Klein E G, Forster J L, Erickson D J, Lytle L A, Schillo B
Health Behavior & Health Promotion, Ohio State University College of Public Health, 1841 Neil Avenue, Columbus, OH 43210, USA.
Prev Sci. 2009 Jun;10(2):168-74. doi: 10.1007/s11121-009-0122-4.
Clean indoor air (CIA) policies that include free-standing bars and restaurants have been adopted by communities to protect employees in all workplaces from exposure to environmental tobacco smoke, most notably employees working in restaurants and free-standing bars. However, due to the perception of negative economic effects on alcohol-licensed hospitality businesses, partial CIA policies (those that provide an exemption for free-standing bars) have been proposed as a means to reduce the risk of economic effects of comprehensive CIA policies applied to all worksites. Bar and restaurant employment per capita were used to determine if partial CIA policies produced differential economic effects compared to comprehensive CIA policies. Ten cities in the state of Minnesota were studied from 2003-2006. Economic data were drawn from monthly employment in bars and restaurants, and a pooled time-series was completed to evaluate three types of local CIA policies: Comprehensive, partial, or none beyond the state law. Communities with a comprehensive CIA policy had a decrease of 9 employees per 10,000 residents compared with communities with partial CIA policies (p = 0.10). Communities with any type of CIA policy (partial or comprehensive) had an increase of 3 employees per 10,000 residents compared to communities without any CIA policies (p = 0.36). There were no significant differential economic effects by CIA policy type in Minnesota cities. These findings support the adoption of comprehensive CIA policies to provide all employees protection from environmental tobacco smoke exposure.
包括独立酒吧和餐馆在内的清洁室内空气(CIA)政策已被社区采用,以保护所有工作场所的员工免受环境烟草烟雾的影响,最显著的是餐馆和独立酒吧的员工。然而,由于人们认为这会对有酒类经营许可的酒店业产生负面经济影响,有人提议采用部分CIA政策(即对独立酒吧给予豁免的政策),作为降低全面CIA政策应用于所有工作场所所带来的经济影响风险的一种手段。人均酒吧和餐馆就业数据被用来确定部分CIA政策与全面CIA政策相比是否会产生不同的经济影响。对明尼苏达州的10个城市在2003年至2006年期间进行了研究。经济数据取自酒吧和餐馆的月度就业情况,并完成了一个合并时间序列,以评估三种类型的地方CIA政策:全面政策、部分政策或仅遵循州法律之外的政策。与实施部分CIA政策的社区相比,实施全面CIA政策的社区每10000名居民的员工减少了9人(p = 0.10)。与没有任何CIA政策的社区相比,实施任何类型CIA政策(部分或全面)的社区每10000名居民的员工增加了3人(p = 0.36)。在明尼苏达州的城市中,不同类型的CIA政策没有产生显著的经济差异影响。这些研究结果支持采用全面的CIA政策,以保护所有员工免受环境烟草烟雾的暴露。