Public support for smoke-free private indoor and public outdoor areas in the Netherlands: A trend analysis from 2018– 2022

Introduction In addition to smoke-free policies in indoor public and workplaces, governments increasingly implement smoke-free policies at beaches, in parks, playgrounds and private cars (‘novel smoke-free policies’). An important element in the implementation of such policies is public support. In...

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Main Authors: Nienke W. Boderie, Sabri Ennissay, Wilhelmina IJzelenberg, Frank J. van Lenthe, Jessica Baars, Jasper V. Been
Format: Article
Language:English
Published: European Publishing 2024-01-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/Public-support-for-smoke-free-private-indoor-and-public-noutdoor-areas-in-the-Netherlands,176141,0,2.html
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author Nienke W. Boderie
Sabri Ennissay
Wilhelmina IJzelenberg
Frank J. van Lenthe
Jessica Baars
Jasper V. Been
author_facet Nienke W. Boderie
Sabri Ennissay
Wilhelmina IJzelenberg
Frank J. van Lenthe
Jessica Baars
Jasper V. Been
author_sort Nienke W. Boderie
collection DOAJ
description Introduction In addition to smoke-free policies in indoor public and workplaces, governments increasingly implement smoke-free policies at beaches, in parks, playgrounds and private cars (‘novel smoke-free policies’). An important element in the implementation of such policies is public support. In the context of the ambition of the Netherlands to reach a smoke-free generation by 2040, we investigated temporal changes in public support for novel smoke-free policies. Methods We analyzed annual cross-sectional questionnaires in a representative sample of the Dutch population from 2018 to 2022. Multivariable logistic regression was applied to model public support for each smoke-free policy area as a function of time (calendar year), smoking status, gender, and socioeconomic status. Interaction terms were added for time with smoking status and with socioeconomic status. Results A total of 5582 participant responses were included. Between 2018 and 2022, support increased most for smoke-free policies regarding train platforms (+16%), theme parks (+12%), beaches (+10%), and terraces (+10%). In 2022, average support was higher than 65% for all categories of smoke-free places and highest for private cars with children (91%). Regression analyses indicated significant increases in support over time within each category of smoke-free places (adjusted odds ratio, AOR between 1.09 and 1.17 per year), except smokefree private cars with children (AOR=0.97; 95% CI: 0.89–1.05). Regardless of smoking status, support was high for places where children often go. Conclusions Support for novel smoke-free places in the Netherlands is high and increasing, in particular for places frequented by children. This indicates the potential to implement such measures in the Netherlands.
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spelling doaj-art-651a8a9839f94d9b98735a3a42fb1c932025-01-24T15:26:48ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January1910.18332/tid/176141176141Public support for smoke-free private indoor and public outdoor areas in the Netherlands: A trend analysis from 2018– 2022Nienke W. Boderie0https://orcid.org/0000-0002-1600-380XSabri Ennissay1Wilhelmina IJzelenberg2Frank J. van Lenthe3https://orcid.org/0000-0001-6402-7075Jessica Baars4https://orcid.org/0000-0003-1450-6742Jasper V. Been5https://orcid.org/0000-0002-4907-6466Department of Public Health, Erasmus MC Rotterdam, University Medical Center Rotterdam, Rotterdam, The NetherlandsDepartment of Public Health, Erasmus MC Rotterdam, University Medical Center Rotterdam, Rotterdam, The NetherlandsAmsterdam Public Health Research Institute, Department of Health Sciences, Faculty of Sciences, Vrije Universiteit Amsterdam, Amsterdam, The NetherlandsDepartment of Public Health, Erasmus MC Rotterdam, University Medical Center Rotterdam, Rotterdam, The NetherlandsHealth Funds for a Smokefree Netherlands, Utrecht, the NetherlandsDepartment of Public Health, Erasmus MC Rotterdam, University Medical Center Rotterdam, Rotterdam, The NetherlandsIntroduction In addition to smoke-free policies in indoor public and workplaces, governments increasingly implement smoke-free policies at beaches, in parks, playgrounds and private cars (‘novel smoke-free policies’). An important element in the implementation of such policies is public support. In the context of the ambition of the Netherlands to reach a smoke-free generation by 2040, we investigated temporal changes in public support for novel smoke-free policies. Methods We analyzed annual cross-sectional questionnaires in a representative sample of the Dutch population from 2018 to 2022. Multivariable logistic regression was applied to model public support for each smoke-free policy area as a function of time (calendar year), smoking status, gender, and socioeconomic status. Interaction terms were added for time with smoking status and with socioeconomic status. Results A total of 5582 participant responses were included. Between 2018 and 2022, support increased most for smoke-free policies regarding train platforms (+16%), theme parks (+12%), beaches (+10%), and terraces (+10%). In 2022, average support was higher than 65% for all categories of smoke-free places and highest for private cars with children (91%). Regression analyses indicated significant increases in support over time within each category of smoke-free places (adjusted odds ratio, AOR between 1.09 and 1.17 per year), except smokefree private cars with children (AOR=0.97; 95% CI: 0.89–1.05). Regardless of smoking status, support was high for places where children often go. Conclusions Support for novel smoke-free places in the Netherlands is high and increasing, in particular for places frequented by children. This indicates the potential to implement such measures in the Netherlands.https://www.tobaccoinduceddiseases.org/Public-support-for-smoke-free-private-indoor-and-public-noutdoor-areas-in-the-Netherlands,176141,0,2.htmlsmoke-free zonespublic supportrepeated crosssectional
spellingShingle Nienke W. Boderie
Sabri Ennissay
Wilhelmina IJzelenberg
Frank J. van Lenthe
Jessica Baars
Jasper V. Been
Public support for smoke-free private indoor and public outdoor areas in the Netherlands: A trend analysis from 2018– 2022
Tobacco Induced Diseases
smoke-free zones
public support
repeated crosssectional
title Public support for smoke-free private indoor and public outdoor areas in the Netherlands: A trend analysis from 2018– 2022
title_full Public support for smoke-free private indoor and public outdoor areas in the Netherlands: A trend analysis from 2018– 2022
title_fullStr Public support for smoke-free private indoor and public outdoor areas in the Netherlands: A trend analysis from 2018– 2022
title_full_unstemmed Public support for smoke-free private indoor and public outdoor areas in the Netherlands: A trend analysis from 2018– 2022
title_short Public support for smoke-free private indoor and public outdoor areas in the Netherlands: A trend analysis from 2018– 2022
title_sort public support for smoke free private indoor and public outdoor areas in the netherlands a trend analysis from 2018 2022
topic smoke-free zones
public support
repeated crosssectional
url https://www.tobaccoinduceddiseases.org/Public-support-for-smoke-free-private-indoor-and-public-noutdoor-areas-in-the-Netherlands,176141,0,2.html
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