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Political factors affecting the enactment of state-level clean indoor air laws

Author

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  • Tung, G.J.
  • Vernick, J.S.
  • Stuart, E.A.
  • Webster, D.W.

Abstract

Objectives. We examined the effects of key political institutional factors on the advancement of state-level clean indoor air laws. Methods. We performed an observational study of state-level clean indoor air law enactment among all 50 US states from 1993 to 2010 by using extended Cox hazard models to assess risk of enacting a relevant law. Results. During the 18-year period from 1993 to 2010, 28 states passed a law covering workplaces, 33 states passed a law covering restaurants, 29 states passed a law covering bars, and 16 states passed a law covering gaming facilities. States with term limits had a 2.15 times greater hazard (95% confidence interval [CI] = 1.27, 3.65; P = .005) of enacting clean indoor air laws. The presence of state-level preemption of local clean indoor air laws was associated with a 3.26 times greater hazard (95% CI = 1.11, 9.53; P = .031) of state-level policy enactment. In the presence of preemption, increased legislative professionalism was strongly associated (hazard ratio = 3.28; 95% CI = 1.10, 9.75; P = .033) with clean indoor air law enactment. Conclusions. Political institutional factors do influence state-level clean indoor air law enactment and may be relevant to other public health policy areas.

Suggested Citation

  • Tung, G.J. & Vernick, J.S. & Stuart, E.A. & Webster, D.W., 2014. "Political factors affecting the enactment of state-level clean indoor air laws," American Journal of Public Health, American Public Health Association, vol. 104(6), pages 92-97.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301689_5
    DOI: 10.2105/AJPH.2013.301689
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    Cited by:

    1. Fox, Ashley M. & Feng, Wenhui & Yumkham, Rakesh, 2017. "State political ideology, policies and health behaviors: The case of tobacco," Social Science & Medicine, Elsevier, vol. 181(C), pages 139-147.
    2. Kuijpers, Thomas G. & Willemsen, Marc C. & Kunst, Anton E., 2018. "Public support for tobacco control policies: The role of the protection of children against tobacco," Health Policy, Elsevier, vol. 122(8), pages 929-935.

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