title: Results from an evaluation of tobacco control policies at the 2010 Shanghai World Expo.
abstract: BACKGROUND
  Large-scale international events such as World Expos and Olympic Games have the potential to strengthen smoke-free norms globally. The Shanghai 2010 World Expo was one of the first large-scale events to implement and evaluate the adoption of strict tobacco control policies.
  
  
  OBJECTIVE
  To evaluate implementation of tobacco control policies at the 2010 World Expo in Shanghai, China.
  
  
  METHODS
  This mixed methods evaluation was conducted from July to October 2010. Observations were conducted in all 155 pavilions and outdoor queuing areas, all 45 souvenir shops, a random sample of restaurants (51 of 119) and selected outdoor non-smoking areas in all sections of the Expo. In addition, intercept surveys were completed with 3022 visitors over a 4-month period.
  
  
  RESULTS
  All pavilions and souvenir shops were smoke-free. Restaurants were smoke-free, with only 0.1% of customers observed smoking. Smoking was more common in outdoor non-smoking areas, but still relatively rare overall with only 4.5% of visitors observed smoking. Tobacco products were not sold or marketed in any public settings except for three pavilions that had special exemptions from the policy. Overall, 80.3% of visitors were aware of the smoke-free policy at the World Expo, 92.5% of visitors supported the policy and 97.1% of visitors were satisfied with the smoke-free environment.
  
  
  CONCLUSIONS
  Tobacco control policies at the World Expo sites were generally well-enforced and accepted although compliance was not 100%, particularly in outdoor non-smoking areas.
authors.affiliation: Department of Preventive Medicine, School of Public Health, Fudan University, Shanghai, People's Republic of China.
authors.forename: Xiang
authors.initials: X
authors.lastname: Li
authors.forename: PinPin
authors.initials: P
authors.lastname: Zheng
authors.forename: Hua
authors.initials: H
authors.lastname: Fu
authors.forename: Carla
authors.initials: C
authors.lastname: Berg
authors.forename: Michelle
authors.initials: M
authors.lastname: Kegler
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D002681:China / Q000453:epidemiology; D003132:Commerce / Q000331:legislation & jurisprudence; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D006801:Humans; D007391:International Cooperation; D008297:Male; D008875:Middle Aged; D057766:Policy; D012147:Restaurants / Q000331:legislation & jurisprudence; D061845:Smoke-Free Policy / Q000331:legislation & jurisprudence*; D012907:Smoking / Q000453:epidemiology / Q000331:legislation & jurisprudence; D000074606:Smoking Prevention; D062789:Tobacco Products / Q000191:economics; D014028:Tobacco Smoke Pollution / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D055815:Young Adult
chemical_list: D014028:Tobacco Smoke Pollution
keywords: Advertising and Promotion; Low/Middle income country; Public policy; Secondhand smoke