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Despite the continuous expansion of smoke-free zones in the Republic of Korea, data on their management and compliance remain insufficient. This study examined the management of designated smoke-free areas on inland and island areas within Wando county, South Jeolla province, Republic of Korea, assessing whether smokefree signage complied with the National Health Promotion Act and investigating actual on-site smoking. A survey conducted in Wando-gun, a rural island region with 125 smoke-free zones (6.6% of 1,906 zones in total), revealed that 12.8% of these zones had a poorly managed smoke-free zone signage. Smoking noncompliance rate within the zones was 48.8%, with no significant differences between inland and island areas. Because designating smoke-free zones remains the core strategy for reducing secondhand smoke exposure, it is imperative to establish a comprehensive monitoring system to evaluate the management, effectiveness, and awareness of, and compliance in such zones.
Public Health Weekly Report 2025; 18(11): 481-490
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Public Health Weekly Report 2025; 18(11): 491-492
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