Attitudes to smoke-free outdoor regulations in the USA and Canada: a review of 89 surveys
A partir des données de 89 enquêtes canadiennes ou américaines réalisées entre 1993 et 2014 auprès d'un échantillon d'au moins 500 participants, cette étude analyse leurs attitudes vis-à-vis de réglementations interdisant de fumer dans des lieux publics en plein air (trottoirs, entrée des bâtiments, aires de jeu, ...)
Objective : To review the published survey data on public support for smoke-free outdoor regulations in the USA and Canada (two countries at the forefront of such policies). Data sources and study selection : We searched for English language articles and reports using Medline, Google Scholar and Google for the period to December 2014. We retained population-based surveys of the adult general population in jurisdictions in the USA and Canada, with a minimum survey sample of 500. Data extraction : The analysis focused on assessing levels and trends in public support for different types of places and also explored how support varied between population groups. Results : Relevant data were found from 89 cross-sectional surveys between 1993 and 2014. Support for smoke-free regulations in outdoor places tended to be highest for smoke-free school grounds (range: 57–95%) playgrounds (89–91%), and building entrances (45–89%) and lowest for smoke-free outdoor workplaces (12–46%) and sidewalks (31–49%). Support was lower among smokers, though for some types of places there was majority smoker support (eg, school grounds with at least 77% support in US state surveys after 2004). Trend data involving the same questions and the same surveyed populations suggested increased general public and smoker support for smoke-free regulations over time (eg, from 67% to 78% during 2002–2008 for smoke-free school grounds in the USA). Higher support was typically seen from women and some ethnic groups (eg, African-Americans). Conclusions : Outdoor smoke-free regulations can achieve majority public support, including from smokers.
Tobacco Control 2015