Historique
Périodique
Acceptability and impact of a partial smoking ban in a psychiatric hospital
(Acceptabilité et impact d'une interdiction partielle de fumer dans un hôpital psychiatrique)
Auteur(s) :
ETTER, M. ;
ETTER, J. F.
Année
2007
Page(s) :
64-69
Langue(s) :
Anglais
Refs biblio. :
36
Domaine :
Tabac / Tobacco / e-cigarette
Thésaurus mots-clés
INTERDICTION DE FUMER
;
ACCEPTABILITE
;
TABAC
;
HOPITAL PSYCHIATRIQUE
;
MILIEU PROFESSIONNEL
;
ENQUETE
Thésaurus géographique
SUISSE
Note générale :
Preventive Medecine, 2007, 44(1), 64-69
Résumé :
FRANÇAIS :
Il existe peu d'études sur les conséquences de l'interdiction de fumer dans des services psychiatriques. Cette étude propose d'évaluer l'impact d'une interdiction partielle de fumer dans un hôpital psychiatrique de Genève sur les patients et le personnel. Ceux-ci ont été interrogés avant l'interdiction, portant sur tous les lieux de l'établissement sauf sur les espaces réservés aux fumeurs, et deux mois après sa mise en application. L'évaluation montre que cette mesure a été bien acceptée dans l'ensemble et a permis une baisse du tabagisme passif, avec cependant quelques difficultés pour s'imposer. Il est a noter que 87 % des enquêtés se sont prononcer contre une interdiction totale de fumer.
ENGLISH :
Objective: The acceptability and impact of partial smoking bans in psychiatric hospitals are not well documented. We assessed the impact of a partial smoking ban in a psychiatric hospital in Switzerland.
Methods: Before the intervention, smoking was not allowed in bedrooms and dining rooms, but this ban was not enforced. The intervention consisted of banning smoking everywhere, except in dedicated smoking rooms. Patients and staff were surveyed before (October 2003, 49 patients and 57 staff) and 2 months after the smoking ban (April 2004, 54 patients and 54 staff). Analyses included both patients and staff.
Results: Compared with baseline, after the intervention twice as many non-smokers reported that they were "never" exposed to environmental tobacco smoke (ETS) in bedrooms (before = 25.0%, after = 54.5%, p = 0.046), dining rooms (35.5 vs. 65.5%, p = 0.037), corridors (10.4 vs. 30.9%, p = 0.001) and meeting rooms (36.8 vs. 75.0%, p = 0.012). The smoking ban was loosely enforced; although the ban reduced ETS, substantial exposure to ETS remained after it was introduced. Most participants (87%) rejected the idea of a total smoking ban.
Conclusion: The partial smoking ban was well accepted and was associated with less exposure to ETS. However, even a partial ban proved difficult to enforce in this hospital.
Il existe peu d'études sur les conséquences de l'interdiction de fumer dans des services psychiatriques. Cette étude propose d'évaluer l'impact d'une interdiction partielle de fumer dans un hôpital psychiatrique de Genève sur les patients et le personnel. Ceux-ci ont été interrogés avant l'interdiction, portant sur tous les lieux de l'établissement sauf sur les espaces réservés aux fumeurs, et deux mois après sa mise en application. L'évaluation montre que cette mesure a été bien acceptée dans l'ensemble et a permis une baisse du tabagisme passif, avec cependant quelques difficultés pour s'imposer. Il est a noter que 87 % des enquêtés se sont prononcer contre une interdiction totale de fumer.
ENGLISH :
Objective: The acceptability and impact of partial smoking bans in psychiatric hospitals are not well documented. We assessed the impact of a partial smoking ban in a psychiatric hospital in Switzerland.
Methods: Before the intervention, smoking was not allowed in bedrooms and dining rooms, but this ban was not enforced. The intervention consisted of banning smoking everywhere, except in dedicated smoking rooms. Patients and staff were surveyed before (October 2003, 49 patients and 57 staff) and 2 months after the smoking ban (April 2004, 54 patients and 54 staff). Analyses included both patients and staff.
Results: Compared with baseline, after the intervention twice as many non-smokers reported that they were "never" exposed to environmental tobacco smoke (ETS) in bedrooms (before = 25.0%, after = 54.5%, p = 0.046), dining rooms (35.5 vs. 65.5%, p = 0.037), corridors (10.4 vs. 30.9%, p = 0.001) and meeting rooms (36.8 vs. 75.0%, p = 0.012). The smoking ban was loosely enforced; although the ban reduced ETS, substantial exposure to ETS remained after it was introduced. Most participants (87%) rejected the idea of a total smoking ban.
Conclusion: The partial smoking ban was well accepted and was associated with less exposure to ETS. However, even a partial ban proved difficult to enforce in this hospital.
Affiliation :
Institute of Social and Preventive Medicine, University of Geneva, CMU, Geneva, Switzerland