Psikoloji Bölümü Koleksiyonu

Permanent URI for this collectionhttps://gcris.khas.edu.tr/handle/20.500.12469/60

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Citation Count: 31
Acculturation Attitudes and Social Adjustment in British South Asian Children: a Longitudinal Study
(Sage Publications Inc, 2013) Brown, Rupert; Baysu, Gülseli; Cameron, Lindsey; Nigbur, Dennis; Rutland, Adam; Watters, Charles; Hossain, Rosa; LeTouze, Dominique; Landau, Anick
A 1-year longitudinal study with three testing points was conducted with 215 British Asian children aged 5 to 11 years to test hypotheses from Berry's acculturation framework. Using age-appropriate measures of acculturation attitudes and psychosocial outcomes it was found that (a) children generally favored an integrationist attitude and this was more pronounced among older (8-10 years) than in younger (5-7 years) children and (b) temporal changes in social self-esteem and peer acceptance were associated with different acculturation attitudes held initially as shown by latent growth curve analyses. However a supplementary time-lagged regression analysis revealed that children's earlier integrationist attitudes may be associated with more emotional symptoms (based on teachers' ratings) 6 months later. The implications of these different outcomes of children's acculturation attitudes are discussed.
Citation Count: 20
Activating Reflective Thinking With Decision Justification and Debiasing Training
(Society for Judgment and Decision making, 2020) İsler, Ozan; Yılmaz, Onurcan; Doğruyol, Burak
Manipulations for activating reflective thinking, although regularly used in the literature, have not previously been systematically compared. There are growing concerns about the effectiveness of these methods as well as increasing demand for them. Here, we study five promising reflection manipulations using an objective performance measure — the Cognitive Reflection Test 2 (CRT-2). In our large-scale preregistered online experiment (N = 1,748), we compared a passive and an active control condition with time delay, memory recall, decision justification, debiasing training, and combination of debiasing training and decision justification. We found no evidence that online versions of the two regularly used reflection conditions — time delay and memory recall — improve cognitive performance. Instead, our study isolated two less familiar methods that can effectively and rapidly activate reflective thinking: (1) a brief debiasing training, designed to avoid common cognitive biases and increase reflection, and (2) simply asking participants to justify their decisions.
Citation Count: 11
All the Dark Triad and Some of the Big Five Traits Are Visible in the Face
(Pergamon-Elsevıer Scıence Ltd, 2021) Alper, Sinan; Bayrak, Fatih; Yılmaz, Onurcan
Some of the recent studies suggested that people can make accurate inferences about the level of the Big Five and the Dark Triad personality traits in strangers by only looking at their faces. However, later findings provided only partial support and the evidence is mixed regarding which traits can be accurately inferred from faces. In the current research, to provide further evidence on whether the Big Five and the Dark Triad traits are visible in the face, we report three studies, two of which were preregistered, conducted on both WEIRD (the US American) and non-WEIRD (Turkish) samples (N = 880). The participants in both the US American and Turkish samples were successful in predicting all Dark Triad personality traits by looking at a stranger's face. However, there were mixed results regarding the Big Five traits. An aggregate analysis of the combined dataset demonstrated that extraversion (only female), agreeableness, and conscientiousness were accurately inferred by the participants in addition to the Dark Triad traits. Overall, the results suggest that inferring personality from faces without any concrete source of information might be an evolutionarily adaptive trait.
