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Published in: BMC Public Health 1/2008

Open Access 01-12-2008 | Research article

Observations from behind the bar: changing patrons' behaviours in response to smoke-free legislation in Scotland

Authors: Shona Hilton, Jane Cameron, Alice MacLean, Mark Petticrew

Published in: BMC Public Health | Issue 1/2008

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Abstract

Background

"Smoke-Free" legislation prohibiting smoking in all enclosed public places was introduced in March 2006. This qualitative study presents insights from bar workers about their observations of the changing social bar environment, changing patrons' behaviours and challenges bar workers have faced in managing smoke-free legislation.

Methods

Twelve in-depth interviews were conducted between November 2006 and January 2007 with a purposively-selected sample of bar workers, identified from a larger quantitative study evaluating the impact of the legislation in Scotland [the Bar Workers' Health and Environmental Tobacco Smoke Exposure project (BHETSE)].

Results

Bar workers all spoke of the improvements the legislation had brought to their working lives and the greater comfort it appeared to offer patrons. Bar workers reported that patrons were generally quick to accept and comply with the new law, and that families had become a greater feature of pub life since the legislation. However, they expressed concerns that older men seemed to have had most difficulty adjusting to the legislation and lack of knowledge about the best practices they should adopt in order to reduce the risks of unattended drinks being spiked and of anti-social behaviour associated with patrons moving outside to smoke.

