Before and after study of bar workers' perceptions of the impact of smoke-free workplace legislation in the Republic of Ireland
Before and after study of bar workers' perceptions of the impact of smoke-free workplace legislation in the Republic of Ireland
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DOI：
10.1186/1471-2458-7-131
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发表时间：
2007-06-29
影响因子：
4.5
通讯作者：
D'Eath, Maureen
中科院分区：
文献类型：
--
作者：
Pursell, Lisa;Allwright, Shane;D'Eath, Maureen
背景资料：目的：比较爱尔兰共和国（ROI）实施前和实施后酒吧工作人员对无烟工作场所立法的支持和看法，并确定支持立法的预测因素。方法：设置：ROI三个区域的公共场所（酒吧）。设计：比较无烟工作场所立法实施前和实施后的情况。参与者：通过非随机选择，288名酒吧员工自愿参加了基线调查，220名员工在一年后接受了随访（76.4%）.结果衡量：对立法的支持程度、关于法律潜在影响的态度声明以及对立法支持的模拟预测。实施前59.5%的参与者支持立法，实施后增加到76.8%。吸烟者的支持率从39.4%上升到66.7%（p < 0.001），增加了27.3个百分点，非吸烟者的支持率从68.8%上升到81.2%（p = 0.003），增加了12.4%。立法前，四分之三的参与者同意立法将使酒吧更舒适，并需要保护工人的健康。立法后，这些比例增加到90%以上（p < 0.001）。然而，负面看法也有所增加，特别是认为立法对商业有负面影响的看法（从50.9%到62.7%，p = 0.008），以及更少的人会去酒吧（41.8%到62.7%，p < 0.001）。在调整相关协变量后，包括对态度声明的回应，对禁令的支持在实施后增加了两到三倍。无论他们对经济影响的看法如何，大多数参与者都同意，无论是实施前还是实施后，都需要立法来保护酒吧工作人员的健康。结论：无烟立法得到了大样本中四分之三的支持在投资回报率的酒吧工作人员中。然而，这一群体对立法持有复杂的积极和消极观点。特别重要的是，负面的经济看法并没有削弱人们普遍认为需要禁止保护工人健康的看法。
Background: Objectives: To compare support for, and perceptions of, the impacts of smoke-free workplace legislation among bar workers in the Republic of Ireland (ROI) pre- and post-implementation, and to identify predictors of support for the legislation.Methods: Setting: Public houses (pubs) in three areas of the ROI.Design: Comparisons pre- and post-implementation of smoke-free workplace legislation.Participants: From a largely non-random selection, 288 bar workers volunteered for the baseline survey; 220 were followed up one year later (76.4%).Outcome measures: Level of support for the legislation, attitude statements concerning potential impacts of the law and modelled predictors of support for the legislation.Results: Pre-implementation 59.5% of participants supported the legislation, increasing to 76.8% post-implementation. Support increased among smokers by 27.3 percentage points from 39.4% to 66.7% (p < 0.001) and among non-smokers by 12.4% percentage points from 68.8% to 81.2% (p = 0.003). Pre-legislation three-quarters of participants agreed that the legislation would make bars more comfortable and was needed to protect workers' health. Post-legislation these proportions increased to over 90% ( p < 0.001). However, negative perceptions also increased, particularly for perceptions that the legislation has a negative impact on business (from 50.9% to 62.7%, p = 0.008) and that fewer people would visit pubs (41.8% to 62.7%, p < 0.001). After adjusting for relevant covariates, including responses to the attitude statements, support for the ban increased two to three-fold post-implementation. Regardless of their views on the economic impact, most participants agreed, both pre- and post-implementation, that the legislation was needed to protect bar workers' health.Conclusion: Smoke-free legislation had the support of three-quarters of a large sample of bar workers in the ROI. However, this group holds complex sets of both positive and negative perspectives on the legislation. Of particular importance is that negative economic perceptions did not diminish the widely held perception that the ban is needed to protect workers' health.