Leadership Perceptions of Endgame Strategies for Tobacco Control in California

Smith, Elizabeth A.; McDaniel, Patricia A.; Malone, Ruth E.

doi:10.1097/phh.0000000000000791

Cited by 7 publications

(9 citation statements)

References 20 publications

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“…The greater caution about endgame policies found in previous research [5] may also relate to the specific participants. The previous study included interviews with state legislators and leaders of statewide organizations; the current study prioritized local advocates (though we also included some statewide leaders).…”

Section: Discussionmentioning

confidence: 84%

“…Previous research [5] in 2018 found that California legislators and advocates to be somewhat cautious about endgame-oriented policies, preferring more gradual approaches. This study found an overall sense from interviewees of momentum for policy innovation, with greater belief in the possibility of an endgame.…”

Section: Discussionmentioning

confidence: 99%

“…(3). A proponent of placing restrictions on retail sellers of marijuana noted that some cities tightly regulated the number and location of marijuana shops, causing advocates to think, "how can we align our… messaging…to say, 'Well, tobacco is really harmful…and you don't have any of these'" restrictions on tobacco retailers (5). Questions from the public about marijuana regulation also provided a point of engagement with people concerned about the health implications of marijuana's increased use after legalization (2,8).…”

Section: Arguments About "Prohibition"mentioning

confidence: 99%

“…In previous research, conducted November 2016-April 2017, advocates and legislators active in California tobacco control, while supportive of the "endgame" idea and various policies proposed to achieve it, favored incremental policy measures over abrupt changes [5]. Participants also raised concerns about equity and the potential unintended consequences of rapid policy change.…”

Section: Introductionmentioning

confidence: 99%

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California advocates’ perspectives on challenges and risks of advancing the tobacco endgame

Smith

McDaniel

Malone

2020

J Public Health Pol

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In the United States, California's highly-regarded Tobacco Control Program (CTCP) has defined its goal as "ending the tobacco epidemic for all population groups" by 2035. To understand local advocates' perceptions of endgame-oriented policies, we interviewed 28 advocates from California communities that had recently adopted tobacco control policies. There was no consensus among participants on which specific policies would constitute the tobacco endgame in California. There was agreement, however, that policymakers should promote policies that would impact communities with the highest tobacco use prevalence and that policies should be "clean," avoiding exemptions. Participants were cognizant of California's history of tobacco control policy innovations beginning locally and eventually being 2 adopted at the state level. Many commented that recent policy innovations in the state had begun a conversation that made more "radical" ideas seem possible. California tobacco control advocates are engaged in local endgame policy discussions and prepared to advance California's endgame goal.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Arguments About "Prohibition"mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

California advocates’ perspectives on challenges and risks of advancing the tobacco endgame

Smith

McDaniel

Malone

2020

J Public Health Pol

Self Cite

View full text Add to dashboard Cite

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“…In California (and likely other states), tobacco retailers, including small store owners, are an important constituency for policy-makers and the public. Indeed, their opposition to, or support for, tobacco control policies can be critical in determining the outcome of policy proposals 6. Although we might expect uniform retailer opposition to tobacco tax increases, or to tobacco control policies more generally, research in the USA and internationally suggests that retailers often support some tobacco control policies, despite their potential economic downsides 7–13.…”

Section: Introductionmentioning

confidence: 99%

Retailers’ perspectives on selling tobacco in a low-income San Francisco neighbourhood after California’s $2 tobacco tax increase

et al. 2018

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BackgroundCalifornia’s tobacco tax increased by $2.00 per pack in 2017. Although such increases are among the most effective tobacco control strategies, little is known about their impact from the perspective of corner store owners in low-income neighbourhoods with high concentrations of tobacco outlets.MethodsWe interviewed 38 corner store owners and managers in San Francisco’s Tenderloin, the district with the city’s highest tobacco outlet density, 60–90 days following implementation of the tax increase. Questions focused on perceptions of the impact of the higher tobacco tax on their revenues, customers and tobacco company promotions. We used qualitative content analysis to identify, compare and reconcile key themes.ResultsMost retailers reported a decline in cigarette sales, with customers buying fewer cigarettes, switching to cheaper brands or other products like marijuana, or trying to quit smoking. Retailers described challenges associated with running a small business and selling tobacco and concerns about selling a product that is ‘bad’ for customers’ health. Contrary to expectation, tobacco companies appeared to be offering few product promotions in this neighbourhood.ConclusionsSmall, independent retailers’ concerns, about selling tobacco and about the health and well-being of customers, suggest that such retailers may be important allies in tobacco control efforts,particularly those focused on the point-of-sale.

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How do New Zealand youth perceive the smoke-free generation policy? A qualitative analysis

et al. 2022

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IntroductionAotearoa New Zealand (NZ) plans to introduce a smoke-free generation (SFG) policy, alongside denicotinisation and reducing the availability of tobacco products. The SFG has a clear rationale, yet we know little about how young people, those the policy targets, perceive it. To inform policy design, communication and implementation, we explored how NZ youth perceived the SFG.MethodsWe undertook in-depth interviews with a sample of 20 youth aged 17 or 18 and explored their knowledge of the SFG, and how they perceived its individual and societal implications. We interpreted the data using a reflexive thematic analysis approach.ResultsWe identified two overarching themes. The first theme, ‘societal good and protection from harm’, reflected benefits participants associated with the SFG, which outweighed perceptions of lost freedoms. The second theme, ‘privileging personal choice’, corresponded to two small groups within the sample. The first preferred measures they considered less restrictive, such as increasing the purchase age, and some came to support the SFG as they rationalised their views. The second subgroup expressed more entrenched opposition and felt the SFG deprived them of a choice.ConclusionsYoung people’s deep reflection on the SFG led most to view it as liberating rather than restrictive. Communications that avoid prompting heuristic-based responses could encourage youth to reflect on the policy and elicit strong support from the group the SFG aims to benefit.

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Leadership Perceptions of Endgame Strategies for Tobacco Control in California

Cited by 7 publications

References 20 publications

California advocates’ perspectives on challenges and risks of advancing the tobacco endgame

California advocates’ perspectives on challenges and risks of advancing the tobacco endgame

Retailers’ perspectives on selling tobacco in a low-income San Francisco neighbourhood after California’s $2 tobacco tax increase

How do New Zealand youth perceive the smoke-free generation policy? A qualitative analysis

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