Key Factors Inhibiting Legislative Progress Toward Smoke-Free Coverage in Appalachia.

Autor: Donahoe JT; J. Travis Donahoe is with the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor. Andrea R. Titus and Nancy L. Fleischer are with the Center for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor., Titus AR; J. Travis Donahoe is with the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor. Andrea R. Titus and Nancy L. Fleischer are with the Center for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor., Fleischer NL; J. Travis Donahoe is with the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor. Andrea R. Titus and Nancy L. Fleischer are with the Center for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor.
Jazyk: angličtina
Zdroj: American journal of public health [Am J Public Health] 2018 Mar; Vol. 108 (3), pp. 372-378. Date of Electronic Publication: 2018 Jan 18.
DOI: 10.2105/AJPH.2017.304244
Abstrakt: 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, smoke-free advocates will be better prepared to lead efforts that expand smoke-free coverage in this region.
Databáze: MEDLINE
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