Current status and intention to change indoor smoking rules by enforcing smoke-free legislation in Japan

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  • KATAOKA Aoi
    Department of Medical Statistics, Research & Development Center, Osaka Medical College Department of Preventive Medicine and Public Health, Tokyo Medical University
  • MURAKI Isao
    Public Health Graduate School of Medicine, Osaka University
  • KIKUCHI Hiroyuki
    Department of Preventive Medicine and Public Health, Tokyo Medical University
  • KIYOHARA Kosuke
    Faculty of Home Economics, Otsuma Women's University
  • ANDO Emiko
    Center for Cancer Control and Information Services, National Cancer Center Japan
  • NAKAMURA Masakazu
    Health Promotion Research Center, Japan Association for Development of Community Medicine
  • ITO Yuri
    Department of Medical Statistics, Research & Development Center, Osaka Medical College

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Other Title
  • 受動喫煙対策に関する法律・条例施行に伴う既存特定飲食提供施設の屋内客席喫煙ルールの現状および変更意向に関する調査
  • ジュドウ キツエン タイサク ニ カンスル ホウリツ ・ ジョウレイ シコウ ニ トモナウ キソン トクテイ インショク テイキョウ シセツ ノ オクナイ キャクセキ キツエン ルール ノ ゲンジョウ オヨビ ヘンコウ イコウ ニ カンスル チョウサ

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<p>Objective　In Japan, the revised Health Promotion Act and the Tokyo Metropolitan Ordinance to Prevent Exposure to Second-hand Smoke have been in place since April 1, 2020. However, regional differences in the prohibition of smoking in restaurants have raised concerns that some restaurants are not regulated by the smoke-free legislation. In addition, outdoor smoking rules have been in place in municipalities prior to the smoke-free legislation, so smoking outside restaurants may occur, and this may obstruct progress in the prohibition of smoking. In this study, we examined the indoor smoking rules before and after the enforcement of the smoke-free legislation, as well as what influenced the changes in these rules.</p><p>Methods　We conducted a self-administered questionnaire survey in 6,000 restaurants in Tokyo, Osaka, and Aomori prefectures from February to March 2020. We examined the indoor smoking rules before and after the enforcement of the smoke-free legislation and calculated the proportion of change by categorizing the indoor smoking rules into “smoking prohibited,” “smoking permitted in separate area,” and “smoking permitted.”</p><p>Results　Of the 879 restaurants that responded, 603 indicated that they were not regulated by the smoke-free legislations. The percentage of restaurants that switched from “smoking permitted in separate area” and “smoking permitted” to “smoking prohibited” was 5.2% (3/58) in Tokyo, 23.1% (31/134) in Osaka, and 17.2% (57/326) in Aomori. In addition, when we included restaurants that were already “smoking prohibited” before the enforcement and did not plan to change the rules after the enforcement, the percentage was 46.6% (55/118) in Tokyo, 49.6% (113/228) in Osaka, and 48.6% (125/257) in Aomori.</p><p>Conclusion　In total, 17.6% (91/518) of the restaurants that were not regulated by the smoke-free legislations would plan to change their indoor smoking rules from “smoking permitted in separate area” and “smoking permitted” to “smoking prohibited.” There is a concern regarding the reduction in customers and sales due to the prohibition of smoking, and the existence of outdoor smoking rules prior to the smoke-free legislation may obstruct progress in the prohibition of smoking. It will be important to examine changes in the number of customers and sales resulting from changes to the indoor smoking rules to deal with smokers when smoking is prohibited, and to improve environments set as public smoking spaces in Japan.</p>

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