Conclusion

Smoke-free legislation is changing the social context of smoking in Scotland. Further research to assess the impact the legislation is having on older male smokers and on the incidence of drink spiking would be useful. More specifically, bar workers would benefit from guidance on how to manage issues arising from patrons moving outside to smoke.
Literature
1.
go back to reference Barnoya J, Glantz SA: Cardiovascular effects of secondhand smoke: nearly as large as smoking. Circulation. 2005, 111: 2684-2698. 10.1161/CIRCULATIONAHA.104.492215.CrossRefPubMed Barnoya J, Glantz SA: Cardiovascular effects of secondhand smoke: nearly as large as smoking. Circulation. 2005, 111: 2684-2698. 10.1161/CIRCULATIONAHA.104.492215.CrossRefPubMed
2.
go back to reference Eagan TML, Hetland J, Aaro LE: Decline in respiratory symptoms in service workers five months after a public smoking ban. Tob Control. 2006, 15 (3): 242-246. 10.1136/tc.2005.015479.CrossRefPubMedPubMedCentral Eagan TML, Hetland J, Aaro LE: Decline in respiratory symptoms in service workers five months after a public smoking ban. Tob Control. 2006, 15 (3): 242-246. 10.1136/tc.2005.015479.CrossRefPubMedPubMedCentral
3.
4.
go back to reference Jamrozik K: Estimate of deaths attributable to passive smoking among UK adults: database analysis. The British Medical Journal. 2005, 330: 812-824. 10.1136/bmj.38370.496632.8F.CrossRefPubMed Jamrozik K: Estimate of deaths attributable to passive smoking among UK adults: database analysis. The British Medical Journal. 2005, 330: 812-824. 10.1136/bmj.38370.496632.8F.CrossRefPubMed
5.
go back to reference Howard J: Avoidable mortality from cervical cancer: Exploring the concept. Social Science & Medicine. 1987, 24 (6): 507-514. 10.1016/0277-9536(87)90340-6.CrossRef Howard J: Avoidable mortality from cervical cancer: Exploring the concept. Social Science & Medicine. 1987, 24 (6): 507-514. 10.1016/0277-9536(87)90340-6.CrossRef
6.
go back to reference Law C, Morris J, Wald N: Environmental tobacco smoke, exposure, and ischaemic heart disease: an evaluation of the evidence. British Medical Journal. 1997, 315 (973-980): Law C, Morris J, Wald N: Environmental tobacco smoke, exposure, and ischaemic heart disease: an evaluation of the evidence. British Medical Journal. 1997, 315 (973-980):
7.
go back to reference Wilson N, Thomson G, Grigg M, Afzal R: New smoke-free environments legislation stimulates calls to a national Quitline. Tob Control. 2005, 14: 287 -2878. 10.1136/tc.2005.011726.CrossRefPubMedPubMedCentral Wilson N, Thomson G, Grigg M, Afzal R: New smoke-free environments legislation stimulates calls to a national Quitline. Tob Control. 2005, 14: 287 -2878. 10.1136/tc.2005.011726.CrossRefPubMedPubMedCentral
8.
go back to reference The Smoking, Health and Social Care (Scotland) Act 2005, Part 1. 2005, Edinburgh , The Stationary Office Ltd The Smoking, Health and Social Care (Scotland) Act 2005, Part 1. 2005, Edinburgh , The Stationary Office Ltd
9.
go back to reference Al-Delaimy W, Fraser T, Woodward A: Nicotine in hair of bar and restaurant workers. N Z Med J. 2001, 114 (1127): 80 -803.PubMed Al-Delaimy W, Fraser T, Woodward A: Nicotine in hair of bar and restaurant workers. N Z Med J. 2001, 114 (1127): 80 -803.PubMed
10.
go back to reference Bates M, Fawcett J, Dickson S, Berezowski R, Garrett N: Exposure of hospitality workers to environmental tobacco smoke. Tob Control. 2002, 11: 125 -1259. 10.1136/tc.11.2.125.CrossRefPubMedPubMedCentral Bates M, Fawcett J, Dickson S, Berezowski R, Garrett N: Exposure of hospitality workers to environmental tobacco smoke. Tob Control. 2002, 11: 125 -1259. 10.1136/tc.11.2.125.CrossRefPubMedPubMedCentral
11.
go back to reference Wilson N, Thomson G: Still dying from second-hand smoke at work: a brief review of the evidence for smoke-free workplaces in New Zealand. N Z Med J. 2002, 115 (1165): U240-PubMed Wilson N, Thomson G: Still dying from second-hand smoke at work: a brief review of the evidence for smoke-free workplaces in New Zealand. N Z Med J. 2002, 115 (1165): U240-PubMed
12.
go back to reference Mosher RB, Moore JB: The relationship of self-concept and self-care in children with cancer. Nursing Science Quarterly. 1998, 11 (3): 116-122. 10.1177/089431849801100310.CrossRefPubMed Mosher RB, Moore JB: The relationship of self-concept and self-care in children with cancer. Nursing Science Quarterly. 1998, 11 (3): 116-122. 10.1177/089431849801100310.CrossRefPubMed
