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Exposure to secondhand smoke (SHS) is a threat to individual and population health. The prevalence of SHS exposure is higher in countries with higher adult smoking rates. In Serbia, 37% of adults are smokers which is above world average. Current Serbian legislation allows owners to decide whether the premises will be smoke-free in case cafe/restaurants is up to 80 m 2 . Оtherwise, they are obliged to provide smoke-free area but physical division between smoking and no-smoking areas is not requirement. Data regarding exposure and attitudes towards SHS exposure in hospitality sector in Serbia were collected in 2018 as cross-sectional study on representative sample of 1200 Serbian adults (18-64 years) that have visited hospitality sector in the last six months. Probability proportional sampling was applied aimed to include both smokers and non-smokers. Exposure to SHS in hospitality sector in Serbia is high (88% in cafes, 73% in restaurants). More than half (52%) of the cafes visitors (19% smokers, 86% non-smokers) and 63% restaurant visitors (26% of smokers, 89% non-smokers) stated that exposure to tobacco smoke bothers them. Almost half of the visitors (46%) said that they are always or frequently exposed to tobacco smoke when they are sitting in designated no-smoking area of the cafe/restaurant. Our data contribute to the current body of evidence that designated smoking areas in the hospitality sector do not protect visitors from the SHS. Therefore it is necessary to adopt 100% smoke-free law in Serbia.

Introduction To analyze prevalence of water pipe use and attitudes related to it among Serbian adults. Methods Data were obtained through cross sectional survey conducted in December 2017. Three stage random nationally representative stratified sample was used. Data from 1045 Serbian adults were collected through computer assisted personal interviewing. Results Lifetime prevalence of waterpipe use is 6% (7% male, 5% female). In addition, 7% of population visited bars specialized for waterpipe use (waterpipe bars) but haven’t smoke waterpipe. The highest percentage of waterpipe lifetime users was in the 18-24 age group (15%), followed by age group 25-34 (12%). In the same age groups, additional 22% and 12% respectively have visited waterpipe bar, but haven’t smoke waterpipe. Almost every third citizen of Serbia (29%) thinks that waterpipe use is less harmful than cigarette use, 39% agree with the statement that waterpipe users can develop nicotine addiction and 36% think that waterpipe use is risk factor for malignant diseases. Young adults 18-24 years old are less aware of harmful consequences of waterpipe use. There are more citizens that agree that waterpipe use in hospitality sector should be banned than those who disagree with such measure (40% vs.24%). Younger population is less favorable to the waterpipe smoking ban in hospitality sector. Conclusions Waterpipe use and spending time in specialized waterpipe bars is popular in Serbia, especially among young adults. Insufficient number of citizens is aware of risks associated with waterpipe use. Findings indicate need of awareness raising on health effects associated with waterpipe smoking and exposure to waterpipe smoke.

Introduction. Alcohol is most abused psychoactive substance among youth. Analyzing attitudes on alcohol, patterns and consequences we are getting inputs important for implementing evidence based preventive measures. Objective. The aim of this study was to analyze drinking patterns and expectations and alcohol risk perception by gender and region and determine correlation between attitudes and one year prevalence of drinking. Methods. The study used data from the European School Survey on Alcohol and Other Drugs, which was then conducted in 2008 in Serbia on a sample of 6,553 students aged 16 years. For data analysis descriptive and analytical statistic were used. Results. The results show that nine out of ten students have had at least one alcoholic beverage during life and 5% have at least one alcohol beverage on more than 20 occasions during the last month. Students in Serbia have mainly positive expectations from alcohol, and the strongest potential drinking predictors in the previous year are expectation of having fun and the wish to feel relaxed. According to the participants, drinking 4-5 drinks on weekends (34.6%) is less risky than trying cannabis (52.0%). Boys have experienced problems caused by alcohol drinking more often than girls, while students from Vojvodina have performed badly in school in higher percentage than students from Belgrade and Central Serbia. Conclusion. In Serbia, girls drink less and perceive drinking as more risky in comparison to boys, while 16-year-old students from Vojvodina have more positive expectations but also more prominent problems caused by alcohol drinking. Additional education of the young on alcohol risk is recommended.