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Some local government authorities in New Zealand have
started to introduce ‘educational’ smokefree park policies,
including those in South Taranaki, Ashburton, Tararua, Gisborne, New Plymouth,
Rotorua, and Upper Hutt. The policies depend on signage and media coverage,
rather than bylaws, to encourage compliance. Upper Hutt introduced a policy
in May 2006. Little is know about the public attitudes to and compliance with
such policies.
We carried out a multifaceted evaluation aiming to assess
attitudes towards, and compliance with, Upper Hutt’s smokefree parks
policy in 2007.
Data collection occurred in the
three largest parks in Upper Hutt with one or more children’s playgrounds.
We carried out a face-to-face survey and observational study among park users in
two of the parks, on 4 days in September 2007. This included data collection
during a family-orientated event. We collected and counted cigarette butts from
areas in three parks, a week after they had been cleared of all visible butts.
These areas were concentrated close to paths, benches, playgrounds, and litter
bins. We also carried out a visual analysis of signage in all three parks. The
detailed methods and results are described in the project
report,1 with the main findings summarised
here. Ethics approval was provided through the University of Otago’s
ethics review process.
The main finding was that 83% of adult park users thought
that having a “smokefree parks policy” was a good idea (n=488/587).
However, only 63% of respondents knew about the policy. Most smokers (73%) also
agreed with the policy (n=109/149). Seventeen percent of smokers who knew about
the policy and 32% of smokers who did not know about the policy reported that
they smoked in the parks.
Of those who thought the policy was a good idea, the most
common reasons given were enhancing positive role modelling (28%), reducing
secondhand smoke exposure (28%), and because parks are children’s
environments (27%). The main reasons people gave for opposing the policy were:
“smoking outdoors is acceptable” (50%), “smokers should have
the right to autonomy” (26%), and “the policy won’t work or
cannot be enforced” (12%). Furthermore, the respondents who agreed with
the policy most often thought the Upper Hutt City Council had implemented the
policy because: “parks are for children”, “it reduces negative
role modelling”, and “it reduces litter”. The respondents who
disagreed with the policy most frequently stated that the Council implemented it
for “political reasons”.
Observational data of smoking behaviour indicated that
smoking was rare among adults, with 8 out of 488 adults observed smoking over
the data collection period. No smoking among children was observed (0/1013).
However, systematic collection of cigarette remnants indicated that smoking in
the parks was still occurring—with 210, 87, and 12 new cigarette butts
found in the study areas after 1 week in the three parks. The parks all
displayed at least one “Smokefree Parks” sign. However, these were
only visible from a few locations in each park, and were often not in the field
of view when looking towards the playground.
The results of this study were generally positive,
particularly with regards to public support for a smokefree parks policy. The
findings are consistent with the few available studies in other countries and
within New Zealand that indicate majority public support for smokefree parks. In
New Zealand, a District Health Board survey of 200 park users in Opotiki
(following the introduction of a smokefree parks policy) found that 69%
supported smokefree outdoor council areas, despite 31% of interviewees being
smokers.2 A Health Sponsorship Council (HSC)
survey of subjects across New Zealand found that 51% of interviewees said it was
“not at all” acceptable to smoke at outdoor sports fields and
courts, and 69% agreed with the statement “smoking should be banned in all
outdoor places that children are likely to
go”.3 In the HSC survey, 76% also said it
was not acceptable to smoke at outdoor children’s playgrounds. In
Minnesota in the USA there was 70% support for a smokefree parks
policy.4 There was also majority public support
for smokefree beaches in California,5 and for a
number of other smokefree outdoor settings (including child play yards, outside
of building entrances, and outdoor restaurant dinning
patios).6
The attitudinal and observational surveys in our study were
limited by only involving users of two parks, and not interviewing non-users of
parks. Non-response was not recorded systematically, but was reported by
interviewers to be very low (<5%). However, some park users were not included
in the survey—e.g. joggers were not approached. The results may also have
been subject to social desirability bias, since the interviewers were identified
to respondents as being “medical students”.
In summary, we found strong support for smokefree parks
among park users. However, only 62% of respondents knew that the parks were
covered with a smokefree policy, signage appeared to be inadequate, and the butt
study suggested an appreciable degree of non-compliance. This suggests that more
promotion through better signage, media campaigns, and public education is
required. Recommendations for further research in this area are provided in the
report.1 However, while further research on
smokefree parks is warranted in New Zealand, there is probably enough public
health justification for the introduction of such policies
already,7 especially in settings frequented by
children. Furthermore, the available research findings suggest that legislators
can be confident of majority public support for smokefree parks.
Acknowledgements: The authors thank
other members of the team who helped develop and implement the evaluation: James
Arcus, Su-Lin Boey, Ravi Jain, James McAlpine, Brendon Sanders, Shivani Shilam,
and Mahu Tipu. We also thank the Public Health Department (particularly Kerry
Hurley) for administrative support, and the members of the public who
participated. Advice and support for the study came from the Upper Hutt City
Council (particularly Brett Latimer), the Cancer Society of New Zealand, and the
Health Sponsorship Council.
Competing interests: Wilson, Edwards,
and Thomson have previously worked for NGOs and the Ministry of Health on
tobacco control issues.
Ann-Marie Stevenson, Rachel Bradshaw, Jared Cook, Rachel
Cunningham, Leonie Riddick, Rory Miller, Richard Edwards*, Nick Wilson,
George Thomson
Department Public Health, University of Otago, Wellington. *Richard.Edwards@otago.ac.nz References:
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