Employee and public responses to simulated violations of no-smoking regulations in Spain

Objectives. This study evaluated compliance with regulations prohibiting smoking in public places by using a new method of smoking simulation. Methods. Sites in Sabadell, Spain, were visited by observers who lit a cigarette, simulating the act of smoking, and noted the placement and content of signs indicating smoking restrictions. Results. A warning was given in only 17% of sites. A significant association was observed between the presence of signs banning smoking and the elicitation of a warning from people present. Conclusions. Simulating the violation of smoking restrictions may be used as an efficient method of assessing enforcement of the prohibition of public smoking.