13.
go back to reference Eisner MD, Smith AK, Blanc PD: Bartenders' Respiratory Health After Establishment of Smoke-Free Bars and Taverns. JAMA. 1998, 280 (22): 1909-1914. 10.1001/jama.280.22.1909.CrossRefPubMed Eisner MD, Smith AK, Blanc PD: Bartenders' Respiratory Health After Establishment of Smoke-Free Bars and Taverns. JAMA. 1998, 280 (22): 1909-1914. 10.1001/jama.280.22.1909.CrossRefPubMed
14.
go back to reference Hilton S, Semple S, Miller BG, MacCalman L, Petticrew M, Dempsey S, Naji A, Ayres JG: Expectations and changing attitudes of bar workers before and after the implementation of smoke-free legislation in Scotland. BMC Public Health. 2007, 7: 206-10.1186/1471-2458-7-206.CrossRefPubMedPubMedCentral Hilton S, Semple S, Miller BG, MacCalman L, Petticrew M, Dempsey S, Naji A, Ayres JG: Expectations and changing attitudes of bar workers before and after the implementation of smoke-free legislation in Scotland. BMC Public Health. 2007, 7: 206-10.1186/1471-2458-7-206.CrossRefPubMedPubMedCentral
15.
16.
go back to reference Mandel LL, Alamar BC, Glantz SA: Smoke-free law did not affect revenue from gaming in Delaware. Tob Control. 2005, 14: 10 -102. 10.1136/tc.2004.008755.CrossRefPubMedPubMedCentral Mandel LL, Alamar BC, Glantz SA: Smoke-free law did not affect revenue from gaming in Delaware. Tob Control. 2005, 14: 10 -102. 10.1136/tc.2004.008755.CrossRefPubMedPubMedCentral
17.
18.
go back to reference Chapman S, Borland R, Scollo M, Brownson RC, Dominello A, Woodward S: The impact of smoke-free workplaces on declining cigarette consumption in Australia and the United States. Am J Public Health. 1999, 89: 1018 -10123.CrossRefPubMedPubMedCentral Chapman S, Borland R, Scollo M, Brownson RC, Dominello A, Woodward S: The impact of smoke-free workplaces on declining cigarette consumption in Australia and the United States. Am J Public Health. 1999, 89: 1018 -10123.CrossRefPubMedPubMedCentral
19.
go back to reference Wakefield MA, Chaloupka FJ, Kaufman NJ: Effects of restrictions on smoking at home, at school, and in public places on teenage smoking: cross sectional study. British Medical Journal. 2000, 321: 333-337. 10.1136/bmj.321.7257.333.CrossRefPubMedPubMedCentral Wakefield MA, Chaloupka FJ, Kaufman NJ: Effects of restrictions on smoking at home, at school, and in public places on teenage smoking: cross sectional study. British Medical Journal. 2000, 321: 333-337. 10.1136/bmj.321.7257.333.CrossRefPubMedPubMedCentral
20.
go back to reference Farkas A, Gilpin E, White M, Pierce J: Association between household and workplace smoking restrictions and adolescent smoking . Journal of the American Medical Association. 2000, 717-727. 10.1001/jama.284.6.717. Farkas A, Gilpin E, White M, Pierce J: Association between household and workplace smoking restrictions and adolescent smoking . Journal of the American Medical Association. 2000, 717-727. 10.1001/jama.284.6.717.
21.
go back to reference Krall E, Garvey A, Garcia R: Smoking relapse after 2 years of abstinence: findings from the VA Normative Ageing Study. Nicotine and Tobacco Research. 2002, 4: 95-100. 10.1080/14622200110098428.CrossRefPubMed Krall E, Garvey A, Garcia R: Smoking relapse after 2 years of abstinence: findings from the VA Normative Ageing Study. Nicotine and Tobacco Research. 2002, 4: 95-100. 10.1080/14622200110098428.CrossRefPubMed
22.
go back to reference Gwaltney C, Shiffman S, Norman G, Paty J, Kassel J, Gnys M: Does smoking abstinence self-efficacy vary across situations? Identifying context-specificity within Relapse Situation Efficacy Questionnaire. Journal of Consulting and Clinical Psychology. 2001, 69 (3): 516-527. 10.1037/0022-006X.69.3.516.CrossRefPubMed Gwaltney C, Shiffman S, Norman G, Paty J, Kassel J, Gnys M: Does smoking abstinence self-efficacy vary across situations? Identifying context-specificity within Relapse Situation Efficacy Questionnaire. Journal of Consulting and Clinical Psychology. 2001, 69 (3): 516-527. 10.1037/0022-006X.69.3.516.CrossRefPubMed
23.
go back to reference Wakefield M, Cameron M, Murphy M: Potential for smoke-free policies in social venues to prevent smoking uptake and reduce relapse : A qualitative study. Health promotion Practice. 2007 Wakefield M, Cameron M, Murphy M: Potential for smoke-free policies in social venues to prevent smoking uptake and reduce relapse : A qualitative study. Health promotion Practice. 2007
