APPENDIX The Comprehensiveness index of State Laws To permit comparisons over time, an index of the comprehen- siveness of each State’s smoking law was created. Laws were classified on the basis of the number and nature of places where smoking was restricted or prohibited. The overall principle was that stronger measures are those that reduce exposure to ETS to the greatest degree. More comprehensive laws were considered to be those that restrict smoking in a larger number of public places, extend to privately owned facilities, and cover places where individu- als spend a large amount of time. Laws regulating smoking in private worksites were considered to be the the most comprehensive, and States with such laws were assigned the extensive category. Because individuals spend more time at work than in any other place outside the home, worksite legislation has the potential for marked reductions in public exposure to involuntary smoking. Worksite laws also represent an extension of legislation to the private sector, considered a further evidence of their comprehensiveness. Nine States are categorized as having extensive restrictions; the average number of public places covered by their legislation was 11.0. The next most stringent category, moderate, was assigned to States that regulated smoking in restaurants. Restaurants were chosen because they represent privately owned public places and because laws covering them have been controversial to enact. It was felt that States regulating restaurants but not the private workplace had moderately comprehensive restrictions. The 10 States in this category also regulated smoking in a large number of public places (9.5). The last two categories, nominal and basic, were defined for States that did not regulate smoking in restaurants or in the private workplace. They differed in the number of public places covered. States restricting smoking in one to three public places were considered to have nominal restrictions. Those restricting smoking in four or more public places were classified as basic. 327 This number of public places covered by smoking restrictions increases with increasing comprehensiveness of categories. Category Extensive Moderate Basic Nominal No policy Mean number of Number of public places States covered 9 11.0 10 9.5 15 6.6 8 1.4 9 0 For the calculation of the comprehensiveness index, categories were weighted as follows: 328 Category Extensive Moderate Basic Nominal No policy Weight 1.00 75 50 25 .00 References ACTION ON SMOKING AND HEALTH. Statewide No Smoking Laws Enacted by State Legislatures. Washington, D.C., Action on Smoking and Health, 1986. ADDISON, R. New England Baptist Hospital Project, 1983-1984. Boston, Clean Indoor Air Educational Foundation, September 1984. AMA COUNCIL ON SCIENTIFIC AFFAIRS. Nonsmoking i in hospitals. Connecticut Medicine 48(5):297-305, May 1984. AMERICAN ACADEMY OF PEDIATRICS, COMMITTEE ON ENVIRONMENTAL HAZARDS. Involuntary smoking: A hazard to children. Pediatrics 77(5):755-757, May 1986. AMERICAN COLLEGE OF PHYSICIANS. Cigarette Abuse Epidemic. (unpublished position paper). January 28, 1986. AMERICAN HOSPITAL ASSOCIATION. A Resource to Assist Hospitals in Develop- ing Policies on Smoking. Chicago, American Hospital Association, 1982. — AMERICAN LUNG ASSOCIATION. Creating Your Company Policy. New York, American Lung Association, 1985a. AMERICAN LUNG ASSOCIATION. Taking Executive Action. New York, American Lung Association, 1985b. AMERICAN LUNG ASSOCIATION OF SAN DIEGO. Why Smoking Doesn’t Work for Business. The Facts. American