Citation Count: 6
Attachment Anxiety Benefits From Security Priming: Evidence From Working Memory Performance
(Public Library Science, 2018) Gökçe, Ahu; Harma, Mehmet
The present study investigates the relationship between the attachment dimensions (anxious vs. avoidance) and the cognitive performance of individuals specifically whether the attachment dimensions would predict the working memory (WM) performance. In the n-back task reflecting the WM capacity both attachment related and non-attachment related words were used. Participants were randomly assigned into two groups that received either the secure or the neutral subliminal priming. In the secure priming condition the aim was to induce sense of security by presenting secure attachment words prior to the n-back task performance. In neutral priming condition neutral words that did not elicit sense of security were presented. Structural equation modeling revealed divergent patterns for attachment anxiety and avoidance dimensions under the different priming conditions. In neutral priming condition WM performance declined in terms of capacity in the n-back task for individuals who rated higher levels of attachment anxiety. However in the secure priming condition WM performance was boosted in the n-back task for individuals who rated higher levels of attachment anxiety. In other words the subliminal priming of the security led to increased WM capacity of individuals who rated higher levels of attachment anxiety. This effect however was not observed for higher levels of attachment avoidance. Results are discussed along the lines of hyperactivation and deactivation strategies of the attachment system.
Citation Count: 0
Avrupalı İkinci Nesil Türk Göçmenlerin Okul Başarısı
(Türk Psikologlar Derneği, 2014) Baysu, Gülseli; Phalet, Karen
Avrupa’daki okulların en büyük sorunlarından biri göçmenlerin yerlilere kıyasla okulda daha başarısız olmasıdır. Bu derleme makalesinin amacı İsveç, Belçika, Avusturya ve Almanya’da büyük şehirlerde yaşayan yerli ve ikinci nesil Türk göçmenlere odaklanarak, okul başarıları arasındaki farkı betimlemek ve sosyal psikolojik bir bakış açısıyla açıklamaktır. Bulgular beş ana başlık altında toplanmıştır. (1) İlk olarak okul başarısını betimleme amacı doğrultusunda dört Avrupa ülkesinde de göçmen ve yerli öğrencilerin okul hayatları boyunca başarılarında gitgide artan bir fark bulunmuştur. Bu farkı açıklamak için, sosyal kimlik kuramına ve sosyal kimlik tehdit algısına yönelik araştırmalardan yararlanılmıştır. (2) Gruplar arası ilişkilere bakıldığında, arkadaşlıklar ve öğretmen desteği, göçmenlerin okulda kendini güvende ve kabul görmüş hissetmesine yol açarak okul başarısını artırmaktadır. Öte yandan, ayrımcılık okula adaptasyonu zorlaştırmaktadır. (3) Sosyal kimlik stratejileri okul başarısını ve adaptasyonunu belirlemektedir. Çiftkültürlü öğrenciler (hem Türk hem Belçikalı hissetmek) okulda ayrımcılığa veya olumsuz kalıpyargılara maruz kaldıklarında bundan daha fazla zarar görmekte, bu da okul başarılarını ve test performanslarını olumsuz etkilemektedir. (4) Segregasyon, gruplar arası arkadaşlıkları azaltıp ayrımcılık algısını artırarak, okul başarısı ve adaptasyonu üzerinde olumsuz bir etkiye yol açmaktadır. Ancak göçmenlerin çoğunluğu oluşturduğu okullar onları ayrımcılıktan korumaktadır. (5) Göçmenler, Almanya gibi hiyerarşik olarak yapılandırılmış eğitim sistemlerinde (akademik ve meslek odaklı ortaöğretim gibi) daha başarısız olmaktadır. Sonuç olarak, bu derlemede sosyal psikolojik yaklaşımın, özellikle sosyal kimlik tehdit algısı ve gruplar arası ilişkilerin, göçmenlerin okul başarısını belirlemekte önemli bir rol oynadığı ifade edilmektedir.