24.
go back to reference Adda J, Berlinski S, Machin S: Short-run economic effects of the Scottish smoking ban. International Journal of Epidemiology. 2006 Adda J, Berlinski S, Machin S: Short-run economic effects of the Scottish smoking ban. International Journal of Epidemiology. 2006
25.
go back to reference Richmond L: Impact of socioeconomic deprivation and type of facility on perceptions of the Scottish smoke-free legislation. Journal Public Health Medicine. 2007, 29: 376-378. 10.1093/pubmed/fdm056.CrossRef Richmond L: Impact of socioeconomic deprivation and type of facility on perceptions of the Scottish smoke-free legislation. Journal Public Health Medicine. 2007, 29: 376-378. 10.1093/pubmed/fdm056.CrossRef
27.
go back to reference Haw SJ, Gruer L, Amos A: Legislation on smoking in enclosed public places in Scotland: how will we evaluate the impact?. Journal of Public Health. 2006, 28: 24-30. 10.1093/pubmed/fdi080.CrossRefPubMed Haw SJ, Gruer L, Amos A: Legislation on smoking in enclosed public places in Scotland: how will we evaluate the impact?. Journal of Public Health. 2006, 28: 24-30. 10.1093/pubmed/fdi080.CrossRefPubMed
28.
go back to reference Glaser BG, Strauss AL: The Discovery of Grounded Theory. 1967, Chicago, lL , Aldine Glaser BG, Strauss AL: The Discovery of Grounded Theory. 1967, Chicago, lL , Aldine
29.
go back to reference Lincoln YS, Guba EG: Naturalistic Inquiry. 1985, Beverly Hill, CA , Sage Lincoln YS, Guba EG: Naturalistic Inquiry. 1985, Beverly Hill, CA , Sage
30.
go back to reference Ritchie J, Spencer L: Qualitative data analysis for applied policy research. Analyzing Qualitative Data. Edited by: Bryman A, Burgess R. 1994, London , Sage, 173-194.CrossRef Ritchie J, Spencer L: Qualitative data analysis for applied policy research. Analyzing Qualitative Data. Edited by: Bryman A, Burgess R. 1994, London , Sage, 173-194.CrossRef
31.
go back to reference Semple S, Creely K, Naji A, Miller B, Ayres J: Secondhand smoke levels in Scottish pubs: the effect of smoke-free legislation. Tob Control. 2007, 16: 127-132. 10.1136/tc.2006.018119.CrossRefPubMedPubMedCentral Semple S, Creely K, Naji A, Miller B, Ayres J: Secondhand smoke levels in Scottish pubs: the effect of smoke-free legislation. Tob Control. 2007, 16: 127-132. 10.1136/tc.2006.018119.CrossRefPubMedPubMedCentral
32.
go back to reference Semple S, MacCalman L, Naji A, Dempsey S, Hilton S, Miller BG, Ayres JG: Bar workers' exposure to second-hand smoke: The effect of Scottish Smoke-free legislation on Occupational Exposure. Ann Occup Hyg. 2007 Semple S, MacCalman L, Naji A, Dempsey S, Hilton S, Miller BG, Ayres JG: Bar workers' exposure to second-hand smoke: The effect of Scottish Smoke-free legislation on Occupational Exposure. Ann Occup Hyg. 2007
33.
go back to reference Tang H, Cowling DW, Lloyd JC, Rogers T, Koumjian KL, Stevens CM, Bal DG: Changes of attitudes and patronage behaviours in response to a smoke-free bar law. Am J Public Health. 2003, 93 (4): 611-617.CrossRefPubMedPubMedCentral Tang H, Cowling DW, Lloyd JC, Rogers T, Koumjian KL, Stevens CM, Bal DG: Changes of attitudes and patronage behaviours in response to a smoke-free bar law. Am J Public Health. 2003, 93 (4): 611-617.CrossRefPubMedPubMedCentral
35.
go back to reference Soames G: Smoke Signals . The Sunday Times. 2007 Soames G: Smoke Signals . The Sunday Times. 2007
38.
go back to reference Parry O, Platt S, Thomson C: Out of sight out of mind: work place smoking bans and the relocation of smoking at work. Health Promotion International. 2000, 15 (2): 125-133. 10.1093/heapro/15.2.125.CrossRef Parry O, Platt S, Thomson C: Out of sight out of mind: work place smoking bans and the relocation of smoking at work. Health Promotion International. 2000, 15 (2): 125-133. 10.1093/heapro/15.2.125.CrossRef
39.
go back to reference Lovato C, Linn G, Stead LF, Best A: Impact of tobacco advertising and promotion on increasing adolescent smoking behaviours. Cochrane Database Syst Rev. 2003, CD003439-4, Lovato C, Linn G, Stead LF, Best A: Impact of tobacco advertising and promotion on increasing adolescent smoking behaviours. Cochrane Database Syst Rev. 2003, CD003439-4,
40.
go back to reference Scobbie M, Crook B: 'The smoking ban in Scotland: Using the media to Introduce the Ban and Support Cessation': Edinburgh.2007, , Scobbie M, Crook B: 'The smoking ban in Scotland: Using the media to Introduce the Ban and Support Cessation': Edinburgh.2007, ,
