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Related Experiment Videos

Evaluation informs coalition programming for environmental tobacco smoke reduction.

Mary E Cramer1, Keith J Mueller, Dianne Harrop

  • 1College of Nursing, University of Nebraska Medical Center, Omaha, 68198-5330, USA. mecramer@unmc.edu

Journal of Community Health Nursing
|December 4, 2003
PubMed
Summary

This study evaluated environmental tobacco smoke (ETS) reduction strategies in restaurants, childcare facilities, and government buildings. Childcare facilities showed higher ETS knowledge and smoke-free policies compared to restaurants and government buildings.

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Area of Science:

  • Public Health
  • Environmental Health
  • Health Policy

Background:

  • Environmental tobacco smoke (ETS) poses significant health risks.
  • Community coalitions require baseline data for effective strategic planning in ETS risk reduction.
  • Targeted settings for ETS reduction included restaurants, childcare facilities, and government buildings.

Purpose of the Study:

  • To establish baseline data for a community coalition's strategic planning efforts.
  • To evaluate the current status of environmental tobacco smoke (ETS) policies and knowledge in selected settings.
  • To inform interventions for ETS risk reduction.

Main Methods:

  • Formative evaluation using telephone interviews with restaurant (n=805) and government building (n=258) representatives.

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  • Mailed surveys distributed to childcare facilities (n=1,142).
  • Comparison data analyzed from the Nebraska Social Climate Survey (2001; n=558).

    • Main Results:

    • Licensed childcare facilities demonstrated greater ETS knowledge, lower tolerance, and more smoke-free environments than restaurants.
    • Residents reported being more bothered by ETS than restaurant proprietors perceived.
    • A majority of government buildings were not smoke-free.

    Conclusions:

    • Community health nurses can provide valuable formative evaluation data to guide coalition planning.
    • Data-driven strategic planning enhances the effectiveness of ETS risk reduction interventions.
    • Targeted interventions are crucial for community-wide ETS impact.