207204 Clean Indoor Air Ordinances in Appalachia

Tuesday, November 10, 2009

Amy K. Ferketich, PhD , College of Public Health, The Ohio State University, Columbus, OH
Alex Liber , College of Public Health, The Ohio State University, Columbus, OH
Michael Pennell, PhD , The Ohio State University, The Ohio State University, Columbus, OH
Micah Berman, JD , NEW ENGLAND LAW, Boston, MA
Darren Nealy, JD , Capital University Law School, Columbus, OH
Jana Hammer , Capital University Law School, Columbus, OH
Michael McGovern , Capital University Law School, Columbus, OH
Background: The decline in smoking prevalence can be attributed to a number of factors, including clean indoor air (CIA) ordinances. Not all communities have CIA ordinances and there has been limited examination of factors that are associated with their adoption. The objective of this study was to examine their reach and characteristics of communities with CIA ordinances in the Appalachia region of the U.S.

Methods: We used data from communities in the Appalachian region of six states. All CIA ordinances were collected and rated for strength and whether it was a 100% comprehensive workplace, restaurant or bar ordinance. In the analysis we determined whether the strength of the ordinance was related to community measures of socioeconomic status. Qualitative interviews were then conducted with tobacco control leaders in 30 communities to determine the role coalitions played in the passage of the ordinances and the barriers they faced during the process.

Results: A total of 332 communities were included in the analysis. Only 69 had either a workplace or restaurant smoking ban. Communities with a higher average unemployment rate were less likely and those with a higher average education level were more likely to have a strong ordinance. The preliminary qualitative data suggest that presence of a strong coalition and leader, as well as public support facilitate passage of CIA ordinances.

Conclusions: Few Appalachian communities have adopted strong CIA ordinances. Given that many resources are needed to pass such ordinances it might be more efficient to work towards passage of statewide laws.

Learning Objectives:
At the end of this presentation, audience members will be able to describe the extent to which Appalachian communities have adopted clean indoor air ordinances.

Keywords: Tobacco Policy, Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been conducting tobacco control research for nearly 10 years and I am the PI on the RWJF grant that funded the work I described in the abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.