Compliance with the workplace-smoking ban in the Netherlands

• Published in: Health policy (Amsterdam) Vol. 109; no. 2; pp. 200 - 206
• Main Authors: Verdonk-Kleinjan, Wendy M.I, Rijswijk, Pieter C.P, de Vries, Hein, Knibbe, Ronald A
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ireland Ltd 01.02.2013; Elsevier
• Subjects: Attitude to Health; Biological and medical sciences; Compliance; Employees; Health administration; Health policy; Humans; Industry; Industry - statistics & numerical data; Internal Medicine; Interviews; Interviews as Topic; Medical sciences; Miscellaneous; Netherlands; Netherlands - epidemiology; Occupational medicine; Private Sector - statistics & numerical data; Prohibition; Public health. Hygiene-occupational medicine; Public policy; Public sector; Public Sector - statistics & numerical data; Risk; Risk perception; Secondhand smoke; Selfefficacy; Service industries; Smoking; Smoking - epidemiology; Smoking - legislation & jurisprudence; Social influence; Stagnation; Surveillance and monitoring; Surveys and Questionnaires; Time; Working conditions; Workplace - legislation & jurisprudence; Workplace - statistics & numerical data; Netherlands; Europe; Secondhand smoke; Public policy; Surveillance and monitoring; Work place; Compliance; Anti-smoking fight; Political aspect; Inhaled air; Smoke-free space; Tobacco; Surveillance; Passive smoking; Air pollution; Fumes; Monitoring; Occupational medicine
• ISSN: 0168-8510; 1872-6054
• DOI: 10.1016/j.healthpol.2012.11.006

Abstract Introduction In 2004 the Dutch government instituted a workplace-smoking ban. This study focuses on differences in compliance over time and between occupational sectors, and describes the background variables. Methods Telephone interviews were conducted with company employees across industry, public and service sectors in 2004 ( n = 705), 2006 ( n = 2201) and 2008 ( n = 2034). The questions concerned smoking policy, aspects of awareness and motivation to implement this ban. Results Compliance rates increased between 2006 (83%) and 2008 (96%) after an initial stagnation in the rate of compliance between 2004 and 2006. The increase in compliance was accompanied by a less negative attitude and an increase in confidence in one's ability to comply (self-efficacy). Differences in compliance between sectors with the highest compliance (public sector) and the lowest compliance (industry) decreased from about 20% to nearly 4%. Simultaneously, in the industry there was a stronger increase for risk perception of enforcement, social influence and self-efficacy. Discussion The initial stagnation in increase of compliance might be due to the lack of a (new) coherent package of policy measures to discourage smoking. Over the entire period there was a stronger increase in compliance in the industry sector, probably due to the intensification of enforcement activities and additional policy like legislation, which might increase awareness and social support.