This study is designed to investigate beliefs and behavior surrounding tobacco smoking within diverse Alameda County, California bars in which smoking has been banned. Building upon pilot research conducted by the research team in San Francisco bars, the proposed study will explicate the range of enforcement practices and patrons', bartenders', and managers' normative understandings of tobacco use, second-hand smoke, and state tobacco control policies. The overall goal of the proposed study is understanding how and why many stand-alone bars are out of compliance with California AB13, the Smoke-Free Workplace act. The proposed research design consists of a three-year ethnographic study using 110 semi-structured interviews with patrons, bar managers, bartenders and AB 13 enforcement specialists, as well as four waves of structured observations to collect both qualitative and quantitative data in a random sample of 120 bars. The sample bars are drawn from geocoded data on alcohol outlets throughout Alameda County, which includes urban low-income ethnic minority communities and affluent white suburbs as well as rural areas. Because the Alameda County Department of Public Health recently found only 53 percent of stand-alone bars to be in compliance with AB13, the final sample of 120 stand-alone bars is expected to include roughly equal numbers of noncompliant bars and compliant bars. Due to entrenched norms related to smoking in these enclosed, often small, spaces, the stand-alone bar is the public setting in which the population of patrons and employees is at greatest risk for exposure to environmental tobacco smoke. This study's findings will produce understandings of the range of bar patron and employee smoking norms and specific rationales for not complying with the ban. It will also analyze varying AB13 enforcement strategies within the county's communities and their relative success in restricting smoking in bars. These findings constitute a necessary precursor for large-scale preventive efforts with relevance to employees and patrons at risk for exposure to environmental tobacco smoke, including in communities of color.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA100772-03
Application #
7051364
Study Section
Social Sciences, Nursing, Epidemiology and Methods 4 (SNEM)
Program Officer
Bloch, Michele H
Project Start
2004-05-24
Project End
2008-04-30
Budget Start
2006-05-05
Budget End
2008-04-30
Support Year
3
Fiscal Year
2006
Total Cost
$235,354
Indirect Cost
Name
Pacific Institute for Research and Evaluation
Department
Type
DUNS #
021883350
City
Beltsville
State
MD
Country
United States
Zip Code
20705
Satterlund, Travis D; Lee, Juliet P; Moore, Roland S (2012) Changes in smoking-related norms in bars resulting from California's Smoke-Free Workplace Act. J Drug Educ 42:315-26
Antin, Tamar M J; Moore, Roland S; Lee, Juliet P et al. (2010) Law in practice: obstacles to a smokefree workplace policy in bars serving Asian patrons. J Immigr Minor Health 12:221-7
Moore, Roland S; McLellan, Deborah L; Tauras, John A et al. (2009) Securing the health of disadvantaged women: a critical investigation of tobacco-control policy effects on women worldwide. Am J Prev Med 37:S117-20
Moore, Roland S; Annechino, Rachelle M; Lee, Juliet P (2009) Unintended consequences of smoke-free bar policies for low-SES women in three California counties. Am J Prev Med 37:S138-43
Satterlund, Travis D; Lee, Juliet P; Moore, Roland S et al. (2009) CHALLENGES TO IMPLEMENTING AND ENFORCING CALIFORNIA'S SMOKE-FREE WORKPLACE ACT IN BARS. Drugs (Abingdon Engl) 16:422-435
Satterlund, Travis D; Antin, Tamar M J; Lee, Juliet P et al. (2009) Cultural factors related to smoking in San Francisco's Irish bars. J Drug Educ 39:181-93
Moore, Roland S; Lee, Juliet P; Martin, Scott E et al. (2009) Correlates of persistent smoking in bars subject to smokefree workplace policy. Int J Environ Res Public Health 6:1341-57
Moore, Roland S; Lee, Juliet P; Antin, Tamar M J et al. (2006) Tobacco free workplace policies and low socioeconomic status female bartenders in San Francisco. J Epidemiol Community Health 60 Suppl 2:51-6