Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton,...

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Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction Program

Transcript of Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton,...

Page 1: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free

Restaurant Campaign1998 to 2001

Tracy Clopton, M. S. W.Ohio Department of Health

Tobacco Risk Reduction Program

Page 2: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Special Thanks to the Ohio Department of Health and Tobacco Free Ohio Staff Who Contributed

to This Project • Thallia Blight, TFO Project Assistant, media

kit development.

• Theresa Campbell B.S., data entry.

• Ellen Capwell, Ph.D. Professor, technical assistance.

• Wen Fang Chan, M. S., Epidemiologist, data analysis.

• Eric Green, M. A., Social Marketing Consultant, media development.

• Winnie Miller, data entry.

• Patrick Harsch, Ph.D. Tobacco Program Consultant, graphics and charts.

Page 3: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Learning Objectives

• Define Diffusion of Innovations Theory.• Describe how theory components were

incorporated into the statewide campaign.• Identify outcomes and lessons learned

from multi-component assessment.• How can others apply this statewide model

to assist local communities, with little experience, to promote a public health issue.

Page 4: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

1986 Surgeon General ReportHealth Consequences of Involuntary Smoking

• Involuntary smoking is a cause of disease, including lung cancer, in healthy nonsmokers.

• The children of parents who smoke… have increased frequency of respiratory infections, increased respiratory symptoms…

• Simple separation of smokers and nonsmokers within the same air space may reduce but does not eliminate exposure…to environmental tobacco smoke.

Page 5: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Secondhand Smoke Causes…

• Heart Disease• Low Birth Weight• Sudden Infant Death Syndrome (SIDS)• Asthma• Bronchitis• Pneumonia• Nasal Sinus Cancer

Source: Health Effects of Exposure to Environmental Health, Monograph 10, National Institutes of Health-NCI

Page 6: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

0.9

64.9

28.9

0 20 40 60 80

Not Allowed

Some Areas

All Areas

Where Adults Will Tolerate Smoking in Indoor Work Areas: Ohio, 1998

Percent

Page 7: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

2.5

67.4

30.1

0 20 40 60 80

Not Allowed

Some Areas

All Areas

Where Adults Will Tolerate Smoking in Indoor Work Areas: Ohio, 2000

Percent

Page 8: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

4.2

67.6

26.3

0 20 40 60 80

Not Allowed

Some Areas

All Areas

Where Adults Will Tolerate Smoking in Indoor Work Areas: Ohio, 2004

Percent10 30 50 70

Source: Ohio Adult Tobacco Survey, 2004

Page 9: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Where Adults Will Tolerate Smoking in Restaurants: Ohio, 1998

2.3

45.5 46.6

0

5

10

15

20

25

30

35

40

45

50

All Areas Some Areas Not Allowed

Perc

en

t

Page 10: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

45.5 46.6

Where Adults Will Tolerate Smoking in Restaurants: Ohio, 2000

3.5

48.4 48.1

0

5

10

15

20

25

30

35

40

45

50

All Areas Some Areas Not Allowed

Perc

en

t

Page 11: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Where Adults Will Tolerate Smoking in Restaurants: Ohio, 2004

2.2

43.0

54.1

0

5

10

15

20

25

30

35

40

45

50

All Areas Some Areas Not Allowed

Perc

en

t

Source: Ohio Adult Tobacco Survey, 2004

55

Page 12: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Where Adults Will Tolerate Smoking in Indoor Work Areas by Smoking Status: Ohio, 1999

0

10

20

30

40

50

60

70

80

90

100

Current Smokers

Perc

en

t

FormerSmokers

NeverSmoked

AllPersons

Some Areas

Not Allowed at All

54.6

43.2

33.7

65.4

25.4

74.5

63.8

35.3

Page 13: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

0

10

20

30

40

50

60

70

80

90

100

Current Smokers

Perc

en

t

FormerSmokers

NeverSmoked

AllPersons

57.7

42.3

31.8

68.2

19.7

80.3

69.3

30.7

Adults Tolerating Smoking in Some Indoor Areas by Smoking Status: Ohio, 2004

Page 14: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Where Adults Will Tolerate Smoking in Restaurants by Smoking Status: Ohio, 1999

0

10

20

30

40

50

60

70

80

90

100

Current Smokers

Perc

en

t

FormerSmokers

NeverSmoked

AllPersons

Some Areas

Not Allowed at All77.8

15.0

50.347.3

38.6

61.1

45.152.1

Page 15: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Adults Tolerating Smoking in Some Areas of Restaurants by Smoking Status: Ohio, 2004

0

10

20

30

40

50

60

70

80

90

100

Current Smokers

Perc

en

t

FormerSmokers

NeverSmoked

AllPersons

78.9

42.347.6

68.2

30.7

80.3

45

Page 16: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

“No Smoking” Section ?