Citation Count: 0
Beliefs of Donors About Liver Failure and Transplantation Surgery
(Elsevier France-Editions Scientifiques Medicales Elsevier, 2015) Krespi-Boothby, Margörit Rita; Tankurt, A.; Acarlı, Koray; Kalayoğlu, Murat; Kanmaz, Turan
[Abstract Not Available]
Citation Count: 3
Beliefs of Living Donors About Recipients' End-Stage Liver Failure and Surgery for Organ Donation
(Elsevier Science Inc, 2017) Krespi-Boothby, Margörit Rita; Tankurt, A.; Acarli, Koray; Kanmaz, Turan; Yankol, Yucel; Kalayoğlu, Murat
Background. The concept of beliefs could provide a basis for how donors may perceive recipients' end-stage liver failure (ESLF) and surgery for organ donation. However there is no such quantitative study. Therefore the objective of this study was to explore beliefs of living donors about recipients' ESLF and surgery for organ donation. Methods. The sample comprised 16 living donors who donated a part of their liver to a patient who had ESLF. The data were analyzed by following established procedures for inductive qualitative analysis. Results. Analysis showed that donors' beliefs can be viewed in a number of groups. Beliefs about recipients' ESLF included diverse explanations for ESLF (blaming oneself and physicians) and physical symptoms (developmental slowing down). Beliefs about being a donor included reasons for being a donor (performing a good deed being healed) barriers to being a donor (other people being ignorant and selfish) ways to manage these barriers (following one's gut feeling) and factors facilitating being a donor (the feeling that one does not have many people to leave behind). Beliefs about surgery for organ donation included physical effects (pain feeling stiff). Beliefs about organ donation included views that general organ donation should be encouraged and that people's awareness should be raised. Conclusions. Existing psychological perspectives could help to interpret some beliefs. Nevertheless other beliefs not previously reported could be considered as targets for individual consultations/psycho-educational programs for fostering emotional well-being.
Citation Count: 22
Beyond Muslim Identity: Opinion-Based Groups in the Gezi Park Protest
(Sage Publications Ltd, 2017) Baysu, Gülseli; Phalet, Karen
Media depicted Turkish Gezi Park protests as a clash between secularists and Islamists within a majority-Muslim country. Extending a social identity approach to protests this study aims (a) to distinguish the protest participants in terms of their opinion-based group memberships (b) to investigate how their religious identification and their group membership were associated with democratic attitudes. Six hundred and fifty highly educated urban young adult participants were surveyed during the protest. Latent class analysis of participants' political concerns and online and offline actions yielded four distinct opinion-based groups labeled liberals secularists moderates and conservatives. Looking at the intersection of the participants' group identities with their Muslim identification we observed that the higher conservatives' and moderates' religious identification the less they endorsed democratic attitudes whereas religious identification made little or no difference in liberals' and secularists' democratic attitudes. Our findings of distinct groups among protest participants in a majority-Muslim country challenge an essentialist understanding of religion as a homogeneous social identity.
Citation Count: 15
Biomarkers of Secondhand Smoke Exposure in Waterpipe Tobacco Venue Employees in Istanbul Moscow and Cairo
(Oxford University Press, 2018) Moon, Katherine A.; Rule, Ana M.; Magid, Hoda; Ferguson, Jacqueline; Susan, Jolie; Sun, Zhuolu; Torrey, Christine; Abubaker, Salahaddin; Levshin, Vladimir; Çarkoğlu, Aslı; Radwan, Ghada Nasr; El-Rabbat, Maha; Cohen, Joanna E.; Strickland, Paul; Breysse, Patrick N.; Navas-Acien, Ana
Background: Most smoke-free legislation to reduce secondhand smoke (SHS) exposure exempts waterpipe (hookah) smoking venues. Few studies have examined SHS exposure in waterpipe venues and their employees. Methods: We surveyed 276 employees of 46 waterpipe tobacco venues in Istanbul Moscow and Cairo. We interviewed venue managers and employees and collected biological samples from employees to measure exhaled carbon monoxide (CO) hair nicotine saliva cotinine urine cotinine urine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and urine 1-hydroxypyrene glucuronide (1-OHPG). We estimated adjusted geometric mean ratios (GMR) of each SHS biomarker by employee characteristics and indoor air SHS measures. Results: There were 73 nonsmoking employees and 203 current smokers of cigarettes or waterpipe. In nonsmokers the median (interquartile) range concentrations of SHS biomarkers were 1.1 (0.2 40.9) mu g/g creatinine urine cotinine 5.5 (2 15) ng/mL saliva cotinine 0.95 (0.36 5.02) ng/mg hair nicotine 1.48 (0.98 3.97) pg/mg creatinine urine NNAL 0.54 (0.25 0.97) pmol/mg creatinine urine 1-OHPG and 1.67 (1.33 2.33) ppm exhaled CO. An 8-hour increase in work hours was associated with higher urine cotinine (GMR: 1.68 95% CI: 1.20 2.37) and hair nicotine (GMR: 1.22 95% CI: 1.05 1.43). Lighting waterpipes was associated with higher saliva cotinine (GMR: 2.83 95% CI: 1.05 7.62). Conclusions: Nonsmoking employees of waterpipe tobacco venues were exposed to high levels of SHS including measurable levels of carcinogenic biomarkers (tobacco-specific nitrosamines and PAHs).
