Abstract
Objectives
The aim of this paper is to report compliance with the smoking ban and the spread of smoke-free homes after 3–8 years since the Italian smoking ban implementation, according to the ongoing Italian surveillance system for behavioural risk factors (PASSI).
Methods
PASSI is based on representative annual samples of the Italian population aged 18–69 years. We considered questions on smoking habits, self-reported compliance with the ban, and on smoke-free homes of 176,236 interviews conducted in 2008–2012.
Results
Ninety percent of respondents in 2012 reported that the smoking ban was enforced in hospitality premises (HPs), with a significant 3 % increase from 2008. Similarly, 91.3 % in 2012 reported a high compliance in workplaces other than HPs, with a significant 5 % increase. Perception of compliance did not change among smokers and non-smokers. Seventy-eight percent of respondents in 2012 reported smoke-free homes, with a significant increase from 2008 to 2012.
Conclusions
The high compliance with the ban that is still increasing even after 8 years since its implementation may partially have caused the concurrent increase in smoke-free homes.
References
American Association for Public Opinion Research (2008). Standard definitions: final dispositions of case codes and outcome rates for surveys. In: 5th edn. Lenexa (KS). http://www.aapor.org/AM/Template.cfm?Section=Standard_Definitions&Template=/CM/ContentDisplay.cfm&ContentID=1273. Accessed 30 July 2013
Baldissera S, Campostrini S, Binkin N et al (2011) Features and initial assessment of the Italian behavioral risk factor surveillance system (PASSI), 2007–2008. Prev Chronic Dis 8:A24
Binkin N, Perra A, Aprile V, D’Argenzio A, Lopresti S, Mingozzi O, Scondotto S (2007) Effects of a generalised ban on smoking in bars and restaurants, Italy. Int J Tuberc Lung Dis 11:522–527
Braverman MT, Aarø LE, Bontempo DE, Hetland J (2010) Bar and restaurant workers’ attitudes towards Norway’s comprehensive smoking ban: a growth curve analysis. Tob Control 19:240–247. doi:10.1136/tc.2009.033845
Diomeda A. 2012. Seminario conclusivo del progetto “Definizione e implementazione di un sistema di monitoraggio del rispetto della normativa sul fumo in Italia”. L’attività del Comando Carabinieri per la tutela della Salute per il monitoraggio dell’art. 51 Legge 16 gennaio 2003 http://www.salute.gov.it/imgs/C_17_newsAree_2405_listaFile_itemName_3_file.pdf. Accessed 30 July 2013
Donnelly P, Whittle P (2008) After the smoke has cleared reflections on Scotland’s tobacco control legislation. Public Health 122:762–766. doi:10.1016/j.puhe.2008.03.003
Eurobarometer (2006). Attitudes of Europeans towards tobacco. Special Eurobarometer 239. http://ec.europa.eu/health/ph_information/documents/ebs_239_en.pdf. Accessed 30 July 2013
Eurobarometer (2009) Survey on Tobacco. Analytical report. http://ec.europa.eu/public_opinion/flash/fl_253_en.pdf. Accessed 30 July 2013
Eurobarometer (2012). Attitudes of Europeans towards tobacco. Special Eurobarometer 385. http://ec.europa.eu/public_opinion/archives/ebs/ebs_385_en.pdf. Accessed 30 July 2013
Ferrante G, Baldissera S, Moghadam PF, Carrozzi G, Trinito MO, Salmaso S (2011) Surveillance of perceptions, knowledge, attitudes and behaviors of the Italian adult population (18–69 years) during the 2009–2010 A/H1N1 influenza pandemic. Eur J Epidemiol 26:211–219. doi:10.1007/s10654-011-9576-3
Gallus S, Zuccaro P, Colombo P, Apolone G, Pacifici R, Garattini S, La Vecchia C (2006) Effects of new smoking regulations in Italy. Ann Oncol 17:346–347 Epub 2005 Nov 7
Gallus S, Zuccaro P, Colombo P, Apolone G, Pacifici R, Garattini S, Bosetti C, La Vecchia C (2007) Smoking in Italy 2005–2006: effects of a comprehensive National Tobacco Regulation. Prev Med 45:198–201 Epub 2007 Mar 31
Gallus S, Tramacere I, Boffetta P, Fernandez E, Rossi S, Zuccaro P, Colombo P, La Vecchia C (2011) Temporal changes of under-reporting of cigarette consumption in population-based studies. Tob Control 2011(20):34–39
Gorini G, Chellini E, Galeone D (2007) What happened in Italy? A brief summary of studies conducted in Italy to evaluate the impact of the smoking ban. Ann Oncol 18:1620–1622. doi:10.1093/annonc/mdm279
Gorini G, Gasparrini A, Tamang E et al (2008a) Prevalence of second-hand smoke exposure after introduction of the Italian smoking ban: the Florence and Belluno survey. Tumori 94:798–802
