Legislation on smoking in enclosed public places in Scotland: how will we evaluate the impact?
BACKGROUND
From 26 March 2006, smoking will be prohibited in wholly and substantially enclosed public places in Scotland, and it will be an offence to permit smoking or to smoke in no-smoking premises. We anticipate that implementation of the smoke-free legislation will result in significant health gains associated with reductions in exposure to both environmental tobacco smoke (ETS) and personal tobacco consumption as well as other social and economic impacts.


METHODS
Health Scotland in conjunction with the Information Services Division (ISD) Scotland and the Scottish Executive have developed a comprehensive evaluation strategy to assess the expected short-term, intermediate and long-term outcomes. Using routine health, behavioural and economic data and commissioned research, we will assess the impact of the smoke-free legislation in eight key outcome areas--knowledge and attitudes, ETS exposure, compliance, culture, smoking prevalence and tobacco consumption, tobacco-related morbidity and mortality, economic impacts on the hospitality sector and health inequalities.


CONCLUSIONS
The findings from this evaluation will make a significant contribution to the international understanding of the health effects of exposure to ETS and the broader social, cultural and economic impacts of smoke-free legislation.
NHS Health Scotland, Rosebery House, Haymarket Terrace, Edinburgh EH12 5EZ, UK. sally.haw@health.scotmnhs.uk
Sally J
SJ
Haw
Laurence
L
Gruer
Amanda
A
Amos
Candace
C
Currie
Colin
C
Fischbacher
Geoffrey T
GT
Fong
Gerard
G
Hastings
Sally
S
Malam
Jill
J
Pell
Calum
C
Scott
Sean
S
Semple
D016902:Air Pollution, Indoor / Q000009:adverse effects / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011633:Public Facilities / Q000331:legislation & jurisprudence*; D011634:Public Health / Q000639:trends; D012606:Scotland / Q000453:epidemiology; D012907:Smoking / Q000009:adverse effects / Q000453:epidemiology / Q000331:legislation & jurisprudence* / Q000639:trends; D016540:Smoking Cessation