Lung Association of San Diego, 1984. AMERICANS FOR NONSMOKERS’ RIGHTS FOUNDATION. California city and county ordinances. In: Appendix of Legislative Approaches to a Smoke Free Society. Berkeley, Americans for Nonsmokers’ Rights Foundation, 1986. ANDREWS, J.L., Jr. Reducing smoking in the hospital: An effective model program. Chest 84(2):206-209, August 1983. BAILEY, A. Fewer Connecticut high schools allowing smoking. Connecticut Health Bulletin 97(4):280-281, 1983. BARR, S.H., LAMBERT, C.A. Smoking regulation in restaurants and health-care facilities. (letter). New England Journal of Medicine 306(13):812, April 1, 1982. BEARG, D.W. 1984 Follow-up Study of Measurements of Respirable Particulates Generated From Tobacco Smoke at the New England Baptist Hospital. Life Energy Associates, August 1984. BENNETT, D., LEVY, B.S. Smoking policies and smoking cessation programs of large employers in Massachusetts. American Journal of Public Health 70(6):629-631, June 1980. , . BERMAN, EWJ., RICHARDS, J.W., Jr., FISCHER, P.M., CRETEN, D.A. Tobacco in hospitals. (letter). Journal of the American Medical Association 254(24):3420, December 27, 1985. , BERTELSEN, J., STOLBERG, C. The hospital’s role in smoking prevention: A survey. Massachusetts Journal of Community Health 20-21, Spring 1981. BIENER, L., ABRAMS, D.B., FOLLICK, M.J., MacNULTY, D., DEAN, L. Effects of a Restrictive Smoking Policy on Hospital Employees. Paper presented at the Society of Behavioral Medicine, San Francisco, March 1986. BRESLOW, L. Control of smoking from a public policy perspective. Annual Review of Public Health 3:129-151, 1982. . BUREAU OF NATIONAL AFFAIRS, INC. Where There’s Smoke: Problems and . Policies Concerning Smoking in the Workplace. Washington, D.C., Bureau of National Affairs, Inc., 1986. : DARTNELL’S BUSINESS. Smoking still not policy issue in most offices. Dartnell’s Business 1980 1(4):37-40, June 1980. DAWLEY, H.H., Jr., BALDWIN, J. The control of smoking: Smoking rate in designated smoking and no-smoking areas. International Journal of the Addictions 18(7):1033-1038, 1983. DAWLEY, H.H., BURTON, M.C. Smoking control in a hospital setting. Addictive Behaviors 10(4):351-355, 1985. 329 DAWLEY, H.H., Jr.. CARROL, S.F.. MORRISON, J.E. The discouragement of smoking in a hospital setting: The importance of modeled behavior. International Journal of the Addictions 16(5).905-910, 1981. DAWLEY, H.H., Jr., MORRISON, J., CARROL, S. Compliance behavior in a hospital setting: Employee and patients’ reactions to no-smoking signs. Addictive Behaviors 5(4):329-331, 1980. DAWLEY, H.H., Jr., MORRISON J., CARROL, S. The effect of differently worded no- smoking signs on smoking behavior. International Journal of the Addictions 16(8):1467-1471, 1981. DES MOINES REGISTER. Most Iowans won’t challenge smokers: Poll. Des Moines Sunday Register, July 26, 1981. DILLOW, C. Thank you for not smoking: The hundred year war against the cigarette. American Heritage 32(2):99-107, 1981. DOYLE, N.C. State and municipalities regulate smoking in work, public places. Business and Health 2(1):12, November 1984. ERIKSEN, M. Workplace smoking control: Rationale and approaches. Advances in Health Education and Promotion. Vol. 1, in press. ERNSTER, V.L., WILNER, 8.1. Nonsmoking policies in hospitals. Journal of Public Health Policy &(2):197-203, June 1985. FELDMAN, J., HUANG, S., LYMAN, J., SOBECK, E. The Legal Aspects of Smoking Regulation. Stanford, Stanford Environmental Law Society, May 1978. FIELDING, J.E. Effectiveness of employee health improvement programs. Journal of