Learning Objectives: Describe the relationship between community-based efforts and attitudes towards policy-based solutions to reduce secondhand smoke exposure.
Abstract: Problem: Recently, tobacco control strategies have emphasized local advocacy and policy to reduce exposure to secondhand smoke (SHS). Little is known about the association between community-based policy efforts and community support for such efforts.
Methods: To explore this issue, a cross-sectional study was carried out in 17 rural communities each with varying degrees of involvement in SHS advocacy and policy. The study utilized two instruments. A community profile survey assessed perceptions of the level and type of activity being carried out in the local area. Most respondents were active coalition members who were familiar with efforts to reduce SHS in their community. The second instrument, a community opinion survey, measured individual preferences and behaviors related to SHS, and awareness of community-wide advocacy and policy efforts. This survey was mailed to a random sample of 600 adults (ages 22-80 years) in each community. Both surveys explored SHS issues in a variety of venues (restaurants, workplaces, outdoor school events, outdoor recreation areas, and entrances to public buildings).
Results: Summary scores were developed from the community profile to indicate the level of local activity in various venues. Related summary scores from the community opinion survey indicate the level of public support for smoking restrictions in these same venues. This presentation will provide preliminary results that describe the relationship between advocacy work, policy activity and public opinion (expected November 2003).
Conclusions: Results will provide insight into community characteristics that may shape support for local efforts to reduce SHS exposure.
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