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US health policy related to hookah tobacco smoking

Primack, BA and Hopkins, M and Hallett, C and Carroll, MV and Zeller, M and Dachille, K and Kim, KH and Fine, MJ and Donohue, JM (2012) US health policy related to hookah tobacco smoking. American Journal of Public Health, 102 (9). ISSN 0090-0036

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Objectives: Although US cigarette smoking is decreasing, hookah tobacco smoking (HTS) is an emerging trend associated with substantial toxicant exposure. We assessed how a representative sample of US tobacco control policies may apply to HTS. Methods: We examined municipal, county, and state legal texts applying to the 100 largest US cities. We developed a summary policy variable that distinguished among cities on the basis of how current tobacco control policies may apply to HTS and used multinomial logistic regression to determine associations between community-level sociodemographic variables and the policy outcome variable. Results: Although 73 of the 100 largest US cities have laws that disallow cigarette smoking in bars, 69 of these cities have exemptions that allow HTS; 4 of the 69 have passed legislation specifically exempting HTS, and 65 may permit HTS via generic tobacco retail establishment exemptions. Cities in which HTS may be exempted had denser populations than cities without clean air legislation. Conclusions: Although three fourths of the largest US cities disallow cigarette smoking in bars, nearly 90% of these cities may permit HTS via exemptions. Closing this gap in clean air regulation may significantly reduce exposure to HTS.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Primack, BAbprimack@pitt.eduBPRIMACK
Hopkins, M
Hallett, C
Carroll, MV
Zeller, M
Dachille, K
Kim, KH
Fine, MJmjf1@pitt.eduMJF10000-0003-3470-9846
Donohue, JMjdonohue@pitt.eduJDONOHUE
Centers: Other Centers, Institutes, Offices, or Units > Center for Research on Media, Technology, and Health
Date: 1 September 2012
Date Type: Publication
Journal or Publication Title: American Journal of Public Health
Volume: 102
Number: 9
DOI or Unique Handle: 10.2105/ajph.2012.300838
Schools and Programs: Graduate School of Public Health > Health Policy & Management
School of Education > Psychology in Education
School of Medicine > Medicine
School of Nursing > Nursing
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 0090-0036
Article Type: Review
MeSH Headings: Adult; Cities--legislation & jurisprudence; Cities--statistics & numerical data; Demography; Health Policy--legislation & jurisprudence; Humans; Smoking--legislation & jurisprudence; Smoking Cessation--legislation & jurisprudence; Tobacco Smoke Pollution--legislation & jurisprudence; United States
Other ID: NLM NIHMS438531, NLM PMC3482044
PubMed Central ID: PMC3482044
PubMed ID: 22827447
Date Deposited: 29 Jul 2014 21:40
Last Modified: 01 Nov 2021 10:55


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