CONCLUSIONS

The issues raised in this chapter are relevant to the interpretation of the major studies that are the subject of this report. Recommendations for future studies are in Chapter 6.

  • All the epidemiologic studies being reviewed should be evaluated in light of the amount of contextual data that are taken into account, including measurements both before and after bans and measurements comparing locales with and without bans.

  • When study results are compared, it may be impossible to separate contextual factors associated with a ban—such as public comment periods, information announcing the ban, and notices about the impending changes—from the effect of the ban itself.

  • The time from onset of a ban and concurrent activities to manifestation of disease can vary with the timing (and nature) of enforcement, and latency periods for cardiovascular incidents in people with different magnitudes of risk. Those factors, therefore, need to be considered in examining epidemiologic evidence.

REFERENCES

Albers, A. B., M. Siegel, D. M. Cheng, L. Biener, and N. A. Rigotti. 2007. Effect of smoking regulations in local restaurants on smokers’ anti-smoking attitudes and quitting behaviours. Tobacco Control 16(2):101-106.

American Lung Association. 2009. SLATI state information: Florida. (Accessed April 1, 2009, from http://slati.lungusa.org/state-teml.asp?id=9.)

ANRF (American Nonsmokers’ Rights Foundation). 2009. Overview list—how many smoke-free laws? (Accessed March 1, 2009, from http://www.no-smoke.org/goingsmokefree.php?id=519.)

Bayer, R., and J. Colgrove. 2002. Science, politics, and ideology in the campaign against environmental tobacco smoke. American Journal of Public Health 92(6):949-954.

CDC (Centers for Disease Control and Prevention). 2008. Disparities in secondhand smoke exposure—United States, 1988–1994 and 1999–2004 MMWR—Morbidity & Mortality Weekly Report 57(27):744-747.

Chaloupka, F., K. M. Cummings, C. P. Morley, and J. K. Horan. 2002. Tax, price and cigarette smoking: Evidence from the tobacco documents and implications for tobacco company marketing strategies. Tobacco Control 11(90001):i62-i72.

EPA (Environmental Protection Agency). 1992. Respiratory health effects of passive smoking: Lung cancer and other disorders. Washington, DC: Environmental Protection Agency.

Fichtenberg, C. M., and S. A. Glantz. 2002. Effect of smoke-free workplaces on smoking behaviour: Systematic review. BMJ 325(7357):188.



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