Barriers to Adopting and Implementing Local-Level Tobacco Control Policies
Although California communities have been relatively successful in adopting and implementing a wide range of local tobacco control policies, the process has not been without its setbacks and barriers. Little is known about local policy adoption, and this paper examines these processes related to adopting and implementing outdoor smoke-free policies, focusing on the major barriers faced by local-level tobacco control organizations in this process. Ninety-six projects funded by the California Tobacco Control Program submitted final evaluation reports pertaining to an outdoor smoking objective, and the reports from these projects were analyzed. The barriers were grouped in three primary areas: politically polarizing barriers, organizational barriers, and local political orientation. The barriers identified in this study underscore the need for an organized action plan in adopting local tobacco policy. The authors also suggest potential strategies to offset the barriers, including: (1) having a “champion” who helps to carry an objective forward; (2) tapping into a pool of youth volunteers; (3) collecting and using local data as a persuasive tool; (4) educating the community in smoke-free policy efforts; (5) working strategically within the local political climate; and (6) demonstrating to policymakers the constituent support for proposed policy.
- Glantz, S. A., & Parmley, W. W. (1995). Passive smoking and heart disease: Mechanisms and risk. Journal of the American Medical Association, 273, 1047–1053. CrossRef
- He, J., Vupputuri, S., Allen, K., Prerost, M. R., Hughes, J., & Whelton, P. K. (1999). Passive smoking and the risk of coronary heart disease: A meta analysis of epidemiological studies. New England Journal of Medicine, 340, 920–926. CrossRef
- Eriksen, M. P., & Cerak, R. L. (2008). The diffusion and impact of clean indoor air laws. Annual Review of Public Health, 29, 171–185. CrossRef
- Roeseler, A., & Burns, D. (2010). The quarter that changed the world. Tobacco Control, 19, i3–i15. CrossRef
- Francis, J. A., Abramsohn, E. M., & Park, H. Y. (2010). Policy-driven tobacco control. Tobacco Control, 19, i16–i20. CrossRef
- Klepeis, N., Ott, W. R., & Switzer, P. (2007). Real-time measurement of outdoor tobacco smoke particles. Journal of Air & Waste Management Association, 57, 522–534. CrossRef
- Thompson, A., Boardley, D., Kerr, D., Greene, T., & Jenkins, M. (2009). Public policy involvement by health commissioners. Journal of Community Health, 34, 239–245. CrossRef
- Altman, D. G., Endres, J., Linzer, J., Lorig, K., Howard-Pitney, B., & Rogers, T. (1991). Obstacles to and future goals of ten comprehensive community health promotion projects. Journal of Community Health, 16, 299–314. CrossRef
- Bartosch, W. J., & Pope, G. C. (2002). Economic effect of restaurant smoking restrictions on restaurant businesses in Massachusetts, 1992–1998. Tobacco Control, 11, ii39–ii42.
- Alamar, B., & Glantz, S. A. (2007). Effect of smoke-free laws on bar value and profits. American Journal of Public Health, 97, 1200–1202. CrossRef
- Scollo, M., Lai, A., Hyland, A., & Glantz, S. A. (2003). Review of the quality of studies on the economic effects of smoke-free policies on the hospitality industry. Tobacco Control, 12, 13–20. CrossRef
- Chaloupka, F. J., & Warner, K. E. (2000). The economics of smoking. In A. J. Culyer, & J. P. Newhouse (Eds.), Handbook of health economics (pp. 1539–1627).
- Satterlund, T. D., Cassady, D. L., Treiber, J., & Lemp, C. (in review). Local policy strategies for tobacco control: Lessons from 20 policy initiatives on smoke-free recreation areas.
- Katz, J. E. (2005). Individual rights advocacy in tobacco control policies: an assessment and recommendation. Tobacco Control, 14, ii31–ii37. CrossRef
- Feighery, E., Borzekowski, D. L. G., Schooler, C., & Flora, J. (1998). Seeing, wanting, owning: The relationship between the receptivity of tobacco marketing and smoking susceptibility in young people. Tobacco Control, 7, 123–128. CrossRef
- Cooksey, J. A., & Krieg, R. M. (1996). Metropolitan health policy development: Barriers to implementation. Journal of Public Health Policy, 17, 261–274. CrossRef
- Blaine, T. M., Forster, J. L., Hennrickus, D., O’Neil, S., Wolfson, M., & Pham, H. (1997). Creating tobacco control policy at the local level: Implementation of a direct action organizing approach. Health Education & Behavior, 24, 640–651. CrossRef
- Mintrom, M. (1997). Policy entrepreneurs and the diffusion of innovation. American Journal of Political Science, 41, 738–770. CrossRef
- Barriers to Adopting and Implementing Local-Level Tobacco Control Policies
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Journal of Community Health
Volume 36, Issue 4 , pp 616-623
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- Smoke-free policy
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