Tobacco Smoke Pollution in Hospitality Venues Before and After Passage of Statewide Smoke-Free Legislation

Kelly Buettner-Schmidt, Blake Boursaw, Marie L. Lobo, Mark J. Travers

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective: In 2012, North Dakota enacted a comprehensive statewide law prohibiting smoking in enclosed public places. Disparities in tobacco control exist in rural areas. This study's objective was to determine the extent to which the passage of a comprehensive, statewide, smoke-free law in a predominantly rural state influenced tobacco smoke pollution in rural and nonrural venues. Design and Sample: A longitudinal cohort design study comparing the levels of tobacco smoke pollution before and after passage of the statewide smoke-free law was conducted in 64 restaurants and bars statewide in North Dakota. Measures: Particulate matter with a median aerodynamic diameter of <2.5 μm (a valid atmospheric marker of tobacco smoke pollution) was assessed. Results: A significant 83% reduction in tobacco smoke pollution levels occurred after passage of the law. Significant reductions in tobacco smoke pollution levels occurred in each of the rural categories; however, no difference by rurality was noted in the analysis after passage of the law, in contrast to the study before passage. Conclusions: To our knowledge, this was the largest, single, rural postlaw study globally. A comprehensive statewide smoke-free law implemented in North Dakota dramatically decreased the level of tobacco smoke pollution in bars and restaurants.

Original languageEnglish (US)
Pages (from-to)166-175
Number of pages10
JournalPublic Health Nursing
Volume34
Issue number2
DOIs
StatePublished - Mar 1 2017

Keywords

  • air pollution
  • disease prevention
  • environmental health
  • health disparities
  • health policy
  • legislation
  • rural health
  • tobacco

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health

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