Oklahoma State Department of Health.
Cleveland County Turning Point-Tobacco Free Cleveland County, Norman.
Am J Prev Med. 2015 Jan;48(1 Suppl 1):S29-35. doi: 10.1016/j.amepre.2014.09.020.
Policies that shield people from the harm of tobacco exposure are essential to protect the health of the population. Coalitions have often led the way in safeguarding community health by promoting social norm change though policy adoption. In some states, tobacco control laws are weak, in part because of a tobacco industry tactic of prohibiting or pre-empting communities from enacting ordinances that are more protective. In spite of strong state-level preemptions, local coalitions in Oklahoma have implemented hundreds of voluntary policies in tobacco control that have improved the protection and health of their communities while not violating preemption. Three case studies of policy change are presented that exemplify the key approach of local coalitions working with strong allies and informed decision makers to establish tobacco-free businesses, schools, and outdoor recreational areas. In each of the cases, the policy changes surpassed the protection provided by the state laws and inspired additional policy changes. The key strategies and lessons learned may help tobacco control coalitions in other states limited by preemption to garner more support and momentum for important policy changes within their communities and states.
保护人们免受烟草暴露危害的政策对于保护人口健康至关重要。联盟经常通过通过政策采用来促进社会规范的改变，从而在保障社区健康方面走在前列。在一些州，由于烟草业禁止或先发制人地阻止社区制定更具保护性的条例，烟草控制法较为薄弱。尽管有强烈的州级预先禁令，但俄克拉荷马州的地方联盟仍在烟草控制方面实施了数百项自愿政策，这些政策改善了社区的保护和健康状况，同时并未违反预先禁令。本文提出了三个政策变化的案例研究，这些案例说明了地方联盟与强大的盟友和知情决策者合作，建立无烟企业、学校和户外娱乐区的主要方法。在每个案例中，政策变化都超过了州法律所提供的保护，并激发了更多的政策变化。这些关键策略和经验教训可能有助于受到预先禁令限制的其他州的烟草控制联盟在其社区和州内争取更多支持和动力，以实现重要政策的改变。
