Title |
Tobacco smoking policies in Australian alcohol and other drug treatment services, agreement between staff awareness and the written policy document
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Published in |
BMC Public Health, January 2017
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DOI | 10.1186/s12889-016-3968-y |
Pubmed ID | |
Authors |
Eliza Skelton, Billie Bonevski, Flora Tzelepis, Anthony Shakeshaft, Ashleigh Guillaumier, Adrian Dunlop, Sam McCrabb, Kerrin Palazzi |
Abstract |
Comprehensive 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. An 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. Overall, 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. Tobacco smoking within Australian AOD services is mostly regulated by a written policy document. Staff policy awareness was modest and perceived policy enforcement was poor. |
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Geographical breakdown
Country | Count | As % |
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Australia | 3 | 33% |
Unknown | 6 | 67% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 44% |
Scientists | 4 | 44% |
Practitioners (doctors, other healthcare professionals) | 1 | 11% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 42 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 9 | 21% |
Student > Bachelor | 5 | 12% |
Student > Master | 4 | 10% |
Student > Doctoral Student | 3 | 7% |
Student > Ph. D. Student | 3 | 7% |
Other | 5 | 12% |
Unknown | 13 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 9 | 21% |
Arts and Humanities | 3 | 7% |
Medicine and Dentistry | 3 | 7% |
Psychology | 3 | 7% |
Veterinary Science and Veterinary Medicine | 1 | 2% |
Other | 3 | 7% |
Unknown | 20 | 48% |