Citation Count: 2
Comparison of Earliest and Later Autobiographical Memories in Young and Middle-Aged Adults
(Istanbul Univ, 2019) Ece, Berivan; Demiray, Burcu; Öner, Sezin; Gülgöz, Sami
The current study examined earliest memories of young and middle-aged adults in comparison to a recent autobiographical memory and a free-report one from any life phase. These three types of memories were compared in terms of their memory characteristics such as vividness, emotionality. importance, confidence, and rehearsal frequency. A total of 319 young (18-30 years) and 112 middle-aged (40-65 years) adults completed the online survey. Results showed that earliest memories were rated either similar to or lower than later memories in their memory characteristics. More specifically. they received lower ratings than free-report memories in all memory characteristics whereas they did not significantly differ from recent memories only in importance and emotionality. In addition, free-report memories were highest in emotionality, importance and rehearsal frequency whereas recent memories were highest in vividness and confidence ratings. Compared to young adults, middle-aged adults provided higher ratings for all memory characteristics in general, and they further recalled earliest memories from an older age. Finally, the order of reporting the three types of memories (earliest memory first versus recent memory first) was examined with respect to its potential influence on memory characteristics and dating of the recalled memories. Results displayed no significant effect of the reporting order on memory characteristics. Dating of the earliest and free-report memories, however, was significantly affected by the reporting order. The mean age for earliest memories was higher when it was retrieved following the recent memory compared to the reporting order in which earliest memories are retrieved and reported first. Overall, results indicated that earliest memories arc not particularly special compared to later memories (e.g.. free-report memories) in terms of their memory characteristics, and they are vulnerable to experimental manipulation such as changing the reporting order just like other types of autobiographical memories.
Citation Count: 29
Compliance With Smoke-Free Legislation Within Public Buildings: a Cross-Sectional Study in Turkey
(World Health Organization, 2016) Navas-Acien, Ana; Çarkoğlu, Aslı; Ergör, Gül; Hayran, Mutlu; Ergüder, Toker; Kaplan, Bekir; Susan, Jolie; Magid, Hoda; Pollak, Jonathan; Cohen, Joanna E.
