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Int. J. Environ. Res. Public Health 2016, 13(2), 156;

Smoke-Free Public Policies and Voluntary Policies in Personal Settings in Tbilisi, Georgia: A Qualitative Study

Department of Behavioral Sciences and Health Education, Emory University School of Public Health, 1518 Clifton Road, NE, Room 524, Atlanta, GA 30322, USA
Health Promotion and Wellness Directorate Army Public Health Center, 8506 Dawnridge Dr., Houston, TX 77071, USA
Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30322, USA
National Center for Disease Control, 9 M. Asatiani st. Tbilisi, GA 0177, USA
Author to whom correspondence should be addressed.
Academic Editor: Icro Maremmani
Received: 15 November 2015 / Revised: 31 December 2015 / Accepted: 21 January 2016 / Published: 25 January 2016
Full-Text   |   PDF [273 KB, uploaded 25 January 2016]


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. View Full-Text
Keywords: tobacco control; secondhand smoke exposure; health policy; health disparities tobacco control; secondhand smoke exposure; health policy; health disparities
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Berg, C.J.; Smith, S.A.; Bascombe, T.M.; Maglakelidze, N.; Starua, L.; Topuridze, M. Smoke-Free Public Policies and Voluntary Policies in Personal Settings in Tbilisi, Georgia: A Qualitative Study. Int. J. Environ. Res. Public Health 2016, 13, 156.

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