Appleton Smoking Ordinance: Changes in Public Acceptance for Smoke-Free Bars

1
Appleton Smoking Ordinance Changes in Public
Acceptance for Smoke-Free Bars
Daphne Kuo, PhD1, Karen A. Palmersheim, PhD1, and
Randall L. Glysch, MS2
Wisconsin Department of Health Family Services
Conclusion
Estimated probability of supporting Appleton
ordinance by smoking status and year of study
Introduction
(2) Bars/taverns should be smoke-free
(1) Preference for smoke-free bars/taverns

• The preference for smoke-free bars or taverns did
  not change. (fig 1)
• A significant increase in support for smoke-free
  bars/taverns was observed in 2007. (fig 2)
• The majority of residents supported the overall
  ban on smoking. (fig 3)
• Education, smoking status, and home restrictions
  on smoking were important to explain attitudes
  and changes.
• Since 2005, there was no change in patronage
  behaviors of local bars/taverns for bar-goers,
  except smokers or those from smoke-free homes.
• The current smoking bar-goers were 78 less
  likely to go to local bars/taverns than never
  smokers in 2006 and 98 less likely in 2007. (fig
  4).
• Bar-goers from smoke-free home were 63 more
  likely to go to local bars than others.

Background
On July 1, 2005, the city of Appleton became the
3rd Wisconsin community to implement an ordinance
banning smoking in all public places, including
bars and restaurants. Two referenda to appeal the
restrictions were subsequently defeated in April
and November, 2006.
(3) Overall support for the ordinance
(4) Patronage of local bars/taverns for bar-goers
Objective

• To examine changes in public preferences,
  acceptance, and bar patronage behaviors related
  to the smoke-free ordinance over a 20-month
  period.
• To analyze the relationship between smoking
  status, socioeconomic background and changes in
  attitudes and behaviors.

Affiliation Information

1. Tobacco Surveillance and Evaluation Program,
   University of Wisconsin Comprehensive Cancer
   Center
2. Tobacco Prevention and Control Program,
   Department of Health and Family Services
3. This research was supported by the Wisconsin
   Tobacco Prevention and Control Program, Bureau of
   Community Health Promotion, Division of Public
   Health, Wisconsin Department of Health and Family
   Services.

Data Appleton Population Study

• Q1 When making the decision to go to a bar or
  tavern, do you prefer an establishment that is
  100 smoke free, that allows smoking in some
  areas, or that allows smoking anywhere, or not
  have a preference?
• Q2 In bars or taverns, do you think that smoking
  should be allowed in all areas, some areas, or
  not allowed at all?
• O3 Overall, how do you feel about the
  prohibition (banning) of smoking within bars,
  taverns and restaurants in the City of Appleton?
  Do you (strongly/somewhat support it,
  somewhat/strongly oppose it)
• Q4 When you go to a bar or tavern, is it usually
  in the City of Appleton, or somewhere outside?
• Independent and control variables included
  smoking status (current and past), year of study,
  college education, smoke-free home, heavy
  drinker, age, gender, and marital status.
• Multivariate regression analysis. The reference
  group was unmarried, non-heavy drinker and age
  35-54 male who had less than 50K family income,
  did not go to college, and did not live in a
  smoke-free home. Smoking status and smoke-free
  home were only factors which consistently
  predicted both attitudes and behaviors.

• A random sample of 400 Appleton adult residents
  in each wave.
• Telephone interview.
• 3 waves June 2005, February 2006, and February
  2007.
• 17-20 current smokers.

Contact Information
Daphne Kuo, Ph.D. Paul P. Carbone Comprehensive
Cancer Center University of Wisconsin-Madison dkuo
_at_ssc.wisc.edu