Abstract
Tobacco control policies reduce the health and economic burden caused by tobacco. With over half of the United States communities lacking adequate protective policies, an examination of policy adoption factors can provide insights to facilitate policy adoption. A case study approach examines the rate of adoption, prominent media frames, policy leaders’ perceptions and coalition activities for smokefree and Tobacco 21 policies adopted in Missouri. Findings show compared to smokefree policy, Tobacco 21 requires a considerably shorter timeframe and fewer resources for adoption. Tobacco 21 coalitions target a small group of stakeholders compared to smokefree coalitions’ emphasis on broad community engagement. Both policies are formally opposed, but elected officials perceive less political risk supporting Tobacco 21. As a new tobacco control policy tool, Tobacco 21 has relative advantage that should be considered by community health advocates.
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Acknowledgements
Thank you to research interns Tiffani Hunter and Casey Muckler for coding media data, analyst Jamie Smith for analyzing media data, and to the elected officials, government staff and coalition leaders who shared their time and stories to better understand the diffusion process of tobacco policy.
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Everett, K.D., Chadwick, G., Cowan, S.R. et al. Tobacco Control Policy Adoption Dynamics: A Case Study of Missouri Communities. J Community Health 43, 802–809 (2018). https://doi.org/10.1007/s10900-018-0487-z
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DOI: https://doi.org/10.1007/s10900-018-0487-z