224730 Analysis of community determinants of smokefree policies in the United States

Monday, November 8, 2010 : 8:30 AM - 8:45 AM

Sreenivas P. Veeranki, MD, MPH , Department of Biostatistics and Epidemiology, East Tennessee State University, Johnson City, TN
Hadii Mamudu, MPA, PhD , Department of Health Services Administration, University of California, San Francisco, Johnson City, TN
Tiana Epps-Johnson, MSc , Politics and Communication, London School of Economics, London, United Kingdom
Yi He, MPH , Department of Biostatistics and Epidemiology, East Tennessee State University, Johnson City, TN
In January 2010, North Carolina became the 23rd state to implement a statewide smokefree policy, which is in addition to hundreds of counties and municipalities that have already enacted and implemented smokefree ordinances around the country. This proliferation of smokefree policies around the country suggests that it is rapidly becoming one of the commonest tobacco control measure for protecting nonsmokers and motivating smokers to quit. In this study, we conducted multivariate analysis of merged smokefree policy data from the Americans for Nonsmokers Rights and socioeconomic, political, and cultural data from the Census Bureau and other federal and state departments, to disentangle the key determinants of this policy. We expect to find geographic contiguity, urbanization, interest group activities, shift in the economic importance of tobacco, the growing health and economic burden of tobacco use, and political culture to be associated with the adoption and implementation of smokefree policies. Our study provides guidance for public health professionals and people interested in pushing for smokefree policies as to the key determinants for success. By that, scarce resources could be directed to where the possibility of policy development is high while working on creating conducive environment in places not yet prepared for such policies. Moreover, as smokefree policies continue to be popular worldwide, our studies will provide lessons for people in other countries about the indicators of policy development and implementation.

Learning Areas:
Advocacy for health and health education
Public health or related education
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Analyze the key determinants of smokfree policies in the United States 2. Describe and discuss the determinants of successful policy development and implementation. 3. Compare and contrast smokefree policies in the United States and the need to promote them worldwide.

Keywords: Tobacco Control, Public Health Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Data collection and analysis
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.

Back to: 3059.0: Tobacco control