Data from: Adherence to the Tobacco Control Act, 2007: presence of a workplace policy on tobacco use in bars and restaurants in Nairobi, Kenya

Introduction Despite extensive knowledge about effective tobacco control interventions, the prevalence of tobacco use in many middle- and low-income countries continues to rise. In these countries, public appreciation of levels of protection provided by laws and regulations on tobacco use and exposure to tobacco smoke is limited. After ratification of the Framework Convention on Tobacco Control, Kenya enacted the Tobacco Control Act, 2007, banning smoking in public places except in designated smoking areas. Objective To assess adherence to the Tobacco Control Act, 2007 by determining the presence of a workplace policy on tobacco use in bars and restaurants. Methods A survey of 176 liquor licensed bars and restaurants in Nairobi County was carried out. Their managers were asked about the presence of a workplace policy governing smoking of tobacco, and observations made on provisions that determine adherence to the Tobacco Control Act, 2007. Results Smoking took place in almost all bars and restaurants (150 (85%)). Half the establishments (86 (49%)) had a workplace policy governing tobacco use among employees, although a difference between bars (11 (23%)) and restaurants (75 (58%)) was recorded (p<0.001). Establishments at which managers had lower levels of education were less likely to have a workplace policy (p<0.001) and less likely to have ‘no smoking’ signs and designated smoking areas (p<0.005). Conclusions and recommendations Kenya's implementation of the Tobacco Control Act, 2007 does not provide sufficient protection of patrons and workers in bars and restaurants. It is important to sensitise hospitality workers to the dangers of tobacco smoke. Bar and restaurants managers should have a minimum post-secondary education level. The Tobacco Control Act, 2007 requires strengthening to ensure that bars and restaurants have a smoke-free environment.研究背景 尽管学界对有效的烟草控制干预措施已有充分认知，但诸多中低收入国家的烟草使用患病率仍持续攀升。在这些国家中，公众对烟草使用相关法律法规及二手烟暴露防护水平的认知程度普遍有限。在批准《烟草控制框架公约（Framework Convention on Tobacco Control）》后，肯尼亚于2007年颁布《烟草控制法（Tobacco Control Act, 2007）》，禁止在公共场所吸烟，仅预留指定吸烟区域。 研究目标 为评估各场所对2007年《烟草控制法》的遵从情况，本研究通过调查酒吧与餐厅是否制定了烟草使用工作场所政策开展相关分析。 研究方法 本研究对内罗毕郡176家持有酒类经营许可证的酒吧与餐厅进行了问卷调查。研究人员向各场所经理询问了其是否制定了规范员工烟草吸烟行为的工作场所政策，并针对判定2007年《烟草控制法》合规性的相关条款开展现场观察。 研究结果 几乎所有受访酒吧与餐厅（150家，占比85%）均存在吸烟行为。其中半数经营场所（86家，占比49%）制定了针对员工烟草使用的工作场所政策，但酒吧与餐厅之间存在显著差异：酒吧仅11家（23%）制定相关政策，而餐厅为75家（58%）（p<0.001）。经理学历水平较低的经营场所，其制定工作场所政策的概率更低（p<0.001），且设置“禁止吸烟”标识与指定吸烟区域的可能性也更小（p<0.005）。 结论与建议 肯尼亚2007年《烟草控制法》的实施，未能为酒吧与餐厅内的顾客及工作人员提供充分的烟草烟雾防护。亟需加强对餐饮服务业从业人员的烟草烟雾危害宣教。酒吧与餐厅经理应具备最低限度的高等教育学历水平。同时，需进一步完善2007年《烟草控制法》，以确保酒吧与餐厅能够实现无烟环境。