Page 17: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.
Page 18: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Theoretical Model

Diffusion Innovations Theory:

1. How the development of new ideas, products, and social practices can improve health promotion interventions and strategies within society.

2. Program developers pay attention to social norms, member networks and social structures, in addition to the new intervention.

Page 19: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Two Applicable Concepts of Diffusion Innovations Theory

• Relative Advantage

• Seen as a better idea or unique.

• Statewide restaurant campaign new to Ohio.

• Observability

• Can produce tangible results.

• Written feedback from restaurant patrons and managers.

Page 20: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Campaign Purpose

• Encourage restaurants to permanently convert to smoke free.

• Local community education & assessment.

• Promote local coalition development.

• Participants use experience to address greater challenges within tobacco prevention.

Page 21: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Participant Recruitment Efforts

• Invitational letters to local health departments & tobacco coalitions seven months prior to the campaign date.

• Support materials free of charge.• “Ready To Use” Media Kit.• Participating restaurants recruited by health

depts. and tobacco coalitions in various ways.• Patron Card data provided to restaurant

managers.• Certificate of Appreciation and free advertisement

of their restaurant business.

Page 22: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Support Materials(with restaurant campaign logo)

• Buttons • Ink Pens• Testimonial Brochure• Manager Brochure• Tray-Liner/Placemat• Certificate of

Appreciation• Poster Notices• Patron Cards for

opinions.

• Media Tool Kit (Press Release, Letter to Editor, etc.)

• 3 Types of Stickers for Restaurant Bills

• CDC’s Guide: “Making

Your Workplace Smoke Free” (no program logo)

Page 23: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

MEDIA Campaign“Eat, Breathe & Dine Smoke

Free!”

Page 24: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Getting The Message Out1. Local News Papers: Participants made connections and used

the TFO Media Tool Kit.

2. Created two complementary radio spots: Borrowed California Dept. of Health’s TV Spot “Waitress”

3. Tagged the spots with 800# for advocacy packet: 300+ calls for 30+ days in 2000 and 2001.

4. Contracted with the Ohio Association of Broadcasters for $50,000: 3 free for 1 buy, or approximately $150,000 worth of air time for 31+ days.

5. CDC’s Media Campaign Resource Center’s movie slides, transit, & billboards funded by TFO: Supportive secondhand smoke spot “Secondhand Sound”

Page 25: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

“Eat, Breathe & Dine Smoke Free!” Restaurant Campaign Data Summary

1998-2001

• Local Participant Information

• Patron Responses

• Managers’ Evaluations

• Local Participants’ Evaluations

Page 26: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

12

2118

24

0

5

10

15

20

25

1998 1999 2000 2001

Number of Participating Agencies* By Year in Ohio

*Most were city/county health departments followed by voluntary non-profits or coalitions.

Page 27: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

HENRY

PUTNAM

LAWRENCE

PIKE

ADAMS

ATHENS

COSHOCTON

HOLMES

FAIRFIELD

HOCKING

JACKSON

SCIOTO

HIGHLAND

ROSS

FAYETTEPICKAWAY

GREENE

BELMONTMUSKINGUM

MEIGS

VINTON

WASHINGTON

MORGAN

PERRY MONROE

GUERNSEY

P0RTAGE

HARRISON

JEFFERSON

RICHLAND

SENECA

HARDIN

SANDUSKY

LICKING

DELAWARE

MADISON

FRANKLIN

CHAMPAIGN

MAMI

DARKE

PREBLEMONTGOMERY

CARROLL

BROWN

CLER-MONT

HURON

ERIE

TUSCARAWAS

ASHLAND

WYANDOT CRAWFORD WAYNE

CUYAHOGALORAIN

SUMMIT

LAKE

ASHTABULA

TRUMBULL

GEAUGA

MAHONING

COLUMBIANASTARK

NOBLE

GALLIA

CLINTONWARRENBUTLER

SHELBY

WILLIAMS

MERCER

ALLEN

AUGLAIZE

HANCOCK

VAN WERT

DEFIANCE

FULTONLUCAS

WOOD

OTTAWA

LOGAN

UNION

CLARK

HAMILTON

PAULDING

MARIONMORROW

KNOX

MEDINA

Strongest involvement came from counties in the Northwest, Southwest, Northeast, then Southeast.

