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Town-Level Characteristics and Smoking Policy Adoption in Massachusetts: Are Local Restaurant Smoking Regulations Fostering Disparities in Health Protection?

Author

Listed:
  • Skeer, M.
  • George, S.
  • Hamilton, W.L.
  • Cheng, D.M.
  • Siegel, M.

Abstract

Objectives. We identified and quantified differences in sociodemographic characteristics of communities relative to the strength of local restaurant smoking regulations in Massachusetts. Methods. We examined the relationship between the strength of the 351 local restaurant smoking regulations in Massachusetts and a number of town-level characteristics, using a multinomial logistic regression model. Results. Characteristics important to the adoption of stronger restaurant smoking regulations included higher education and per capita income, geographic region, voter support for a state cigarette tax initiative, board of health funding to promote clean indoor air policymaking, and the presence of a bordering town with a strong regulation. Conclusions. The current pattern of smoke-free restaurant policy enactment fosters socioeconomic and geographic disparities in health protection, undermining an important national health goal.

Suggested Citation

  • Skeer, M. & George, S. & Hamilton, W.L. & Cheng, D.M. & Siegel, M., 2004. "Town-Level Characteristics and Smoking Policy Adoption in Massachusetts: Are Local Restaurant Smoking Regulations Fostering Disparities in Health Protection?," American Journal of Public Health, American Public Health Association, vol. 94(2), pages 286-292.
    • Handle: RePEc:aph:ajpbhl:2004:94:2:286-292_8
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    Cited by:

    1. Charles R. Shipan & Craig Volden, 2008. "The Mechanisms of Policy Diffusion," American Journal of Political Science, John Wiley & Sons, vol. 52(4), pages 840-857, October.
    2. Lauren M. Dutra & Matthew C. Farrelly & James Nonnemaker & Brian Bradfield & Jennifer Gaber & Minal Patel & Elizabeth C. Hair, 2019. "Differential Relationship between Tobacco Control Policies and U.S. Adult Current Smoking by Poverty," IJERPH, MDPI, vol. 16(21), pages 1-16, October.
    3. Dinno, Alexis & Glantz, Stanton, 2009. "Tobacco control policies are egalitarian: A vulnerabilities perspective on clean indoor air laws, cigarette prices, and tobacco use disparities," Social Science & Medicine, Elsevier, vol. 68(8), pages 1439-1447, April.
    4. Nykiforuk, Candace & Campbell, Sharon & Cameron, Roy & Brown, Stephen & Eyles, John, 2007. "Relationships between community characteristics and municipal smoke-free bylaw status and strength," Health Policy, Elsevier, vol. 80(2), pages 358-368, February.
    5. Kai‐Wen Cheng & Feng Liu & MariaElena Gonzalez & Stanton Glantz, 2017. "The Effects of Workplace Clean Indoor Air Law Coverage on Workers' Smoking‐Related Outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 26(2), pages 226-242, February.
    6. Smith, Katherine Clegg & Siebel, Catherine & Pham, Luu & Cho, Juhee & Singer, Rachel Friedman & Chaloupka, Frank Joseph & Griswold, Michael & Wakefield, Melanie, 2008. "News on tobacco and public attitudes toward smokefree air policies in the United States," Health Policy, Elsevier, vol. 86(1), pages 42-52, April.

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