Knowledge, opinions and compliance related to the 100% smoke-free law in hospitality venues in Kampala, Uganda: cross-sectional results from the KOMPLY Project
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Date
2018
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BMJ Open
Abstract
Objective This study evaluated knowledge, opinions
and compliance related to Uganda’s comprehensive
smoke-free law among hospitality venues in Kampala
Uganda.
Design This multi-method study presents cross-sectional
findings of the extent of compliance in the early phase
of Uganda’s comprehensive smoke-free law (2 months
postimplementation; pre-enforcement).
setting Bars, pubs and restaurants in Kampala Uganda.
Procedure and participants A two-stage stratified
cluster sampling procedure was used to select
hospitality sites stratified by all five divisions in
Kampala. A total of 222 establishments were selected
for the study. One hospitality representative from each
of the visited sites agreed to take part in a face-to-face
administered questionnaire. A subsample of hospitality
venues were randomly selected for tobacco air quality
testing (n=108). Data were collected between June and
August 2016.
Outcome measures Knowledge and opinions of the
smoke-free law among hospitality venue staff and
owners. The level of compliance with the
smoke-free law in hospitality venues through:
(1) systematic objective observations (eg, active
smoking, the presence of designated smoking areas, ‘no
smoking’ signage) and (2) air quality by measuring the
levels of tobacco particulate matter (PM 2.5 ) in both indoor
and outdoor venues.
results Active smoking was observed in 18% of
venues, 31% had visible ‘no smoking’ signage and
47% had visible cigarette remains. Among interviewed
respondents, 57% agreed that they had not been
adequately informed about the smoke-free law;
however, 90% were supportive of the ban. Nearly all
respondents (97%) agreed that the law will protect
workers’ health, but 32% believed that the law would
cause financial losses at their establishment. Indoor
PM 2.5 levels were hazardous (267.6 μg/m 3 ) in venues
that allowed smoking and moderate (29.6 μg/m 3 ) in
smoke-free establishments.
conclusions In the early phase of Uganda’s
smoke-free law, the level of compliance in
hospitality venues settings in Kampala was
suboptimal. Civil society and the media have
strong potential to inform and educate the
hospitality industry and smokers of the benefits and
requirements of the smoke-free law.
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Citation
Gravely S, Nyamurungi KN, Kabwama SN, et al. Knowledge, opinions and compliance related to the 100% smoke-free law in hospitality venues in Kampala, Uganda: cross-sectional results from the KOMPLY Project. BMJ Open 2018;8:e017601. doi:10.1136/ bmjopen-2017-017601