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Surveillance of compliance with tobacco regulations in Örebro County, Sweden: a mixed methods study after the ban of test purchases.

Schölin L, Eriksson C - Subst Abuse Treat Prev Policy (2012)

Bottom Line: Lack of self-monitoring programs was significantly more common in smaller stores/kiosks and at restaurants.Further, the tobacco administrators who worked within the project perceived thematic surveillance as a good method for accomplishing better structure in surveillance work, but not as effective as purchase attempts (mystery shopping).However, the method could be developed further for optimal use and better effect at the retailers.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Health and Medical Sciences, Örebro University, Örebro, Sweden.

ABSTRACT

Background: Tobacco has long been known to be one of the most common reasons for sickness and premature deaths in the world. An important aspect of tobacco use is the youth's access to tobacco, and surveillance visits are one way to make sure how retailers are complying with age limit in the tobacco law. In Örebro County, Sweden, a project to reinforce the tobacco legislation was carried out in 2009-2010. One part of the project was surveillance visits that were done according to three different themes, called thematic surveillance.

Methods: This study is an evaluation of the results from thematic surveillance and has a mixed methods approach. The quantitative analyses concerns protocols from 217 surveillance visits, where questions were asked about three themes (self-monitoring programs; marketing; labeling of products and pricing). In addition, questionnaires filled out by six tobacco administrators who worked within the project were analyzed qualitatively by content analysis in order to study their perceptions and opinions of the project.

Results: This study shows that half of the visited retailers had self-monitoring programs. Lack of self-monitoring programs was significantly more common in smaller stores/kiosks and at restaurants. Further, the tobacco administrators who worked within the project perceived thematic surveillance as a good method for accomplishing better structure in surveillance work, but not as effective as purchase attempts (mystery shopping).

Conclusions: Thematic surveillance was perceived as positive and the method was also regarded to be a good way to work with surveillance. However, the method could be developed further for optimal use and better effect at the retailers. It is clear that people who work with tobacco prevention at the local level in Örebro County want to use purchase attempts as a surveillance method, and that they believe that purchase attempts is the best way to make sure if store comply with the tobacco law.

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The qualitative analysis process.
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Related In: Results  -  Collection

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Figure 1: The qualitative analysis process.

Mentions: The analysis of the responses was done by exploring different themes in the answers, which was done stepwise. The questionnaires already had categories (surveillance, project, future and personal) which was the base for the analysis. According to the concept of content analysis, the questionnaires were summarized with all the answers put in one document. From the pre-determined themes, the answers were analyzed based on common experiences and unique/interesting experiences. The process is visualized in Figure 1.


Surveillance of compliance with tobacco regulations in Örebro County, Sweden: a mixed methods study after the ban of test purchases.

Schölin L, Eriksson C - Subst Abuse Treat Prev Policy (2012)

The qualitative analysis process.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3298798&req=5

Figure 1: The qualitative analysis process.
Mentions: The analysis of the responses was done by exploring different themes in the answers, which was done stepwise. The questionnaires already had categories (surveillance, project, future and personal) which was the base for the analysis. According to the concept of content analysis, the questionnaires were summarized with all the answers put in one document. From the pre-determined themes, the answers were analyzed based on common experiences and unique/interesting experiences. The process is visualized in Figure 1.

Bottom Line: Lack of self-monitoring programs was significantly more common in smaller stores/kiosks and at restaurants.Further, the tobacco administrators who worked within the project perceived thematic surveillance as a good method for accomplishing better structure in surveillance work, but not as effective as purchase attempts (mystery shopping).However, the method could be developed further for optimal use and better effect at the retailers.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Health and Medical Sciences, Örebro University, Örebro, Sweden.

ABSTRACT

Background: Tobacco has long been known to be one of the most common reasons for sickness and premature deaths in the world. An important aspect of tobacco use is the youth's access to tobacco, and surveillance visits are one way to make sure how retailers are complying with age limit in the tobacco law. In Örebro County, Sweden, a project to reinforce the tobacco legislation was carried out in 2009-2010. One part of the project was surveillance visits that were done according to three different themes, called thematic surveillance.

Methods: This study is an evaluation of the results from thematic surveillance and has a mixed methods approach. The quantitative analyses concerns protocols from 217 surveillance visits, where questions were asked about three themes (self-monitoring programs; marketing; labeling of products and pricing). In addition, questionnaires filled out by six tobacco administrators who worked within the project were analyzed qualitatively by content analysis in order to study their perceptions and opinions of the project.

Results: This study shows that half of the visited retailers had self-monitoring programs. Lack of self-monitoring programs was significantly more common in smaller stores/kiosks and at restaurants. Further, the tobacco administrators who worked within the project perceived thematic surveillance as a good method for accomplishing better structure in surveillance work, but not as effective as purchase attempts (mystery shopping).

Conclusions: Thematic surveillance was perceived as positive and the method was also regarded to be a good way to work with surveillance. However, the method could be developed further for optimal use and better effect at the retailers. It is clear that people who work with tobacco prevention at the local level in Örebro County want to use purchase attempts as a surveillance method, and that they believe that purchase attempts is the best way to make sure if store comply with the tobacco law.

Show MeSH