1

2

3

4

Page 28: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

93

142124

114

0

20

40

60

80

100

120

140

160

1998 1999 2000 2001

Number of Restaurants Participating

Each Year in Ohio

Thirty or 6 percent of the restaurants converted to smoke free between 1998 and 2001 based upon participating in the campaign.

Page 29: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Patrons’ Response

Page 30: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

2485

4219

1830

2282

0

500

1000

1500

2000

2500

3000

3500

4000

1998 1999 2000 2001

Number of Restaurant Patrons Responding

Each Year in Ohio

Ohio Restaurant Four-Year Campaign

4500

Page 31: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Smoking Status of Smoke-free Restaurant Campaign Patrons, Ohio: 1998

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Non Smokers Smokers

74

45.152.1

25

93

Page 32: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Smoking Status of Smoke-free Restaurant Campaign Patrons, Ohio: 1999

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Non Smokers Smokers

66

45.152.1

32

93

Page 33: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Smoking Status of Smoke-free Restaurant Campaign Patrons, Ohio: 2000

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Non Smokers Smokers

73

45.152.1

27

93

Page 34: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Smoking Status of Smoke-free Restaurant Campaign Patrons, Ohio: 2001

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Non Smokers Smokers

68

45.1

30

93

Page 35: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

8

1510

0

5

10

15

20

25

30

35

40

45

50

10 or lesscigarettesper day

Perc

en

t

Smoking Patrons of Smoke-free Restaurant Campaign Tobacco Use, Ohio: 1999

11 to 20cigarettesper day

21 or morecigarettesper day

No response

68

Page 36: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

28

45

27

0

5

10

15

20

25

30

35

40

45

50

10 or lesscigarettesper day

Perc

en

tSmoking Patrons of Smoke-free Restaurant

Campaign Tobacco Use, Ohio: 2000

11 to 20cigarettesper day

21 or morecigarettesper day

Page 37: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

23

45

32

0

5

10

15

20

25

30

35

40

45

50

10 or lesscigarettesper day

Perc

en

tSmoking Patrons of Smoke-free Restaurant

Campaign Tobacco Use, Ohio: 2001

11 to 20cigarettesper day

21 or morecigarettesper day

Page 38: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Patrons’ Response to: “I Try to Protect Myself, Children or Grandchildren from Tobacco Smoke,”

Ohio: 1999

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Always Sometimes

54

45.1

23

93

Page 39: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Patrons’ Response to: “I Try to Protect Myself, Children or Grandchildren from Tobacco Smoke,”

Ohio: 2000

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Always Sometimes

66

45.1

22

93

Page 40: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Patrons’ Response to: “I Try to Protect Myself, Children or Grandchildren from Tobacco Smoke,”

Ohio: 2001

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Always Sometimes

57

45.1

25

93

Page 41: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

78

45

19

Yes No

Patrons’ Response to: “I Am Glad to See This Restaurant Participate in a Smoke Free Campaign,” Ohio: 1998

0

10

20

30

40

50

60

70

80

90

100

Page 42: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

66

8

25

Yes Unsure No

Patrons’ Response to: “I Am Glad to See This Restaurant Participate in a Smoke Free Campaign,” Ohio: 1999

0

10

20

30

40

50

60

70

80

90

100

Page 43: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

76

816

Yes Unsure No

Patrons’ Response to: “I Am Glad to See This Restaurant Participate in a Smoke Free Campaign,” Ohio: 2000

0

10

20

30

40

50

60

70

80

90

100

Page 44: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

72

1017

Yes Unsure No

Patrons’ Response to: “I Am Glad to See This Restaurant Participate in a Smoke Free Campaign,” Ohio: 2001

0

10

20

30

40

50

60

70

80

90

100

Page 45: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Patrons’ Response to: “If This Restaurant Became Totally Smoke Free Everyday I:” Ohio, 1999

0

5

10

15

20

25

30

35

40

45

50

Return more often

Perc

en

t

63.8

Glad to see this

Not like it but would

return

Would not dine here

again

Would not care either

way

33

8

1921

17

Page 46: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Patrons’ Response to: “If This Restaurant Became Totally Smoke Free Everyday I:” Ohio, 2000

