a Department of Public Administration, The College at Brockport , The State University of New York , Rochester , NY , USA.
b Department of Family Medicine , University at Buffalo, The State University of New York , Buffalo , NY , USA.
J Aging Soc Policy. 2018 Mar-Apr;30(2):141-154. doi: 10.1080/08959420.2017.1407215. Epub 2017 Dec 18.
Legislation banning smoking in public places is a key component of comprehensive tobacco control programs, yet residential facilities for aging adults are often exempt from such legislation. In Ontario, Canada, provincial legislation does not comprehensively safeguard retirement homes' residents and staff from tobacco-related health and safety concerns. This study provides a descriptive analysis of municipal-level bylaws in order to begin understanding the regulatory context of tobacco use in retirement homes in the Province. A stratified random sample of retirement homes (n = 75) was selected. A rubric was developed highlighting various components that a model policy would include, to allow for the independent review of municipal-level bylaws governing these 75 homes. Results indicate that 75% of retirement homes were located in areas without municipal-level tobacco legislation that addressed retirement homes. The remaining 25% (n = 19 retirement homes) were governed by eight different municipal-level bylaws, all of which lacked in overall comprehensiveness. Amending Ontario's regulatory framework to eliminate loopholes and include retirement homes, as well as the creation and modification of municipal-level legislation, will aid in safeguarding smokers and nonsmokers from the dangers of tobacco-related risks, including secondhand smoke, fires, igniting cigarettes while connected to oxygen, burns to skin, and damage to clothing and property.
立法禁止在公共场所吸烟是全面控烟计划的一个关键组成部分，但老年人居住设施通常不受此类立法的约束。在加拿大安大略省，省级立法并没有全面保护养老院居民和工作人员免受与烟草相关的健康和安全问题的影响。本研究对市级法规进行了描述性分析，以便开始了解该省养老院中烟草使用的监管环境。对（n=75）家养老院进行了分层随机抽样。制定了一个评分表，突出了模范政策应包含的各种组成部分，以便对管理这些 75 家养老院的市级法规进行独立审查。结果表明，75%的养老院位于没有涉及养老院的市级烟草立法的地区。其余 25%（n=19 家养老院）受 8 项不同的市级法规管辖，这些法规在总体全面性方面都存在不足。修改安大略省的监管框架以消除漏洞并将养老院纳入其中，以及制定和修改市级法规，将有助于保护吸烟者和不吸烟者免受与烟草相关的风险的危害，包括二手烟、火灾、在与氧气连接时点燃香烟、皮肤灼伤以及衣物和财产损坏。
