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Policy, Politics, & Nursing Practice, Vol. 8, No. 4, 262-270 (2007)
DOI: 10.1177/1527154407312736
© 2007 SAGE Publications

Public Opinion and Smoke-Free Laws

Mary Kay Rayens, PhD

colleges of Nursing and Public Health at the University of Kentucky in Lexington

Ellen J. Hahn, DNS, RN

colleges of Nursing and Public health at the University of Kentucky in Lexington

Ronald E. Langley, PhD

University of Kentucky Survey Research Center

Susan Hedgecock, MSN, RN

UK Prevention Research Center

Karen M. Butler, DNP, RN

College of Nursing at the University of Kentucky in Lexington, Tobacco Policy Research Program

Lisa Greathouse-Maggio, MSN, RN

Genentech BioOncology, providing educational programs on breast, lung, and pancreatic cancer

Public support for Lexington-Fayette County, Kentucky's smoke-free law, perception of health risks from exposure to secondhand smoke (SHS), smoking behaviors, and frequency of visiting restaurants, bars, and entertainment venues were assessed pre- and post-law. Two cohorts of noninstitutionalized adults (N = 2,146) were randomly selected and invited to participate in a 10- to 15-min telephone survey. Public support for the smoke-free law increased from 56% to 63%, and respondents were 1.3 times more likely to perceive SHS exposure as a health risk after the law took effect. Although adult smoking and home smoking policy did not change post-law, adults frequented public venues at least as much as before the law. Lexington adults favored the smoke-free legislation despite living in a traditionally protobacco climate. The smokefree law acted as a public health intervention as it increased perception of risk of heart disease and cancer from SHS exposure.

Key Words: secondhand smoke • smoke-free legislation • public opinion


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