0

5

10

15

20

25

30

35

40

45

50

Return more often

Perc

en

t

63.8

Glad to see this

Not like it but would

return

Would not dine here

again

Would not care either

way

40

7

11

2319

Page 47: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Patrons’ Response to: “If This Restaurant Became Totally Smoke Free Everyday I:,” Ohio, 2001

0

5

10

15

20

25

30

35

40

45

50

Return more often

Perc

en

t

63.8

Glad to see this

Not like it but would

return

Would not dine here

again

Would not care either

way

16

35

9

23

14

Page 48: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Average of Patrons’ Response to: “If This Restaurant Became Totally Smoke Free Everyday I:”

Ohio, 1999 - 2001

0

5

10

15

20

25

30

35

40

45

50

Return more often

Perc

en

t

63.8

Glad to see this

Not like it but would

return

Would not dine here

again

Would not care either

way

35

17

13

22

17

Page 49: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

93

4

Yes No

Patrons’ Response to: “I Am Aware That Exposure to Smoke From Cigarettes and Cigars May Cause Health Problems for

Children/Employers:” Ohio, 1998

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Page 50: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

84

2 12

Yes No Do not agree

Patrons’ Response to: “I Am Aware That Exposure to Smoke From Cigarettes and Cigars May Cause Health Problems for

Children/Employers:” Ohio, 1999

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Page 51: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

90

1 9

Yes No Do not agree

Patrons’ Response to: “I Am Aware That Exposure to Smoke From Cigarettes and Cigars May Cause Health Problems for

Children/Employers:” Ohio, 2000

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Page 52: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

88

28

Yes No Do not agree

Patrons’ Response to: “I Am Aware That Exposure to Smoke From Cigarettes and Cigars May Cause Health Problems for

Children/Employers:” Ohio, 2001

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Page 53: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

55

45

42

Female Male

Gender of Patrons of a Smoke Free Restaurant Campaign: Ohio, 1998

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Page 54: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

48

45

49

Female Male

Gender of Patrons of a Smoke Free Restaurant Campaign: Ohio, 1999

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Page 55: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

48

45

52

Female Male

Gender of Patrons of a Smoke Free Restaurant Campaign: Ohio, 2000

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Page 56: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

49

45

45

Female Male

Gender of Patrons of a Smoke Free Restaurant Campaign: Ohio, 2001

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Page 57: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Responses

Page 58: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

32

5751

72

0

10

20

30

40

50

60

70

80

1998 1999 2000 2001

Number of Restaurant Managers Responding

Each Year in Ohio

Ohio Restaurant Four-Year Campaign

90

Page 59: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

22

41

19

0

5

10

15

20

25

30

35

40

45

50

StronglyAgree

Agree SomewhatAgree

Perc

en

tManagers Who Believe The Smoke-free

Restaurant Campaign Was A Success: Ohio, 1998

Page 60: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

2630 30

0

5

10

15

20

25

30

35

40

45

50

StronglyAgree

Agree SomewhatAgree

Perc

en

tManagers Who Believe The Smoke-free

Restaurant Campaign Was A Success: Ohio, 1999

Page 61: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

12

35

29

0

5

10

15

20

25

30

35

40

45

50

StronglyAgree

Agree SomewhatAgree

Perc

en

tManagers Who Believe The Smoke-free

Restaurant Campaign Was A Success: Ohio, 2000

Page 62: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

15

3531

0

5

10

15

20

25

30

35

40

45

50

StronglyAgree

Agree SomewhatAgree

Perc

en

tManagers Who Believe The Smoke-free

Restaurant Campaign Was A Success: Ohio, 2001

Page 63: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers Knowledge Of ETS Effects On Employee After Campaign: Ohio, 1998

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Increased Remained the Same

31

45.152.1

63

Page 64: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers Knowledge Of ETS Effects On Employee After Campaign: Ohio, 1999

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Increased Remained the Same

18

45.152.1

77

Page 65: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers Knowledge Of ETS Effects On Employee After Campaign: Ohio, 2000

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Increased Remained the Same

29

45.152.1

55

Page 66: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers Knowledge Of ETS Effects On Employee After Campaign: Ohio, 2001

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

Increased Remained the Same

35

45.152.153

Page 67: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Initial Attitude About A Smoke-Free Campaign: Ohio, 1998

0

5

10

15

20

25

30

35

40

45

50

Not Likethe Idea

Perc

en

t

74.5

63.8

OK, Only if not negative to business

Open to trying

something new

Needed to get used to

the idea

No Response

4744

9

00

Page 68: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Initial Attitude About A Smoke-Free Campaign: Ohio, 1999

