Establishing smoke-free hospitals in Vietnam: A pilot project

Dao Thi Minh An, Naseeb Kibria, Nguyen Van Huy, Phan Thi Hai, Frances Stillman

Research output: Contribution to journalArticlepeer-review

Abstract

In Vietnam, a pilot ‘smoke-free hospital’ model was implemented in nine hospitals in 2009–2010 to supply lessons learned that would facilitate a replication of this model elsewhere. This study aimed to assess smoking patterns among health professionals and to detect levels of second-hand smoke (SHS) exposure within hospital premises before and after the ‘smoke-free hospital’ model implementation. A pre- and post-intervention cross-sectional study was conducted in nine purposively selected hospitals. Air nicotine levels were measured using passive nicotine monitors; smoking evidence was collected through on-site observations; and smoking patterns were assessed through interviews with health workers. Despite the ‘smoke-free hospital’ intervention, smoking continued among health-care workers who were former smokers. Specifically, self-reported smoking prevalence significantly decreased post-intervention, but the number of daily cigarettes smoked at workplaces among male health workers remained unchanged. Post-intervention, smoking was more likely to take place outside buildings and cafeterias. However, air nicotine levels in the doctors' lounges and in emergency departments did not change post-intervention. Air nicotine levels at other sites decreased minimally. Tailored tobacco cessation programmes, targeting current smokers and mechanisms to enforce non-smoking, should be established to meet requirements of Vietnam's comprehensive National Tobacco Control Law effective in May 2013.

Original languageEnglish (US)
Pages (from-to)S5-S20
JournalGlobal public health
Volume10
DOIs
StatePublished - Feb 2 2015

Keywords

  • Vietnam
  • air nicotine level
  • second-hand smoke exposure
  • smoke-free hospital
  • tobacco control

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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