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Serving Smoke-Free Air: Reframing the Public Debate for Passage of a Smoke-Free Restaurants and Bars law in N.C. Ann Houston Staples, CHES Tobacco Prevention & Control Branch NC Division of Public Health
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Gillings School of Global Public Health University of North Carolina – Chapel Hill The heavy lifting for this report was done by: Erin Bunger, Allie Lieberman, Menaka Mohan, Lauren Toledo Public Health Graduate Students The Capstone Project
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What was happening in NC? What did we do to respond to the challenge? How did we measure it? What did we learn?
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Overnight success? Full of folks who come from other places? Not really Southern?
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http://www.wral.com/news/local/video/67260 55/ http://www.wral.com/news/local/video/67260 55/
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In both 2007 and 2009, a comprehensive smoke-free worksite, restaurants and bars bill was introduced. Both bills were weakened to cover restaurants and bars only. In 2007, an age-provision was added to exempt many bars, and the bill failed narrowly in the House. In 2009, a similar age-provision was added in the House, removed by the Senate, and the Senate bill was adopted by the House.
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Bill was signed by Gov. Perdue and went into effect January 2, 2010 Very few exceptions: private clubs and country clubs that are non-profit and cigar bars open to 21-and- older.
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In 2007 and 2009 Supportive Poll Data Strong Editorial Board Support Surgeon Generals Report Hands-Off Governor House Majority Leader and cancer survivor as bill sponsor
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Restaurant & Lodging Association Not Actively Supporting More discussion of local control More effort around LTEs rather than Op/Eds Editorial support from nearly all major dailies Restaurant & Lodging Association in Support SHS Health Care Cost Study Bi-Partisan Sponsorship Hard work on supportive Op/Eds Editorial Board Memos
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We worked with the Capstone Team to try and determine what strategies might have made a difference in news coverage of the 2009 bill over the 2007 bill, and, ultimately, help with the passage. What Worked?
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Daily keyword search using Google News Alert and Tobacco.org about 2007 and 2009 Legislative sessions Keywords: Smoking+NC, Tobacco+NC, Holliman 360 newspaper articles received: 2006-07: 91 2009: 269
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357 daily newspaper articles included in the sample 2006-07: 97 2009: 260 Modified Sample Not relevant to House Bill 2 Message Board comments Press Release Multiple articles in one document
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Identified Each article using the following categories: Type of Article - eg. News, Editorial, Letter to Editor, Op-Ed, Column Topics Mentioned (Codes) – eg. Holliman, Legislation, Secondhand Smoke Sources of Quotes and Affiliations – eg. Public Health Leader, Restaurant and Bar owner Point of View – eg. Pro-Bill, Anti-Bill, Neutral For Opinion Articles: Frame – eg. Economic, Pro-Health, Personal Rights
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Collapsing Codes Codes and Affiliations Related topic codes were combined into 8 main codes Calculated frequencies and cross-tabulations
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Tobacco Industry Legislation Setting and People Health Money Ideology Federal Initiatives Other
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Pro-Bill Anti-Bill Neutral Unsure
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2007 n=72 2009 n=140
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20072009
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Property Rights Personal Rights Economic Free Market Pro-Health Worker Health Government Protection Unsure
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Costs of Secondhand Smoke Study based on the BCBS of Minnesota model Developing a media committee/strategy that Follows news media and strategically plans responses to misinformation and negative opinion writing. Selects specific newspapers to place op/eds in, based on where legislative support is needed Recruits strong local authors for op/eds and assists in writing and placing them (docs, LHD) Distributes editorial board memos as needed
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Have a Strategy for Dealing with Property Rights issue Bring Restaurant Association on-board Counter with strongest possible arguments Focus on strongest arguments Reducing Health Effects of SHS Reducing Health Care Costs
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