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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/15603

Title: Adherence to smoke-free policies in Ghana: Findings from a cross-sectional survey of hospitality venue owners and staff
Authors: Singh, Arti
Dobbie, Fiona
Kinnunen, Tarja I.
Okello, Gabriel
Semple, Sean
Okyere, Portia Boakye
Darlington Logo, Divine
Lartey, Kwabena Fosu
McNeil, Ann
Britton, John
Bauld, Linda
Owusu-Dabo, Ellis
Keywords: compliance
smoke-free policy
Issue Date: Nov-2020
Publisher: Tobacco Prevention & Cessation
Citation: Tobacco Prevention & Cessation
Abstract: INTRODUCTION Implementation of and compliance with smoke-free policies (SFPs) can be problematic in many low- and middle-income countries (LMICs) due to limited resources. This study evaluated knowledge, opinions and compliance related to Ghana’s SFPs among owners and staff of hospitality venues by city, staff designation, and venue type. METHODS A cross-sectional study design was used in venue types including hotels, bars, pubs and restaurants in the three cities of Kumasi, Accra, and Tamale, in Ghana. Data were collected between July and September 2019. Interviewer administered face-to-face surveys were conducted with owners and staff (n=142) recruited from randomly selected hospitality venues (n=154) in these three large cities of Ghana. The relationship between knowledge, opinions, and compliance items on SFPs, and city, venue type and staff designation was first studied using χ2 or a Fisher’s exact test, and then with univariate logistic regression model analysis. RESULTS Of the 142 respondents, some had heard of Ghana’s 2012 Tobacco Control Act (27.5%), smoking restriction in public places (29%), smoke-free places (22%), and display of ‘no smoking’ signage (6.3%). Knowledge levels were higher in Accra compared to Tamale (OR=3.08; 95% CI: 1.10–8.60). Staff designation and type of venue did not have any relationship with knowledge levels. Support for SFPs was over 80%, but opinions in support of SFPs were lower in Accra than Tamale (OR=0.25; 95% CI: 0.08–0.71). Compliance with SFPs was similar in the three cities. Hotels were three times more compliant compared to bars and pubs (OR=3.16; 95% CI: 1.48–6.71). CONCLUSIONS The study highlights the strong support for restriction of smoking in public places including hospitality venues despite poor knowledge and low compliance levels with the current SFPs. A review of the current SFP in Ghana together with education of hospitality staff on the benefits and requirements of SFPs is recommended.
Description: This article is published by Tobacco Prevention & Cessation and is also available at https://doi.org/10.18332/tpc/131058
URI: 10.18332/tpc/131058
Appears in Collections:College of Health Sciences

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