0

5

10

15

20

25

30

35

40

45

50

Not Likethe Idea

Perc

en

t

63.8

OK, Only if not negative to business

Open to trying

something new

Needed to get used to

the idea

No Response

51

42

2 42

55

Page 69: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Initial Attitude About A Smoke-Free Campaign: Ohio, 2000

0

5

10

15

20

25

30

35

40

45

50

Not likethe Idea

Perc

en

t

63.8

OK, only if not negative to business

Open to trying

something new

Needed to get used to

the idea

No Response

55

35

42

4

55

Page 70: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Initial Attitude About A Smoke-Free Campaign: Ohio, 2001

0

5

10

15

20

25

30

35

40

45

50

Not Likethe Idea

Perc

en

t

63.8

OK, Only if not negative to business

Open to trying

something new

Needed to get used to

the idea

No Response

42 42

18

7

Page 71: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

1916

0

5

10

15

20

25

30

35

40

45

50

Very Little or

Little

Some

Perc

en

tInfluence of Health Representatives on Mangers’

Decision to Participate: Ohio, 1998

Much orVery Much

22

None

34

Page 72: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

1116

0

5

10

15

20

25

30

35

40

45

50

Very Little or

Little

Some

Perc

en

tInfluence of Health Representatives on Mangers’

Decision to Participate: Ohio, 1999

Much orVery Much

32

None

30

Page 73: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

16

26

0

5

10

15

20

25

30

35

40

45

50

Very Little or

Little

Some

Perc

en

tInfluence of Health Representatives on Mangers’

Decision to Participate: Ohio, 2000

Much orVery Much

26

None

31

Page 74: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

6

13

0

5

10

15

20

25

30

35

40

45

50

Very Little or

Little

Some

Perc

en

tInfluence of Health Representatives on Mangers’

Decision to Participate: Ohio, 2001

Much orVery Much

46

None

35

Page 75: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Likely Behavior After Participating in a Smoke-Free Campaign: Ohio, 1998

0

5

10

15

20

25

30

35

40

45

50

Will Nevergo smoke

Free

Perc

en

t

63.8

Will not participate in

another campaign

Will participate in

another campaign

Will go or strongly consider

going smoke free

No response

9

56

9

3

55

21

Page 76: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Likely Behavior After Participating in a Smoke-Free Campaign: Ohio, 1999

0

5

10

15

20

25

30

35

40

45

50

Will Nevergo smoke

Free

Perc

en

t

63.8

Will not participate in

another campaign

Will participate in

another campaign

Will go or strongly consider

going smoke free

No response

9

47

4

12

55

32

Page 77: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Likely Behavior After Participating in a Smoke-Free Campaign: Ohio, 2000

0

5

10

15

20

25

30

35

40

45

50

Will Nevergo smoke

Free

Perc

en

t

63.8

Will not participate in

another campaign

Will participate in

another campaign

Will go or strongly consider

going smoke free

No response

12

61

82

55

18

Page 78: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Likely Behavior After Participating in a Smoke-Free Campaign: Ohio, 2001

0

5

10

15

20

25

30

35

40

45

50

Will Nevergo smoke

Free

Perc

en

t

63.8

Will not participate in

another campaign

Will participate in

another campaign

Will go or strongly consider

going smoke free

No response

4

65

6

10

55

16

Page 79: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Positions Who Participated in A Smoke-Free Campaign: Ohio, 1998

0

5

10

15

20

25

30

35

40

45

50

Sole owner

Perc

en

t

63.8

Owner in partnership

Manager Owner and manager

No Response

13

2528

31

3

Page 80: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Positions Who Participated in A Smoke-Free Campaign: Ohio, 1999

0

5

10

15

20

25

30

35

40

45

50

Sole owner

Perc

en

t

63.8

Owner in partnership

Manager Owner and manager

No Response

14

47

12

23

4

Page 81: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Positions Who Participated in A Smoke-Free Campaign: Ohio, 2000

0

5

10

15

20

25

30

35

40

45

50

Sole owner

Perc

en

t

63.8

Owner in partnership

Manager Owner and manager

No Response

18

27 2527

2

Page 82: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Managers’ Positions Who Participated in A Smoke-Free Campaign: Ohio, 2001