Occupational Medicine 24(11):907-916, November 1982. FIELDING, J.E. Banning worksite smoking. American Journal of Public Health 76(8):957-959, August 1986. GALLUP ORGANIZATION. Smoking in America: Public attitudes and behavior. Gallup Opinion Index 155:1-30, June 1978. GALLUP ORGANIZATION. Survey of Attitudes Toward Smoking. Princeton, Gallup Organization, April 1983. GALLUP ORGANIZATION. Monthly Report on Eating Out. Princeton, Gallup Organization, January 1984. GALLUP ORGANIZATION. Survey of Attitudes Toward Smoking. American Lung Association survey. Princeton, Gallup Organization, July 1985. GRITZ, E.R. Smoking behavior and tobacco abuse. In: Mello, N.K. (ed). Advances in Substance Abuse: Behavioral and Biological Research. A Research Annual, Vol. 1. Greenwich, Connecticut, JAI Press, 1980, pp. 91-158. GROUP AGAINST SMOKING POLLUTION. Guide to a Smoke-Free Workplace. New York, GASP, 1985. HANAUER, P., BARR G., GLANTZ, S.A. Legislative Approaches to a Smoke-Free Society. Berkeley, Americans for Nonsmokers’ Rights Foundation, 1986. HARRIS ORGANIZATION. Prevention Index 85: A Report on the Nation’s Health. Emmaeus, Pennsylvania, Rodale Press, 1985. HOLLANDER-COHEN ASSOCIATES. Sun Poll. Baltimore Sun, October 1984. HUMAN RESOURCES POLICY CORPORATION. Smoking Policies in Large Corpora- tions. (unpublished report), 1985. IGLEHART, J.K. The campaign against smoking gains momentum. New England Journal of Medicine 314(16):1059~-1064, April 1986. JONES, L.D. Advancing the role of hospitals in reducing smoking. In: Proceedings of the National Conference on Smoking or Health. New York, American Cancer Society, 1981. KELLY, N.R., COHEN, F.L. Smoking policies in U.S. hospitals: Current status. Preventive Medicine 8(5):557-561, 1979. KOTTKE, T.E., KNAPP, J., SILVIS, G., SORENSEN, G. Clean Air Health Care: A Guide to Establish Smoke-Free Health Care Facilities. Minneapolis, University of Minnesota, 1986. 330 KRISTEIN, M.M. How much can business expect to profit from smoking cessation? Preventive Medicine 12(2):358-381, March 1983. KRISTEIN, M.M. Wanted: Smoking policies for the workplace. Business and Health, pp. 14-17, November 1984. LEFCOE, N.M., ASHLEY M.J., PEDERSON L.L., KEAYS, J.J. The health risks of passive smoking: The growing case for control measures in enclosed environments. Chest 84(1):90-95, July 1983. LEHMAN, B.A. Cambridge may limit restaurant smoking. Boston Globe, April 23, 1984. LICHTENSTEIN, E., DANAHER, B.G. What can the physician do to assist the patient to stop smoking? In: Brashear, R.E., Rhodes, M.L. (eds). Chronic Obstructive Lung Disease: Clinical Treatment and Management. St. Louis, C.V. Mosby, 1978, pp. 227- 241. LINNELL, R.H. Survey: No-smoking rooms here to stay. Hotel and Motel Manage- ment 201(7):1-18, May 19, 1986. LINSON, CJ. Evaluation of Ten Workplace Smoking Regulations in California. Cambridge, Massachusetts, Harvard University, Institute for the Study of Smok- ing Behavior and Policy, May 30, 1986. LOS ANGELES TIMES. Hilton chain accomodating nonsmokers. Los Angeles Times, March 2, 1986. MARTIN, MJ. The San Francisco experience with regulation of smoking in the workplace: The first twelve months. American Journal of Public Health 76(5):585- 586, May 1986. MARVIT, R.C., RIGNEY, K.B., YOST, F.N. A good neighbor policy: Controlled smoking areas and health department attitudes. Hawaii Medical Journal 3%1):7- 10, January 1980. MEADE, T.W., WALD, N.J. Cigarette smoking patterns during the working day. British Journal of Preventive and Social Medicine 31(1):25-29, March 1977. MICHIGAN TOBACCO AND