ObjectiveTo investigate public compliance with legislation to prohibit smoking within public buildings and the extent of tobacco smoking in outdoor areas in Turkey. Methods Using a standardized observation protocol we determined whether smoking occurred and whether ashtrays cigarette butts and/or no-smoking signs were present in a random selection of 884 public venues in 12 cities in Turkey. We visited indoor and outdoor locations in bars/nightclubs cafes government buildings hospitals restaurants schools shopping malls traditional coffee houses and universities. We used logistic regression models to determine the association between the presence of ashtrays or the absence of no-smoking signs and the presence of individuals smoking or cigarette butts. Findings Most venues had no-smoking signs (629/884). We observed at least one person smoking in 145 venues most frequently observed in bars/nightclubs (63/79) hospital dining areas (18/79) traditional coffee houses (27/120) and government-building dining areas (5/23). For 538 venues we observed outdoor smoking close to public buildings. The presence of ashtrays was positively associated with indoor smoking and cigarette butts adjusted odds ratio aOR: 315.9
Citation Count: 3
Cultural Differences in Performance on Eriksen's Flanker Task
(Springer, 2020) Gutchess, Angela; Ksander, John; Millar, Peter R.; Arslan Uzundağ, Berna; Sekuler, Robert; Boduroğlu, Ayşecan
Eriksen's zoom model of attention implies a trade-off between the breadth and resolution of representations of information. Following this perspective, we used Eriksen's flanker task to investigate culture's influence on attentional allocation and attentional resolution. In Experiment1, the spatial distance of the flankers was varied to test whether people from Eastern cultures (here, Turks) experienced more interference than people from Western cultures (here, Americans) when flankers were further from the target. In Experiment2, the contrast of the flankers was varied. The pattern of results shows that congruency of the flankers (Experiment1) as well as the degree of contrast of the flankers compared with the target (Experiment2) interact with participants' cultural background to differentially influence accuracy or reaction times. In addition, we used evidence accumulation modeling to jointly consider measures of speed and accuracy. Results indicate that to make decisions in the Eriksen flanker task, Turks both accumulate evidence faster and require more evidence than Americans do. These cultural differences in visual attention and decision-making have implications for a wide variety of cognitive processes.
Citation Count: 9
Do Changes in Threat Salience Predict the Moral Content of Sermons? the Case of Friday Khutbas in Turkey
(Wiley, 2020) Alper, Sinan; Bayrak, Fatih; Us, Elif Öykü; Yilmaz, Onurcan
We analyzed the content of "Friday Khutbas" delivered in Turkish mosques between January 2001 and December 2018 to test the prediction of moral foundations theory (MFT) literature that threat salience would lead to an increased endorsement of binding moral foundations. As societal-level indicators of threat, we examined (a) historical data on the proportion of terrorism-related news published in a Turkish newspaper, (b) the geopolitical risk score of Turkey as measured by Geopolitical Risk Index, and (c) Google Trends data on the search frequency of words "terror", "terrorism", or "terrorist". To measure the endorsement of moral foundations, we built a Turkish Moral Foundations Dictionary and counted the relative frequency of morality-related words in the khutbas delivered in Istanbul, Turkey. Time series analyses showed that risk salience in a certain month was positively related to endorsement of the loyalty/betrayal foundation in that month's Friday Khutbas. There were mixed results for the other moral foundations.
Citation Count: 6
Does an Abstract Mind-Set Increase the Internal Consistency of Moral Attitudes and Strengthen Individualizing Foundations?
(Sage Publications Inc, 2020) Sinan, Alper; Yılmaz, Onurcan
Recent research suggests that experimentally inducing an abstract (vs. a concrete) mind-set enhances political sophistication by increasing the consistency in political attitudes; it also enhances individualizing moral foundations and decreases binding moral foundations. However, the evidence is mixed regarding whether abstract mind-set increases or decreases the strength of moral convictions in general. In this context, the aim of this study was 2-fold. In two preregistered studies on U.S. American and Turkish samples (aggregate N = 694), we tested (1) whether abstract mind-set increases the consistency in moral convictions, similar to the case of political attitudes, and (2) whether inducing an abstract mind-set increases individualizing and decreases binding foundations. The results did not provide support for any of the hypotheses and the past findings were not reproduced. Potential implications of these findings for construal level theory literature are discussed.
