255643 Secondhand smoke: Impact on Mississippi's health and economy

Tuesday, October 30, 2012

Signe Jones, MPH , Center for Mississippi Health Policy, Jackson, MS
Robert C. McMillen, PhD , Social Science Research Center, Starkville, MS
Roy Hart, MPH, CHES , Office of Tobacco Control, Mississippi State Department of Health, Jackson, MS
Background: Mississippi is one of only seven states without any type of statewide law restricting smoking in private indoor workplaces, restaurants, or bars. The negative health effects associated with exposure to secondhand smoke have been well documented. Research is emerging related to the impact of local smoke-free policy on Mississippi's economic and population health. Methods: Systematic literature review of current research related to both the fiscal and physical effects of smoke-free policy. Results: A 2010 study revealed substantial reductions in heart attacks in two Mississippi cities following the implementation of smoke-free ordinances: a 22.7% reduction in heart attack admissions in Starkville (compared with a 14.8% reduction among non-residents) and a 13.4% reduction in heart attack admissions (compared with a 3.8% reduction among non-residents) were reported. Because of the small number of heart attack admissions, additional data are required to determine statistical significance. Peer reviewed studies have yet to show any negative impacts of smoke-free policy on the hospitality industry. Analysis of Mississippi Tourism and Economic Development (TED) tax revenues showed that in the 12 months after enacting municipal smoke-free ordinances, TED tax revenues were 10.3% higher in smoke-free communities, compared with TED tax revenues in communities without smoke-free ordinances. Discussion: While the body of literature specific to Mississippi is small, study results mirror what dozens of larger studies with statistical significance have shown in other populations. A state-wide smoke-free law could positively impact the economy and health status of Mississippians.

Learning Areas:
Advocacy for health and health education
Occupational health and safety
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Public health or related research

Learning Objectives:
1) Identify well-established links between exposure to secondhand smoke and poor health outcomes, and the associated costs. 2) Explain the impact these specific health outcomes related to secondhand smoke exposure have on Mississippi's population and economy. 3) Evaluate and discuss the current health and economic research being conducted in Mississippi, and its translation to smoke-free policy on the local and potentially state-wide levels.

Keywords: Public Health Legislation, Health Care Politics

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked with the subject matter for over a year now, and have recently published an eight page issue brief on the research and policy options of secondhand smoke-related policy.
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.