El cumplimiento de la legislación que propicia edificios públicos libres de humo de tabaco: Un estudio transversal en Turquía

Translated title of the contribution: Compliance with smoke-free legislation within public buildings: A cross-sectional study in turkey

Ana Navas-Acien, Asli Çarkoğlu, Gül Ergör, Mutlu Hayran, Toker Ergüder, Bekir Kaplan, Jolie Susan, Hoda Magid, Jonathan Pollak, Joanna E. Cohen

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Objective To investigate public compliance with legislation to prohibit smoking within public buildings and the extent of tobacco smoking in outdoor areas in Turkey. Methods Using a standardized observation protocol, we determined whether smoking occurred and whether ashtrays, cigarette butts and/or no-smoking signs were present in a random selection of 884 public venues in 12 cities in Turkey. We visited indoor and outdoor locations in bars/nightclubs, cafes, government buildings, hospitals, restaurants, schools, shopping malls, traditional coffee houses and universities. We used logistic regression models to determine the association between the presence of ashtrays or the absence of no-smoking signs and the presence of individuals smoking or cigarette butts. Findings Most venues had no-smoking signs (629/884). We observed at least one person smoking in 145 venues, most frequently observed in bars/nightclubs (63/79), hospital dining areas (18/79), traditional coffee houses (27/120) and government-building dining areas (5/23). For 538 venues, we observed outdoor smoking close to public buildings. The presence of ashtrays was positively associated with indoor smoking and cigarette butts, adjusted odds ratio, aOR: 315.9; 95% confidence interval, CI: 174.9–570.8 and aOR: 165.4; 95% CI: 98.0–279.1, respectively. No-smoking signs were negatively associated with the presence of cigarette butts, aOR: 0.5; 95% CI: 0.3–0.8. Conclusion Additional efforts are needed to improve the implementation of legislation prohibiting smoking in indoor public areas in Turkey, especially in areas in which we frequently observed people smoking. Possible interventions include removing all ashtrays from public places and increasing the number of no-smoking signs.

Translated title of the contributionCompliance with smoke-free legislation within public buildings: A cross-sectional study in turkey
Original languageSpanish
Pages (from-to)92-102
Number of pages11
JournalBulletin of the World Health Organization
Issue number2
StatePublished - Feb 2016

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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