Citation Count: 10
Does Intuitive Mindset Influence Belief in God? a Registered Replication of Shenhav, Rand and Greene (2012)
(SOC Judgment & Decision Making, 2020) Sarıbay, S. Adil; Yılmaz, Onurcan; Körpe, Gülay Gözde
In 2012, two independent groups simultaneously demonstrated that intuitive mindset enhances belief in God. However, there is now some mixed evidence on both the effectiveness of manipulations used in these studies and the effect of mindset manipulation on belief in God. Thus, this proposal attempted to replicate one of those experiments (Shenhav, Rand & Greene, 2012) for the first time in a high-powered experiment using an under-represented population (Turkey). In line with the intuitive belief hypothesis, a negative correlation between reflectiveness and religious belief emerged, at least in one of the experimental conditions. In contrast to that hypothesis, however, the results revealed no effect of the cognitive style manipulation on religious belief. Although a self-report measure (Faith in Intuition) provided evidence that the manipulation worked as intended, it did not influence actual performance (Cognitive Reflection Test), suggesting a demand effect problem. Overall, the results failed to provide support for the intuitive belief hypothesis in our non-WEIRD sample, despite generally following the predicted patterns, and suggest that using stronger manipulation techniques are warranted in future studies.
Citation Count: 0
Donors' Evaluation of Their Lives Following the Diagnosis of Liver Failure and Transplantation Surgery
(Elsevier France-Editions Scientifiques Medicales Elsevier, 2015) Krespi-Boothby, Margörit Rita; Tankurt, A.; Acarli, Koray; Kalayoglu, Murat; Kanmaz, Turan
[Abstract Not Available]
Citation Count: 5
The Effect of Self-Concept Clarity on Discretionary Spending Tendency
(Elsevier Science Bv, 2016) Sarial-Abi, Gulen; Gurhan-Canli, Zeynep; Kumkale, Gökçe Tarcan; Yoon, Yeosun
Discretionary spending is an important indicator of economic well-being. However prior research is limited in empirically testing who is more likely to make discretionary purchases. To address this research gap this article suggests that those who have less clearly and confidently defined internally consistent and temporally stable self-knowledge (i.e. those who have low self-concept clarity [SCC]) have higher discretionary spending tendencies than high-SCC individuals. The results indicate that low-SCC individuals have higher discretionary spending tendencies because they are more likely to adopt avoidant coping strategies than are high-SCC individuals. This research further tests the effectiveness of elaboration on potential outcomes in reducing the discretionary spending tendencies of individuals with high- or low-SCC and demonstrates that it is effective only for high-SCC individuals. This article concludes with a discussion of the theoretical and managerial implications of the results. (C) 2015 Elsevier B.V. All rights reserved.
Citation Count: 0
Effects of Second Language Acquisition on Narrative Structure and Linguistic Processes in Preschool and School-Aged Children
(İstanbul Üniversitesi, 2019) Aktan-Erciyes, Aslı
This research examines the effects of second language acquisition in early childhood on the structural and linguistic properties of narrative skills in the child's native language. To investigate these questions, narrative and vocabulary skills in monolingual and bilingual children (Frog story) were evaluated. One hundred and twelve five- and seven-year-old monolingual (Language 1 [L1]: Mother tongue, Turkish) (N = 61) and bilingual (L1, Turkish; Language 2 [L2]: Second language, English) (N = 51) children participated in the study. Narrative skills were evaluated only for Turkish for monolingual children, whereas bilingual children were tested in English as well, the latter test taking place on a separate day. For the structural evaluation of narrative discourse, a schema is used to evaluate the narrative skills of bilingual children. The elements in the schema are: Frog story elements, sequence, perspective / emotion and affect, and finally engagement. In order to evaluate the linguistic complexity simple and complex clauses were coded. The percentage of complex clauses with respect to total clauses was used as an indication of linguistic complexity. There were two age groups in the monolingual and bilingual groups. The findings revealed that in L1: Turkish, bilingual and monolingual children differed for narrative structure components regardless of age group. Monolinguals outperformed their bilingual peers for frog story elements, sequence, perspective affect, and engagement. Age differences indicated that for five-year-olds there were no differences between monolinguals and bilinguals for perspective affect and engagement which were difficult skills to display at that age. Monolingual children were better at incorporating more complex structures into their narratives compared to bilinguals. It was found that bilingual and monolingual children did not differ in L1 vocabulary skills. The results showed that early exposure to L2 might result in negative outcomes for L1 narrative development.
