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Journal of Public Health Advance Access first published online on February 17, 2006
This version published online on February 21, 2006
Journal of Public Health, doi:10.1093/pubmed/fdi080
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© The Author 2006, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

Article

Legislation on smoking in enclosed public places in Scotland: how will we evaluate the impact?

Sally J. Haw 1 *, Laurence Gruer 2, Amanda Amos 3, Candace Currie 4, Colin Fischbacher 5, Geoffrey T. Fong 6, Gerard Hastings 7, Sally Malam 8, Jill Pell 9, Calum Scott 10, and Sean Semple 11

1 NHS Health Scotland, Rosebery House, Haymarket Terrace, Edinburgh EH12 5EZ, UK
2 NHS Health Scotland, Clifton House, Clifton Place, Glasgow G3 7LS, UK
3 Public Health Sciences, University of Edinburgh Medical School, Edinburgh EH8 9AG, UK
4 The University of Edinburgh, St Leonard’s Land, Holyrood Road, Edinburgh EH8 8AQ, UK
5 Information Services Division (ISD) Scotland, Gyle Square, Edinburgh EH12 9EB, UK
6 Department of Psychology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1 Canada
7 University of Stirling and the Open University, Stirling FK9 4LA, UK
8 BMRB, Ealing Gateway, 26-30 Uxbridge Road, London W5 2BP, UK
9 BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow G12 8TA, UK
10 Scottish Executive, St Andrews House, Regent Road, Edinburgh EH1 3DG, UK
11 Department of Environmental & Occupational Medicine, University of Aberdeen, Aberdeen AB25 2ZP, UK

* To whom correspondence should be addressed.
Sally J. Haw, E-mail: sally.haw{at}health.scot.nhs.uk


  Abstract

Background From 26 March 2006, smoking will be prohibited in wholly and substantially enclosed public places in Scotland, and it will be an offence to permit smoking or to smoke in no-smoking premises. We anticipate that implementation of the smoke-free legislation will result in significant health gains associated with reductions in exposure to both environmental tobacco smoke (ETS) and personal tobacco consumption as well as other social and economic impacts.

Methods Health Scotland in conjunction with the Information Services Division (ISD) Scotland and the Scottish Executive have developed a comprehensive evaluation strategy to assess the expected short-term, intermediate and long-term outcomes. Using routine health, behavioural and economic data and commissioned research, we will assess the impact of the smoke-free legislation in eight key outcome areas - knowledge and attitudes, ETS exposure, compliance, culture, smoking prevalence and tobacco consumption, tobacco-related morbidity and mortality, economic impacts on the hospitality sector and health inequalities.

Conclusion The findings from this evaluation will make a significant contribution to the international understanding of the health effects of exposure to ETS and the broader social, cultural and economic impacts of smoke-free legislation.

Keywords: air pollution, public health, tobacco.
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