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Key factors inhibiting legislative progress toward smoke-free coverage in appalachia

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  • Donahoe, J.T.
  • Titus, A.R.
  • Fleischer, N.L.

Abstract

The Appalachian Region has among the highest rates of smoking and smoking-related illness in the United States. Strong smoke-free legislation could help protect nonsmoking residents from the harmful effects of secondhand smoke. However, there is a dearth of state, county, city, and subcounty smoke-free law coverage throughout Appalachia. As of July 2016, only 21% of Appalachian residents were covered by comprehensive smoke-free laws (i.e., 100% coverage for workplaces, restaurants, and bars). Only 46% of Appalachians lived in places with 100% smoke-free workplace laws, only 30% lived in places with 100% smoke-free restaurant laws, and only 29% lived in places with 100% smoke-free bar laws. Reasons for this lack of smoke-free law coverage include socioeconomic disadvantage, the historical importance of tobacco in Appalachian economies, and preemptive state legislation. By understanding the contextual issues that have inhibited smoke-free legislation, smokefree advocates will be better prepared to lead efforts that expand smoke-free coverage in this region.

Suggested Citation

  • Donahoe, J.T. & Titus, A.R. & Fleischer, N.L., 2018. "Key factors inhibiting legislative progress toward smoke-free coverage in appalachia," American Journal of Public Health, American Public Health Association, vol. 108(3), pages 372-378.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2017.304244_2
    DOI: 10.2105/AJPH.2017.304244
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