An Association Between State Laws Limiting Local Control and Community Smoke-Free Indoor Air in the United States

This study examines the association between state laws limiting local control (preemption laws) and local smoke-free policies. We utilized policy data from the American Nonsmokers’ Rights Foundation. The primary outcome variable is the presence of a “100% smoke-free policy,” across any of 4 indoor s...

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Vydáno v:Journal of primary care & community health Ročník 15; s. 21501319241280905
Hlavní autoři: Azagba, Sunday, Ebling, Todd, Korkmaz, Alperen, King Jensen, Jessica, Qeadan, Fares, Hall, Mark
Médium: Journal Article
Jazyk:angličtina
Vydáno: Los Angeles, CA SAGE Publications 01.01.2024
SAGE PUBLICATIONS, INC
SAGE Publishing
Témata:
Air Pollution, Indoor - legislation & jurisprudence
Air Pollution, Indoor - prevention & control
Bans
Bars
Cities
Community health care
Decision making
Games
Humans
Law
Local Government
Nonsmokers
Original
Primary care
Public health
Restaurants
Restaurants - legislation & jurisprudence
Smoke-Free Policy - legislation & jurisprudence
Smoking
Sociodemographics
State Government
State laws
Structural equation modeling
Tobacco
Tobacco Smoke Pollution - legislation & jurisprudence
Tobacco Smoke Pollution - prevention & control
United States
Workplace - legislation & jurisprudence
Workplaces
United States
limiting local communities
community health
smoking
health promotion
smoke-free indoor policies
prevention
preemption laws
ISSN:2150-1319, 2150-1327, 2150-1327
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Shrnutí:This study examines the association between state laws limiting local control (preemption laws) and local smoke-free policies. We utilized policy data from the American Nonsmokers’ Rights Foundation. The primary outcome variable is the presence of a “100% smoke-free policy,” across any of 4 indoor settings: workplaces, restaurants, bars, and gaming venues. We employed generalized structural equation modeling to investigate the relationship between state laws pre-empting smoke-free indoor air regulation and local adoption of policies requiring smoke-free air in any public venues, or for specific venues, adjusting for sociodemographic characteristics. Our findings reveal a significant association between state preemption laws and the presence of a local 100% smoke-free indoor policy as of 2023. In states with preemption laws, cities were less likely to have a 100% smoke-free indoor policy at any venue than cities in states without preemption laws (OR = 0.07, 95% CI = 0.05-0.10). When considering specific smoke-free venues, cities in states with preemption laws were less likely to have a 100% smoke-free indoor policy covering workplaces (OR = 0.05, 95% CI = 0.03-0.09), restaurants (OR = 0.04, 95% CI = 0.02-0.07), bars (OR = 0.04, 95% CI = 0.03-0.08), and gaming venues (OR = 0.03, 95% CI = 0.01-0.09) compared to cities in states without preemption laws. Our study suggests that state preemption laws limit local decision-making and the implementation of public health policies focused on tobacco harms.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:2150-1319
2150-1327
2150-1327
DOI:10.1177/21501319241280905