Smoke-free public policies and voluntary policies in personal settings in Tbilisi, Georgia: A qualitative study

• Authors: Carla Berg, Emory University; Samantha A. Smith, Army Public Health Center; Ta Misha Bascombe, Centers for Disease Control and Prevention; Nino Maglakelidze, National Center for Disease Control; Lela Starua, National Center for Disease Control; Marina Topuridze, National Center for Disease Control
• Journal Title: International Journal of Environmental Research and Public Health
• Volume: Volume 13, Number 2
• Publisher: MDPI | 2016-01-25
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.3390/ijerph13020156
• Subjects: Health Sciences, Public Health
• Keywords: tobacco control; secondhand smoke exposure; health policy; health disparities

Abstract

Georgia has limited tobacco control policies, particularly in the area of smoke-free public policies, which may influence the adoption of smoke-free home rules. We qualitatively examined knowledge about and reactions to public and personal smoke-free policies among Tbilisi residents. In Spring 2014, we conducted six focus groups among 47 total participants—two among male smokers, one among male nonsmokers, two among female smokers, and one among female nonsmokers. Our sample was 48.9% male and 70.2% past 30-day smokers. Most believed that SHS was dangerous, with particular concern regarding the impact of SHS on children and pregnant women. Many had misconceptions about how to protect others from SHS and the effectiveness of some approaches. Many indicated that they had some type of home rules, but few reported a complete ban on smoking in the home. Even when some restrictions were in place, they rarely were effective or enforced. Common concerns about the partial smoke-free public policy in Georgia included its economic impact, perceived discrimination among smokers, and the policy being against the Georgian culture. These concerns were heightened when participants were asked about the possible implementation of a complete smoke-free policy. Educational programs are needed to promote smoke-free policies in Georgia.