Section C

1. Section C Case Study: Ireland

2. Smoke-Free Policies in Other Places: Ireland Image source: adapted by CTLT from Wikimedia Commons. (2004).

3. Implementing Smoke-Free Workplace Policy in Ireland • Ireland’s smoke-free policy took effect in March, 2004 • ITC project: www.itcproject.org • Ireland: 1,000 randomly selected adult smokers • United Kingdom (U.K.): 600 randomly selected adult smokers • 35-minute phone survey • Cohort • Assessments January, 2004; January, 2005; and January, 2006 Image source: Ireland’s Department of Health and Children. (2004).

4. International Tobacco Control (ITC) Survey Details Image source: Tobacco Control. (2006).

5. Support for Smoke-Free Laws among Smokers • Important barrier to policy • The perception that smokers would not support a smoke-free law • Key question • How did support among Irish smokers change after the implementation of the law?

6. Support for Total Ban in Bars/Pubs Source: adapted by CTLT from Fong, et al. (2006).

7. Support for Total Ban in Restaurants Source: adapted by CTLT from Fong, et al. (2006).

8. Support for Total Ban in Workplaces Source: adapted by CTLT from Fong, et al. (2006).

9. What Happens When Places Go Smoke-Free? • Evaluation questions • Does SHS exposure decrease and health improve? • Do people comply with the rules? • Does the hospitality economy suffer? • Unintended consequences • Are smokers more likely to seek treatment services and stop smoking? • Smoke more at home?

10. Secondhand Smoke Exposure: Ireland and the U.K. Source: adapted by CTLT from Fong, et al. (2006).

11. Secondhand Smoke Exposure: Ireland and the U.K. Source: adapted by CTLT from Fong, et al. (2006).

12. Secondhand Smoke Exposure: Ireland and the U.K. Source: adapted by CTLT from Fong, et al. (2006).

13. What Happens When Places Go Smoke-Free? • Does SHS exposure decrease and health improve? • Do people comply with the rules? • Does the hospitality economy suffer? • Unintended consequences • Are smokers more likely to seek treatment services and stop smoking? • Smoke more at home?

14. Smoking Cessation Indicators: Ireland and UK Source: adapted by CTLT from Hyland, et al.

15. What Happens When Places Go Smoke-Free? • Does SHS exposure decrease and health improve? • Do people comply with the rules? • Does the hospitality economy suffer? • Unintended consequences • Are smokers more likely to seek treatment services and stop smoking? • Smoke more at home? • Smoke more and drink more in the home?

16. Home Smoking Indicators: Ireland and UK Source: adapted by CTLT from Hyland, et al.

17. Home Smoking Indicators: Ireland, Scotland, UK Source: adapted by CTLT from Hyland, et al. (In press).

18. Alcohol Drinking Patterns: Ireland, Scotland, UK Source: adapted by CTLT from Hyland, et al. (In press).

19. Summary: Ireland Experience • Secondhand smoke exposure dramatically reduced • No large clear trend toward increased cessation behavior, but people report the law was a factor in decisions about quitting • Might have missed the uptake in Ireland • Long pre-law campaign • Delayed implementation • Could be other policies/programs • Advertising ban • Warning labels • Different media campaigns • Effects might take more time to manifest

20. Summary • Evaluation questions • Less SHS exposure? better health outcomes? • Support and compliance? • Economic changes? • Unintended consequences? • Evaluation methods • Examples provided during talk • See IARC handbook chapter for specific details • Evidence from New York, Ireland, and elsewhere suggests smoke-free policies work to clean up the air and increase public support without adverse economic harm

21. Questions Contact me at:Andrew.hyland@roswellpark.org Website:www.tobaccofreeair.org