ORIGINAL PAPER
Smoking prevalence, compliance and attitudes towards smoking bans among School Teachers in Attica, Greece 2014
 
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1
George D. Behrakis RESEARCH LAB -Hellenic Cancer Society in Athens, Greece
 
2
Institute of Public Health -The American College of Greece in Athens, Greece
 
3
National School of Public Health in Athens, Greece
 
4
Faculty of Human Sciences, Athens Metropolitan College in Athens, Greece
 
5
Biomedical Research Foundation of Athens Academy in Athens, Greece
 
 
Corresponding author
Stephanie Teloniatis   

8 Dorilaiou Street, 11521 Athens, Greece
 
 
Pneumon 2017;30(4):227-235
 
KEYWORDS
ABSTRACT
Background:
Non-compliance with smoking bans in Greece leave children exposed to secondhand smoke. The current study summarized teachers’ smoking prevalence, compliance and attitudes towards smoking bans.

Methods:
A multi-stage sampling design collected data from teachers in Attica, Greece. A secondary source of national data to represent a matching sample of the general population (GP) was used for comparison. Teacher responses were compared by smoking status using logistic regression. To compare teachers and the GP, a binomial proportion test was used and a χ2 and Fishers test between modalities, with p set to <0.05 for all results.

Results:
647 educators and 1,678 respondents for the GP ages 25- 67 years old residing in Attica, were included. Smoking prevalence among teachers was 26.4%, which was significantly lower than the GP prevalence at 39.7% (p<0.001). Daily smoking prevalence was significantly lower among teachers (p<0.001) compared to the GP. 25.8% of teachers reported complete compliance with smoke-free policies at their school. Teachers who smoked were less likely to report recently teaching their class about smoking (p=0.006) than nonsmokers. A majority of teachers agreed and would volunteer with educational programs aimed at reducing smoking among their students.

Conclusions:
Prevalence of smoking among teachers in Attica was significantly lower than in the general population and their attitudes were proactive towards implementation of smoking bans in public places in Greece. Compliance with the smoking ban on school grounds could be improved by training teachers on the school policy and protocol regarding smoking on school grounds.

FUNDING
This work was supported by the George D. Behrakis Foundation Boston, MA.
 
REFERENCES (26)
1.
Action on Smoking and Health. ASH research report: The health effects of exposure to secondhand smoke. 2014.
 
2.
Frazer K, Callinan JE, McHugh J, et al. Legislative smoking bans for reducing harms from secondhand smoke exposure, smoking prevalence and tobacco consumption. In: Frazer K, editor. Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd; 2016. 10.1002/14651858.CD005992.pub3.
 
3.
Global Adult Tobacco Survey. Country Report, Greece 2013. 2013.
 
4.
Filippidis FT, Vardavas CI, Loukopoulou A, et al. Prevalence and determinants of tobacco use among adults in Greece: 4 year trends. Eur J Public Health 2013; 23:772–6. 10.1093/ eurpub/cks148.
 
5.
Teloniatis SI, Tzortzi A, Evangelopoulou V, Behrakis PK. Relation between Individual Factors and Support for Smoking Bans in Bars in Greece: A Cross-Sectional Study of the 2013 Global Adult Tobacco Survey (GATS). Tob Prev Cessat 2017; 3:118. https://doi.org/10.18332/tpc/7....
 
6.
Vardavas CI, Kafatos AG. Smoking policy and prevalence in Greece: an overview. Eur J Public Health 2007; 17:211-3. 1090–8. 10.1093/eurpub/ckl094.
 
7.
Special Eurobarometer 429 “Attitudes of Europeans towards tobacco and electronic cigarettes”. 2015.
 
8.
Lappas A, Tzortzi A, Konstantinidi E, et al. Factors Associated with Exposure to Passive Smoking among 12-18 year-old Students in Athens and Thessaloniki, Greece. Tob Prev Cessat 2015; 1:7. https://doi.org/10.18332/tpc/6....
 
9.
Welte JW, Barnes GM, Tidwell M-CO, et al. Tobacco Use, Heavy Use, and Dependence Among Adolescents and Young Adults in the United States. Subst Use Misuse 2011; 46. 10.3109/10826084.2010.543745.
 
10.
U.S. Department of Health and Human Services. Preventing Tobacco Use Among Young People: A Report of the Surgeon General. Atlanta, Georgia; 1994.
 
11.
Pentz MA, Brannon BR, Charlin VL, et al. The power of policy: the relationship of smoking policy to adolescent smoking. Am J Public Health 1989; 79:857–62.
 
12.
Trinidad DR, Gilpin EA, Pierce JP. Compliance and support for smoke-free school policies. Health Educ Res 2005; 20:466–75. https://doi.org/10.1093/her/cy....
 
13.
Lagiou P, Trichopoulos D. The Greek Tobacco Epidemic. 2011.
 
14.
Hellenic Republic Statistical Authority (ELSTAT). User Oriented quality report Health Survey: year 2014. Piraeus; 2014.
 
15.
Hellenic Republic Statistical Authority (ELSTAT). National Health Interview Survey 2009: Final Quality Report. Piraeus; 2011.
 
16.
General secretariat of National Statistical Service of Greece. National Health Interview Survey, year 2009: Member Questionnaire. Piraeus; 2009. p. 1–48.
 
17.
Hellenic Republic Hellenic Statistical Authority (ELSTAT). Health Survey, year 2014: Individual Questionnaire. 2014. p. 1–37.
 
18.
Hellenic Republic Statistical Authority (ELSTAT). Greece in figures: January-March 2016. Athens; 2016.
 
19.
Sichletidis LT, Chloros D, Tsiotsios I, et al. High prevalence of smoking in Northern Greece. Prim Care Respir J 2006; 15:92–7. 10.1016/j.pcrj.2006.01.004.
 
20.
Onrust SA, Otten R, Lammers J, Smit F. School-based programmes to reduce and prevent substance use in different age groups: What works for whom? Systematic review and meta-regression analysis. Clin Psychol Rev 2016; 44:45–59.
 
21.
Thomas RE, Mclellan J, Perera R. Effectiveness of school-based smoking prevention curricula: systematic review and metaanalysis. BMJ 2015; 5:e006976. 10.1136/ bmjopen-2014-006976.
 
22.
De Kleijn MJJ, Farmer MM, Booth M, et al. Systematic review of school-based interventions to prevent smoking for girls. Syst Rev 2015; 4:109. doi: 10.1186/s13643-015-0082-7.
 
23.
Poulsen LH. Exposure to teachers smoking and adolescent smoking behaviour: analysis of cross sectional data from Denmark. Tob Control 2002; 11:246–51. http://dx.doi.org/10.1136/tc.1....
 
24.
Zhang L, Wang W, Zhao Q, et al. Psychosocial predictors of smoking among secondary school students in Henan, China. Health Educ Res 2000; 15:415–22. https://doi.org/10.1093/her/15....
 
25.
Rozema AD, Mathijssen JJP, Jansen MWJ, et al. Schools as smokefree zones? Barriers and facilitators to the adoption of outdoor school ground smoking bans at secondary schools. Tob Induc Dis 2016; 14:10. 10.1186/s12971-016-0076-9.
 
26.
United Nations. WHO Framework Convention on Tobacco Control. Geneva; 2003.
 
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ISSN:1105-848X
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