Smoke-Free Ontario Strategy Monitoring Report: Protection Smoke-Free Ontario Strategy Monitoring Report | Protection Table of Contents List of Tables ............................................................................................................................................... 2 List of Figures .............................................................................................................................................. 3 Protection: Smoke-Free Ontario Strategy Components ............................................................................. 4 Protection Infrastructure ............................................................................................................................ 6 Ontario Tobacco Research Unit .............................................................................................................. 6 Program Training and Consultation Centre ............................................................................................ 6 Public Health Units and Tobacco Control Area Networks ...................................................................... 7 Smoking and Health Action Foundation ................................................................................................. 8 Youth Advocacy Training Institute .......................................................................................................... 8 Protection Interventions ............................................................................................................................. 9 Smoke-Free Ontario Act .......................................................................................................................... 9 SFOA Enforcement ............................................................................................................................ 10 Electronic Cigarettes Act ....................................................................................................................... 10 Local Policy Initiatives ........................................................................................................................... 11 Other Local Interventions ..................................................................................................................... 12 Multi-Unit Housing ............................................................................................................................ 12 2015 PanAm/Parapan Am Games..................................................................................................... 13 Post-Secondary Campus Policies ...................................................................................................... 13 Prevention and Cessation Interventions Contributing to Protection ................................................... 14 Protection Outcomes: Population Level ................................................................................................... 15 Workplace Exposure ............................................................................................................................. 15 Exposure in Public Places ...................................................................................................................... 16 Public Opinion about Smoking in Outdoor Public Places ................................................................. 18 Public Opinion about Smoking on Restaurant and Bar Patios .......................................................... 20 Exposure in Vehicles ............................................................................................................................. 20 Household Exposure ............................................................................................................................. 22 Public Opinion about Smoking in Homes with Children ................................................................... 23 Exposure in Multi-Unit Housing ............................................................................................................ 23 Public Opinion about Smoking in Multi-Unit Housing ...................................................................... 24 Risk Perception about Secondhand and Thirdhand Smoke ................................................................. 24 MPOWER Comparison with Ontario: Protection ...................................................................................... 25 Scientific Advisory Committee: Overview of Protection Goals and Recommendations .......................... 25 2010 Scientific Advisory Committee Recommendations ..................................................................... 26 Chapter Summary ..................................................................................................................................... 29 Visual Summary of Key Protection Indicators .......................................................................................... 30 Appendix: Data Tables .............................................................................................................................. 31 References ................................................................................................................................................ 45 Ontario Tobacco Research Unit Chapter 5-1 Smoke-Free Ontario Strategy Monitoring Report | Protection List of Tables Table 5-1: Assessing Protection: MPOWER Indicators Applied to Ontario ......................................... 25 Table 5A-1: NSRA’s Smoke-Free Laws Database: Leading Edge Bylaws, Ontario (November 2016) .... 31 Table 5A-2: Data for Figure 5-2. Workplace Exposure (Past Week) Indoors or Inside a Work Vehicle, Ontario 2010 to 2015 ............................................................................................ 36 Table 5A-3: Data for Figure 5-3. Nonsmokers’ Exposure to Secondhand Smoke in Public Places (Every Day or Almost Every Day), by Age, Ontario, 2003 to 2014 ...................................... 36 Table 5A-4: Nonsmokers’ Exposure to Secondhand Smoke in Public Placesa (Every Day or Almost Every Day), by Public Health Unit, Ages 12+, Ontario, 2007/08, 2009/10, 2011/12, 2013/14 ............................................................................................................................... 37 Table 5A-5: Data for Figure 5-4. Agreement that Smoking Should be Banned in Playgrounds, Recreation Facilities, Outdoor Special Events and Parks, Ages 18+, Ontario, 2010 to 2015 ................................................................................................................................ 38 Table 5A-6: Data for Figure 5-5. Agreement that Smoking Should be Banned in Playgrounds, Recreation Facilities and Parks, by smoking status, Ages 18+, Ontario, 2015 ................... 39 Table 5A-7: Data for Figure 5-6. Agreement that Smoking should be Banned on Sidewalks, Entrances and Bus Stops, Ages 18+, Ontario, 2010 to 2015 .............................................. 39 Table 5A-8: Data for Figure 5-7. Nonsmokers’ Exposure to Secondhand Smoke in Vehicles (Every Day or Almost Every Day), by Age, Ontario, 2003 to 2014 ................................................. 40 Table 5A-9: Nonsmokers’ Exposure to Secondhand Smoke in Private Vehicles (Every Day or Almost Every Day), by Public Health Unit, Ages 12+, Ontario, 2007/08, 2009/10, 2011/12, 2013/14 ............................................................................................................................... 41 Table 5A-10: Data for Figure 5-8. Nonsmokers’ Exposure to Secondhand Smoke at Home (Every Day or Almost Every Day), by Age, Ontario, 2003 to 2014 ........................................................ 42 Table 5A-11: Nonsmokers’ Exposure to Secondhand Smoke in Homes (Every Day or Almost Every Day), by Public Health Unit, Ages 12+, Ontario, 2007/08, 2009/10, 2011/12, 2013/14 .... 43 Table 5A-12: Data from Figure 5-9. Agreement That There Should Be a Law that Parents Cannot Smoke Inside their Home if Children are Living There, Ages 18+, Ontario, 2000 to 2015 . 44 Table 5A-13: Data from Figure 5-10. Exposure to Secondhand Smoke in Multi-Unit Dwellings (Past Month), 18+, Ontario, 2011 to 2015................................................................................... 44 Ontario Tobacco Research Unit Chapter 5-2 Smoke-Free Ontario Strategy Monitoring Report | Protection List of Figures Figure 5-1: Protection Path Logic Model .................................................................................................. 5 Figure 5-2: Workplace Exposure (Past Week) Indoors or Inside a Work Vehicle, Ages 18+, Ontario, 2010 to 2015 ........................................................................................................................ 15 Figure 5-3: Nonsmokers’ Exposure to Secondhand Smoke in Public Placesa (Every Day or Almost Every Day), by Age, Ontario, 2003 to 2014 .......................................................................... 17 Figure 5-4: Agreement that Smoking Should be Banned in Playgrounds, Recreation Facilities, Outdoor Special Events and Parks, Ages 18+, Ontario, 2010 to 2015 ................................. 18 Figure 5-5: Agreement that Smoking Should be Banned in Playgrounds, Recreation Facilities and Parks, by smoking status, Ages 18+, Ontario, 2015 ............................................................. 19 Figure 5-6: Agreement that Smoking should be Banned on Sidewalks, Entrances and Bus Stops, Ages 18+, Ontario, 2010 to 2015 ........................................................................................