title: Support for a Campus Tobacco-Free Policy among Non- Smokers: Findings from a Developing Country.
abstract: BACKGROUND
  A tobacco-free workplace policy is identified as an effective means to reduce tobacco use and protect people from second-hand smoke; however, the number of tobacco-free policies (TFP) remains very low in workplaces in Malaysia. This study explored the factors affecting support for a tobacco-free policy on two healthcare campuses in Malaysia, prior to the implementation of TFP.
  
  
  METHODS
  This cross- sectional study was conducted among 286 non-smokers from two healthcare training centres and two nearby colleges in Malaysia from January 2015 to April 2015. A standardized questionnaire was administered via staff and student emails. The questionnaire collected information on sociodemographic characteristics, support for a tobacco-free policy and perceived respiratory and sensory symptoms due to tobacco exposure. Bivariate and multivariate logistic regression analyses were performed to estimate the independent effects of supporting a tobacco-free campus.
  
  
  RESULTS
  The percentage of individuals supporting completely tobacco-free facilities was 83.2% (N=238), as opposed to 16.7% (N=48) in support of partially tobacco-free facilities. Compared to the supporters of partially tobacco-free facilities, non-smokers who supported completely tobacco-free health facilities were more likely to be female, have higher education levels, to be very concerned about the effects of other people smoking on their health and to perceive a tobacco-free policy as very important. In addition, they perceived that tobacco smoke bothered them at work by causing headaches and coughs and, in the past 4 weeks, had experienced difficulty breathing. In the multivariate model, after adjusting for sociodemographic characteristics and other factors, only experiencing coughs and headaches increased the odds of supporting a completely tobacco-free campus, up to 2.5- and 1.9-fold, respectively.
  
  
  CONCLUSIONS
  Coughs and headaches due to other people smoking at work enhances support for a completely tobacco-free campus among non-smokers.
authors.affiliation: Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia E-mail : sitimu.yasin@gmail.com.
authors.forename: Siti Munira
authors.initials: SM
authors.lastname: Yasin
authors.forename: Mohamad Rodi
authors.initials: MR
authors.lastname: Isa
authors.forename: Mohd Ariff
authors.initials: MA
authors.lastname: Fadzil
authors.forename: Mohammad Idris
authors.initials: MI
authors.lastname: Zamhuri
authors.forename: Mohamad Ikhsan
authors.initials: MI
authors.lastname: Selamat
authors.forename: Aimi Nadira
authors.initials: AN
authors.lastname: Mat Ruzlin
authors.forename: Nik Shamsidah
authors.initials: NS
authors.lastname: Nik Ibrahim
authors.forename: Zaliha
authors.initials: Z
authors.lastname: Ismail
authors.forename: Abu Bakar
authors.initials: AB
authors.lastname: Abdul Majeed
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005260:Female; D006801:Humans; D008296:Malaysia; D008297:Male; D012907:Smoking / Q000009:adverse effects*; D013334:Students / Q000331:legislation & jurisprudence*; D011795:Surveys and Questionnaires; D014028:Tobacco Smoke Pollution / Q000331:legislation & jurisprudence*; D064424:Tobacco Use / Q000331:legislation & jurisprudence*; D014495:Universities / Q000331:legislation & jurisprudence*; D017132:Workplace / Q000331:legislation & jurisprudence; D014026:Nicotiana
chemical_list: D014028:Tobacco Smoke Pollution