0

5

10

15

20

25

30

35

40

45

50

Sole owner

Perc

en

t

63.8

Owner in partnership

Manager Owner and manager

No Response

18

32

19

29

1

Page 83: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

16

81

3

0

5

10

15

20

25

30

35

40

45

50

Smoker Non-Smoker

No response

Perc

en

tManagers’ Smoking Status: Ohio, 1998

Page 84: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

21

74

50

5

10

15

20

25

30

35

40

45

50

Smoker Non-Smoker

No response

Perc

en

tManagers Smoking Status, Ohio: 1999

Page 85: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

16

76

8

0

5

10

15

20

25

30

35

40

45

50

Smoker Non-Smoker

No response

Perc

en

tManagers’ Smoking Status: Ohio, 2000

Page 86: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

32

67

10

5

10

15

20

25

30

35

40

45

50

Smoker Non-Smoker

No response

Perc

en

tManagers’ Smoking Status: Ohio, 2001

Page 87: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

12

33

0

5

10

15

20

25

30

35

40

45

50

State No ban

Perc

en

t Smoking Bans Mangers’ Are Most In Favor Of:

Ohio, 2000

No response

18

City or county

37

Page 88: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

10

38

0

5

10

15

20

25

30

35

40

45

50

State No ban

Perc

en

t Smoking Bans Mangers’ Are Most In Favor Of:

Ohio, 2001

No response

3

City or county

50

Page 89: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Local Participants’ Responses

Page 90: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Local Participants’ Average Response of Good to Excellent to Campaign Support Materials, Ohio

0

10

30

40

50

60

70

80

90

100

PressReleases

Perc

en

t

Tray liners/ Placemats

Manager Brochures

TFO Testimonial Brochure

Billboards-Movie Slides

87

10092

72

44.5

20

Yea

rs 1

998

- 19

99

Yea

rs 2

000

- 20

01

Yea

r 19

99

Yea

rs 2

000

- 20

01

Yea

rs 2

000

- 20

01

Page 91: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Local Participants’ Average Response of Good to Excellent to Campaign Support Materials,

Ohio: 1998-2001

0

10

30

40

50

60

70

80

90

100

CDC’sGuide

Perc

en

t

63.8

PatronSurvey

Buttons Ink Pens Certificates

9589

99.594

88

20

Page 92: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Local Participants’ Average Response of Good to Excellent to Campaign Support Materials,

Ohio: 1999-2001

0

10

30

40

50

60

70

80

90

100

Poster Notices

Perc

en

t

63.8

Written Support Material

Radio Spots

69

36.4

80

63

88

20

Page 93: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Local Participants Who Agreed to Participate in Another Campaign: Ohio, 1999-2001

0

10

20

30

40

50

60

70

80

90

100

Perc

en

t

1999 2000 2001

100

47.3

38.645.1

52.1

77.7

90

71

Page 94: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Lessons Learned• Program Evaluation will help campaign evolve and become more

effective.

• Written feedback is beneficial and improves communication between local participants and state program developers.

• Giving a voice to residents and restaurant managers is important for local policy work.

• Much support and encouragement is needed for locals to try new projects.

• Stress the importance of partnerships and coalition development (incl. communities of color and “everyday people”).

• Statewide media can work synergistically with local efforts.

Page 95: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Lessons Learned

• Time Frames are needed for overall project success.

• Logistical planning is important.

• Have a strong follow up plan.

Page 96: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Don’t be afraid to take risks…

Page 97: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.
Page 98: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

We have more support than we believe

Page 99: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Local Ohio Clean Indoor Air OrdinancesAs of 11/2005

• Bexley• Bowling Green• Centerville• Columbus• Dublin• Fairfield• Grandview Heights• Granville• Health• Hilliard• Marble Cliff

• New Albany• Newark• Powell• Toledo• Upper Arlington• Wauseon• Westerville• Worthington

Page 100: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

Workplaces

Restaurants

Bars

Year

Cum

ula

tive N

um

ber

Municipalities with Local 100 Percent Smoke-Free Laws Cumulative Number, U.S., 1990-2005

Page 101: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

States with Comprehensive Smokefree Workplace Laws

As of 11/2005• Washington

• California

• Connecticut

• Delaware

• Maine• Ohio in 2006

• Massachusetts

• Montana

• New York

• Rhode Island

• Vermont

Page 102: Eat, Breathe & Dine Smoke Free! Ohio’s Smoke Free Restaurant Campaign 1998 to 2001 Tracy Clopton, M. S. W. Ohio Department of Health Tobacco Risk Reduction.

SmokeFreeOhio.org 2006