Before and after study of bar workers' perceptions of the impact of smoke-free workplace legislation in the Republic of Ireland.
BACKGROUND



OBJECTIVE
To compare support for, and perceptions of, the impacts of smoke-free workplace legislation among bar workers in the Republic of Ireland (ROI) pre- and post-implementation, and to identify predictors of support for the legislation.


METHODS



METHODS
Public houses (pubs) in three areas of the ROI.


METHODS
Comparisons pre- and post-implementation of smoke-free workplace legislation.


METHODS
From a largely non-random selection, 288 bar workers volunteered for the baseline survey; 220 were followed up one year later (76.4%).


METHODS
Level of support for the legislation, attitude statements concerning potential impacts of the law and modelled predictors of support for the legislation.


RESULTS
Pre-implementation 59.5% of participants supported the legislation, increasing to 76.8% post-implementation. Support increased among smokers by 27.3 percentage points from 39.4% to 66.7% (p < 0.001) and among non-smokers by 12.4% percentage points from 68.8% to 81.2% (p = 0.003).Pre-legislation three-quarters of participants agreed that the legislation would make bars more comfortable and was needed to protect workers' health. Post-legislation these proportions increased to over 90% (p < 0.001). However, negative perceptions also increased, particularly for perceptions that the legislation has a negative impact on business (from 50.9% to 62.7%, p = 0.008) and that fewer people would visit pubs (41.8% to 62.7%, p < 0.001). After adjusting for relevant covariates, including responses to the attitude statements, support for the ban increased two to three-fold post-implementation. Regardless of their views on the economic impact, most participants agreed, both pre- and post-implementation, that the legislation was needed to protect bar workers' health.


CONCLUSIONS
Smoke-free legislation had the support of three-quarters of a large sample of bar workers in the ROI. However, this group holds complex sets of both positive and negative perspectives on the legislation. Of particular importance is that negative economic perceptions did not diminish the widely held perception that the ban is needed to protect workers' health.
Pursell
Lisa
L
Department of Health Promotion, National University of Ireland, Galway, Republic of Ireland. lisa.pursell@nuigalway.ie
Allwright
Shane
S
O'Donovan
Diarmuid
D
Paul
Gillian
G
Kelly
Alan
A
Mullally
Bernie J
BJ
D'Eath
Maureen
M
D000328:Adult; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D004651:Employment / Q000191:economics / Q000523:psychology*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D016272:Occupational Health / Q000331:legislation & jurisprudence*; D010465:Perception; D012147:Restaurants / Q000191:economics / Q000331:legislation & jurisprudence*; D012424:Rural Population; D012650:Self Disclosure; D012907:Smoking / Q000009:adverse effects / Q000191:economics / Q000331:legislation & jurisprudence*; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D014028:Tobacco Smoke Pollution / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D014505:Urban Population; D017132:Workplace / Q000331:legislation & jurisprudence* / Q000523:psychology
D014028:Tobacco Smoke Pollution