces
Source: adapted by CTLT from Fong, et al. (2006).
9 2007 Johns Hopkins Bloomberg School of Public Health
What Happens When Places Go Smoke-Free?
Evaluation questions Does SHS exposure decrease and health
improve? Do people comply with the rules? Does the hospitality economy suffer? Unintended consequences
Are smokers more likely to seek treatment services and stop smoking?
Smoke more at home?
10 2007 Johns Hopkins Bloomberg School of Public Health
Secondhand Smoke Exposure: Ireland and the U.K.
Source: adapted by CTLT from Fong, et al. (2006).
11 2007 Johns Hopkins Bloomberg School of Public Health
Secondhand Smoke Exposure: Ireland and the U.K.
Source: adapted by CTLT from Fong, et al. (2006).
12 2007 Johns Hopkins Bloomberg School of Public Health
Secondhand Smoke Exposure: Ireland and the U.K.
Source: adapted by CTLT from Fong, et al. (2006).
13 2007 Johns Hopkins Bloomberg School of Public Health
What Happens When Places Go Smoke-Free?
Does SHS exposure decrease and health improve?
Do people comply with the rules?
Does the hospitality economy suffer?
Unintended consequences Are smokers more likely to seek treatment
services and stop smoking? Smoke more at home?
14 2007 Johns Hopkins Bloomberg School of Public Health
Smoking Cessation Indicators: Ireland and UK
Source: adapted by CTLT from Hyland, et al.
15 2007 Johns Hopkins Bloomberg School of Public Health
What Happens When Places Go Smoke-Free?
Does SHS exposure decrease and health improve?
Do people comply with the rules?
Does the hospitality economy suffer?
Unintended consequences Are smokers more likely to seek treatment
services and stop smoking? Smoke more at home? Smoke more and drink more in the home?
16 2007 Johns Hopkins Bloomberg School of Public Health
Home Smoking Indicators: Ireland and UK
Source: adapted by CTLT from Hyland, et al.
17 2007 Johns Hopkins Bloomberg School of Public Health
Source: adapted by CTLT from Hyland, et al. (In press).
Home Smoking Indicators: Ireland, Scotland, UK
18 2007 Johns Hopkins Bloomberg School of Public Health
Source: adapted by CTLT from Hyland, et al. (In press).
Alcohol Drinking Patterns: Ireland, Scotland, UK
19 2007 Johns Hopkins Bloomberg School of Public Health
Summary: Ireland Experience
Secondhand smoke exposure dramatically reduced
No large clear trend toward increased cessation behavior, but people report the law was a factor in decisions about quitting Might have missed the uptake in Ireland
Long pre-law campaign Delayed implementation
Could be other policies/programs Advertising ban Warning labels Different media campaigns
Effects might take more time to manifest
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Summary
Evaluation questions Less SHS exposure? better health outcomes? Support and compliance? Economic changes? Unintended consequences?
Evaluation methods Examples provided during talk
See IARC handbook chapter for specific details
Evidence from New York, Ireland, and elsewhere suggests smoke-free policies work to clean up the air and increase public support without adverse economic harm
21 2007 Johns Hopkins Bloomberg School of Public Health
Questions
Contact me at:[email protected]
Website:www.tobaccofreeair.org
Contact me at:[email protected]
Website:www.tobaccofreeair.org
