Tobacco smoking policies in Australian alcohol and other drug treatment services, agreement between staff awareness and the written policy document

BMC Public Health

Research Article

Kerrin Palazzi¹  Anthony Shakeshaft²  Billie Bonevski³  Sam McCrabb³  Eliza Skelton³  Ashleigh Guillaumier³  Adrian Dunlop⁴  Flora Tzelepis⁵ 

[1] Clinical Research Design, Information Technology and Statistical Support, Hunter Medical Research Institute, 1 Kookaburra Circuit, 2305, New Lambton Heights, NSW, Australia;National Drug and Alcohol Research Centre, The University of New South Wales, 22-32 King Street, 2031, Randwick, NSW, Australia;School of Medicine & Public Health, Faculty of Health & Medicine, The University of Newcastle, 1 University Drive, 2308, Callaghan, NSW, Australia;School of Medicine & Public Health, Faculty of Health & Medicine, The University of Newcastle, 1 University Drive, 2308, Callaghan, NSW, Australia;Drug & Alcohol Clinical Services, Newcastle Community Health Centre, Hunter New England Local Health District, Level 3 670 Hunter Street, Suite 8, 2302, Newcastle West, NSW, Australia;School of Medicine & Public Health, Faculty of Health & Medicine, The University of Newcastle, 1 University Drive, 2308, Callaghan, NSW, Australia;Hunter New England Population Health, Hunter New England Local Health District, Longworth Avenue, 2287, Wallsend, NSW, Australia;

关键词: Alcohol and other drug treatment;    Policy;    Smoke-free;    Tobacco smoking;    Enforcement;   

DOI  :  10.1186/s12889-016-3968-y

 received in 2016-08-25, accepted in 2016-12-20,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundComprehensive smoke-free policy in the alcohol and other drug (AOD) setting provides an opportunity to reduce tobacco related harms among clients and staff. This study aimed to examine within AOD services: staff awareness of their service’s smoking policy compared to the written policy document and staff and service factors associated with accurate awareness of a total ban and perceived enforcement of a total ban.MethodsAn audit of written tobacco smoking policy documents and an online cross-sectional survey of staff from 31 Australian AOD services. In addition, a contact at each service was interviewed to gather service-related data.ResultsOverall, 506 staff participated in the survey (response rate: 57%). Nearly half (46%) perceived their service had a total ban with 54% indicating that this policy was always enforced. Over one-third (37%) reported a partial ban with 48% indicating that this policy was always enforced. The audit of written policies revealed that 19 (61%) services had total bans, 11 (36%) had partial bans and 1 (3%) did not have a written smoking policy. Agreement between staff policy awareness and their service’s written policy was moderate (Kappa 0.48) for a total ban and fair (Kappa 0.38) for a partial ban. Age (1 year increase) of staff was associated with higher odds of correctly identifying a total ban at their service.ConclusionsTobacco smoking within Australian AOD services is mostly regulated by a written policy document. Staff policy awareness was modest and perceived policy enforcement was poor.

【 授权许可】

CC BY   
© The Author(s). 2017