Thursday, October 25, 2007
Exhibit Hall
Evaluating SmokeLess States Tobacco Control Legislation Among Key Policy Areas
Cindy Tworek, MPH PhD, Pacific Institute for Research and Evaluation, Center for Public Health Improvement and Innovation, ctworek@pire.org, Anna Sandoval, MPH, asando1@uic.edu, Deborah Harper, BA, dharpe1@uic.edu, Frank Chaloupka, PhD, fjc@uic.edu.
Learning Objectives: Describe tobacco control legislation related to smoke-free air, Medicaid, and tax as key policy areas of interest among coalition advocacy efforts.
Problem/Objective: SmokeLess States (SLS) provided funding for state-level coalitions to engage in media and policy advocacy, strengthening tobacco control legislation and regulation, with the ultimate goal of reducing tobacco use. SLS evaluation developed a coding system to track tobacco-related bill versions and legislative progress, obtaining tobacco control impact measures for coalition interest areas. Detailed coding was conducted for key policy areas important to SLS coalition efforts: Smoke-Free Air (SFA); Medicaid; and Tax. Methods: Initial coding categories were developed with well-defined criteria, and 12,634 tobacco-related bill versions were coded from January 2002-December 2003. Detailed coding was conducted to further explore coalition special interest sub-categories. Multiple researchers coded subsets of bills. Cohen's Kappa reported percent agreement and measured inter-rater reliability. Descriptive analyses examined legislative actions and key coalition policy outcomes. Results: ‘Tax' had the highest number of identified bill versions (N = 2,069), followed by ‘SFA' (N = 655) and ‘Medicaid' (N = 120). ‘Tax' also had the highest percent of legislative actions (71.4%), followed by ‘SFA' (61.1%), and ‘Medicaid' (36.7%). ‘Tax' bills focused on administration, changes in tobacco tax, and tax revenue allocation. SFA bills primarily related to locations and levels of protection. Medicaid bills described smoking cessation services among covered populations, most often Medicaid-eligible adults and pregnant women. Conclusions: Detailed coding of key sub-categories helps to inform legislative actions related to policy outcomes. ‘Tax' bills were most commonly introduced and legislated, suggesting model bills to identify and track. Identifying successful and lacking legislation can help focus efforts and resources among policy advocates and coalitions.
Related Web Page:
www.impacteen.org/states/default.htm