Citation Count: 8
Effects of Second Language on Motion Event Lexicalization: Comparison of Bilingual and Monolingual Children's Frog Story Narratives
(Selcuk University, 2020) Aktan Erciyes, Aslı
This study investigates how children lexicalize motion event patterns in their first and second languages, L1-Turkish and L2-English. English is a satellite-framed language that conflates motion with manner expressed in the main verb and path in a non-verbal element, whereas Turkish is a verb-framed language that conflates motion with path in the main verb and expresses manner in a subordinated verb. We asked whether (1) learning a second language had an effect on children's event descriptions in their first language and (2) the effects were bidirectional. One-hundred-and-twelve 5- and 7-year-old monolingual (L1-Turkish) and bilingual (L1-Turkish; L2-English) children participated. Participants produced narratives for wordless picture book, Frog, where are you? Six scenes of the book were selected for coding purposes as they represented motion events: (1) Frog's exit from the jar, (2) Dog's fall from the window, (3) Gopher popping out of the hole, (4) Owl's exit from a nest, (5) Boy and dog falling down and (6) Boy and dog landing in a pond. For L1 descriptions, 5-year-old bilinguals used more manner-only and less path-only descriptions than monolinguals; no difference was found for 7-year-olds. For L2 descriptions, bilingual children used less Manner-only and more Path-only expressions in their L2 narratives compared to L1 narratives. These findings suggest that for 5-year-olds, exposure to second language had an impact on how motion events are encoded. Results inform us about the early interactions between L1 and L2 in motion event lexicalization.
Citation Count: 6
Evaluation of Secondhand Smoke Using Pm2.5 and Observations in a Random Stratified Sample in Hospitality Venues From 12 Cities
(MDPI, 2019) Kaplan, Bekir; Çarkoğlu, Aslı; Ergör, Gül; Hayran, Mutlu; Sureda, Xisca; Cohen, Joanna E.; Navas-Acien, Ana
Background: Turkey passed a law banning smoking in all indoor public places in 2008. In response to the indoor smoking restriction many smokers may have relocated to outdoor areas of venues. The aim of this study was to evaluate air pollution related to SHS exposure in indoor and outdoor areas of hospitality venues in 12 cities in Turkey. Method: In this cross-sectional study we evaluated hospitality venues in 12 cities in Turkey. In each visited venue we evaluated a pre-specified number of study locations such as the outdoor area of the main entrance indoor areas and patios or other outdoor dining areas completely or partially covered with window walls. We measured particulate matter 2.5 (PM2.5) in those areas. Results: The fieldworkers visited 72 randomly selected hospitality venues and measured PM2.5 concentrations in 165 different locations (indoor outdoor and patios) of those venues. Overall 2573 people were observed 909 of them smoking. The median (IQR) PM2.5 concentrations were 95 (39-229) g/m(3) indoors 25 (13-48) g/m(3) outdoors and 31 g/m(3) (16-62) in the patios (p < 0.001). After adjustment each additional smoker was associated with a 2% increase in PM2.5 concentrations in patio air (GMR (95% CI): 1.02 (1.00 1.05) and a 4% increase in indoor air (GMR (95% CI): 1.04 (1.02 1.05). Conclusions: There were unhealthy levels of smoking-caused PM2.5 concentrations not only indoors but also in the patios of hospitality venues. Legislative efforts to expand the smoke-free legislation to outdoor areas adjacent to indoor public places and an action plan to increase compliance with the smoke-free policy are urgently needed in Turkey.

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