41.
go back to reference Bromley C, Sproston K, Shelton N: The Scottish health survey 2003: summary of findings. 2005, Edinburgh , Scottish Executive Health Department Bromley C, Sproston K, Shelton N: The Scottish health survey 2003: summary of findings. 2005, Edinburgh , Scottish Executive Health Department
42.
go back to reference Chapman S, Freeman B: Markers of the denormalisation of smoking and the tobacco industry. Tob Control. 2008, 17: 25-31. 10.1136/tc.2007.021386.CrossRefPubMed Chapman S, Freeman B: Markers of the denormalisation of smoking and the tobacco industry. Tob Control. 2008, 17: 25-31. 10.1136/tc.2007.021386.CrossRefPubMed
43.
go back to reference Levine HG: Alcohol as a problem in Nordic and English-speaking cultures. In: Lader M, Edwards G, Drummond C, eds. The Nature of Alcohol and Drug-Related Problems. New York: Oxford University Press; 1992:16-36. The Nature of Alcohol and Drug-Related Problems New York: Oxford University Press; 1992:16-36. Edited by: Lader M, Edwards G, Drummond C. 1992, New York , Oxford University Press, 16-36. Levine HG: Alcohol as a problem in Nordic and English-speaking cultures. In: Lader M, Edwards G, Drummond C, eds. The Nature of Alcohol and Drug-Related Problems. New York: Oxford University Press; 1992:16-36. The Nature of Alcohol and Drug-Related Problems New York: Oxford University Press; 1992:16-36. Edited by: Lader M, Edwards G, Drummond C. 1992, New York , Oxford University Press, 16-36.
44.
go back to reference Pitkanen T, Lyyra AL, Pulkkinen L: Age of onset of drinking and the use of alcohol in adulthood: a follow-up study from age 8-42 for females and males. Society for the study of addiction. 2005, 100: 652-661. 10.1111/j.1360-0443.2005.01053.x.CrossRef Pitkanen T, Lyyra AL, Pulkkinen L: Age of onset of drinking and the use of alcohol in adulthood: a follow-up study from age 8-42 for females and males. Society for the study of addiction. 2005, 100: 652-661. 10.1111/j.1360-0443.2005.01053.x.CrossRef
45.
go back to reference Herlihy S: "butts out...and so's the jury". Sunday Tribune. 2004, 9- Herlihy S: "butts out...and so's the jury". Sunday Tribune. 2004, 9-
46.
go back to reference Allwright S, Paul G, Greiner B, Mullally BJ, Pursell L, Kelly A, Bonner B, D'Eath M, McConnell B, McLaughlin JP, O'Donovan D, O'Kane E, Perry IJ: Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study. BMJ. 2005, 331: 1117-10.1136/bmj.38636.499225.55.CrossRefPubMedPubMedCentral Allwright S, Paul G, Greiner B, Mullally BJ, Pursell L, Kelly A, Bonner B, D'Eath M, McConnell B, McLaughlin JP, O'Donovan D, O'Kane E, Perry IJ: Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study. BMJ. 2005, 331: 1117-10.1136/bmj.38636.499225.55.CrossRefPubMedPubMedCentral
47.
go back to reference Gallus S, Zuccaro P, Colombo P, Apolone G, Pacifici R, Garattini S, La Vecchia C: Effects of new smoking regulations in Italy. Ann Oncol. 2006, 17 (2): 346-347. 10.1093/annonc/mdj070.CrossRefPubMed Gallus S, Zuccaro P, Colombo P, Apolone G, Pacifici R, Garattini S, La Vecchia C: Effects of new smoking regulations in Italy. Ann Oncol. 2006, 17 (2): 346-347. 10.1093/annonc/mdj070.CrossRefPubMed
48.
go back to reference Jones S, Love C, Thomson G, Green R, Howden-Chapman P: Second-hand smoke at work: The exposure, perceptions and attitudes of bar and restaurant workers to environmental tobacco smoke. Aust N Z J Public Health. 2001, 25 (1): 90 -993. 10.1111/j.1467-842X.2001.tb00557.x.CrossRefPubMed Jones S, Love C, Thomson G, Green R, Howden-Chapman P: Second-hand smoke at work: The exposure, perceptions and attitudes of bar and restaurant workers to environmental tobacco smoke. Aust N Z J Public Health. 2001, 25 (1): 90 -993. 10.1111/j.1467-842X.2001.tb00557.x.CrossRefPubMed
50.
go back to reference BBC News: Fear of spiked drinks under ban. 2005 BBC News: Fear of spiked drinks under ban. 2005
51.
go back to reference BBC News, Fresh moves to curb spiked drinks . 2005 BBC News, Fresh moves to curb spiked drinks . 2005
Metadata
Title
Observations from behind the bar: changing patrons' behaviours in response to smoke-free legislation in Scotland
Authors
Shona Hilton
Jane Cameron
Alice MacLean
Mark Petticrew
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2008
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-8-238

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