Gorini G, Moshammer H, Sbrogiò L et al (2008b) Italy and Austria before and after study: second-hand smoke exposure in hospitality premises before and after 2 years from the introduction of the Italian smoking ban. Indoor Air 18:328–334. doi:10.1111/j.1600-0668.2008.00534.x
IARC Handbooks of Cancer Prevention, Tobacco Control (2009). Evaluating the effectiveness of smoke-free policies, vol 13. International Agency for Research on Cancer, Lyon, France. http://www.iarc.fr/en/publications/pdfs-online/prev/handbook13/handbook13.pdf. Accessed 30 July 2013
La Vecchia C, Garattini S, Colombo P et al (2001) Attitudes towards smoking regulation in Italy. Lancet 358:245
Martínez-Sánchez JM, Gallus S, Zuccaro P, Colombo P, Fernández E, Manzari M, La Vecchia C (2012) Exposure to secondhand smoke in Italian non-smokers 5 years after the Italian smoking ban. Eur J Public Health 22:707–712. doi:10.1093/eurpub/ckr156
Martínez-Sánchez JM, Blanch C, Fu M, Gallus S, La Vecchia C, Fernández E (2013) Do smoke-free policies in work and public places increase smoking in private venues? Tob Control. doi:10.1136/tobaccocontrol-2012-050877
Ministry of Health, Center for Disease Control (2009). Attività per la prevenzione del tabagismo. Rapporto 2009. http://www.ccm-network.it/documenti_Ccm/pubblicazioni/fumo_ministero_09.pdf. Accessed 30 July 2013
Moore K, Borland R, Yong HH, Siahpush M, Cummings KM, Thrasher JF, Fong GT (2012) Support for tobacco control interventions: do country of origin and socioeconomic status make a difference? Int J Public Health 57:777–786
Pierannunzi C, Hu SS, Balluz L (2013). A systematic review of publications assessing reliability and validity of the Behavioral Risk Factor Surveillance System (BRFSS), 2004–2011. BMC Medical Research Methodology 13:49. http://www.biomedcentral.com/1471-2288/13/49. Accessed 30 July 2013
President of Ministers’ Council. Ordinance of the President of Ministers’ Council, 23 December 2003. http://www.salute.gov.it/imgs/C_17_normativa_446_allegato.pdf. Accessed 30 July 2013
Protano C, Andreoli R, Manini P, Vitali M (2012) How home-smoking habits affect children: a cross-sectional study using urinary cotinine measurement in Italy. Int J Public Health 57:885–892
Russo F, Michieletto F, Tagliapietra L, Marcolina D, Bino E (2012). Monitoraggio dell’osservanza della normativa inerente il divieto di fumare negli ambienti di vita e di lavoro. Risultati. http://www.salute.gov.it/imgs/C_17_pubblicazioni_1898_allegato.pdf. Accessed 30 July 2013
Tang H, Cowling DW, Lloyd JC et al (2003) Changes of attitudes and patronage behaviors in response to a smoke-free bar law. Am J Public Health 93:611–617
Tramacere I, Gallus S, Fernandez E, Zuccaro P, Colombo P, La Vecchia C (2009) Medium-term effects of Italian smoke-free legislation: findings from four annual population-based surveys. J Epidemiol Community Health 63:559–562. doi:10.1136/jech.2008.084426
Valente P, Forastiere F, Bacosi A et al (2007) Exposure to fine and ultrafine particles from secondhand smoke in public places before and after the smoking ban, Italy 2005. Tob Control 16:312–317. doi:10.1136/tc.2006.019646
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On behalf of the PASSI Coordinating Group.
Members of the PASSI Coordinating Group are listed in the appendix.
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The members of the PASSI Coordinating Group are: Sandro Baldissera, Paolo D’Argenio, National Institute of Public Health, Rome, Italy; Nicoletta Bertozzi, Department of Public Health, Cesena, Italy; Stefano Campostrini, Department of Economy, Ca’ Foscari Venice University; Giuliano Carrozzi, Department of Public Health, Modena, Italy; Angelo D’Argenzio, Department of Public Health, Caserta, Italy; Pirous Fateh-Moghadam, Provincial Agency for Health Services, Trento, Italy; Massimo Oddone Trinito, Department of Public Health, Rome C, Italy.
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Minardi, V., Gorini, G., Carreras, G. et al. Compliance with the smoking ban in Italy 8 years after its application. Int J Public Health 59, 549–554 (2014). https://doi.org/10.1007/s00038-014-0543-0
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DOI: https://doi.org/10.1007/s00038-014-0543-0