CANDY DISTRIBUTORS AND VENDOR ASSOCIA- TION. Economic impact of instituting smoking prohibitions in Michigan. In: Joffman K.B., (ed). Study: Ban on smoking expensive. Lansing, Michigan, State Journal, February 4, 1986. MINNEAPOLIS TRIBUNE. Minnesota poll. Minneapolis Tribune, April 15, 1973. MINNEAPOLIS TRIBUNE. Minnesota poll. Minneapolis Tribune, April 7, 1974. MINNEAPOLIS TRIBUNE. Minnesota poll. Minneapolis Tribune, January 18, 1976. MINNEAPOLIS TRIBUNE. Minnesota poll. Minneapolis Tribune, June 25, 1978. MINNEAPOLIS TRIBUNE. Minnesota poll. Minneapolis Tribune, May 11, 1980. MINNESOTA STATUTES ANNUAL, Chapter 211 L.1975, Sections 144.41-144.417, (West Supplement) 1985. NAIMARK, R.E. Toward a Smoke-Free Environment: Smoking Policy for Massachu- setts State Facilities. (unpublished manuscript). Cambridge, Massachusetts, Har- vard University, Institute for the Study of Smoking Behavior and Policy, April 1986. NATIONAL INTERAGENCY COUNCIL ON SMOKING AND HEALTH. Smoking and the Workplace: A National Survey. (unpublished manuscript). 1980a. NATIONAL INTERAGENCY COUNCIL ON SMOKING AND HEALTH. Smoking and the workplace: A national survey. Occupational Health and Safety 49(5):31-32, May 1980b. NATIONAL RESTAURANT ASSOCIATION. How Consumers Make the Decision to Eat Out. (survey). Washington, D.C., National Restaurant Association, August 1982. NATIONAL RESTAURANT ASSOCIATION. NRA Pocket Fact Book 1985-1986. Washington, D.C., National Restaurant Association, 1986. NEW YORK TIMES. San Francisco officials cite success with law. New York Times, April 13, 1986. 331 NEW YORK TIMES. Order by Koch limits smoking in city buildings. New York Times, June 26, 1986. NEW YORK TIMES. Plan to restrict smoking in NYC faces considerable opposition. New York Times, July 6, 1986. NUEHRING, E., MARKLE, G.E. Nicotine and norms: The re-emergence of a deviant behavior. Social Problems 21(4):513-526, April 1974. OFFICE OF TECHNOLOGY ASSESSMENT. Smoking in the Workplace: Selected Issues. U.S. Congress, Office of Technology Assessment, May 1986. OLSHANSKY, S.J. Is smoker/nonsmoker segregation effective in reducing passive inhalation among nonsmokers? American Journal of Public Health 72(7):737-739, July 1982. O’MALLEY, P.M., BACHMAN, J.G., JOHNSTON, L.D. Period, age, and cohort effects on substance use among American youth, 1976-82. American Journal of Public Health 74(7):682-688, July 1984. ONTARIO RESTAURANT AND FOOD SERVICES ASSOCIATION. A Restaurateur’s Guide for Establishing a No-Smoking Section. Ontario Restaurant and Food Services Association, 1985. ORLEANS, C.S., SHIPLEY, R.H. Worksite smoking cessation initiatives: Review and recommendations. Addictive Behaviors 7(1):1-16, 1982. ORLEANS, C.T., PENNEY, J. Nonsmoking in the Workplace: A Guide for Employers. Washington, D.C., Center for Corporate Public Involvement, 1984. ORLEANS, C.T. Evaluation Research Design for Worksite No-Smoking Policies and Programs. Paper presented at the National Cancer Institute Conference, April 1986. PACIFIC TELEPHONE. Employee Smoking Study. Project No. 82-63. Pacific Tele- phone, Corporate Research Division, Human Resources Administration, January 1983. PARK RECORD. Study shows Park City restaurants are ignoring no smoking area laws. Park Record, Park City, Utah, June 13, 1985. PETERSEN, D.J., MASSENGILL, D. Smoking regulations in the workplace: An update. Personnel, pp. 27-31, May 1986. PROCHASKA, J.O., DiCLEMENTE, C.C., VELICER, WF. Predicting change in smoking status for self-changers. Addictive Behaviors 10(4):395—406, 1985. RANDOLPH, F.L. The Regulation of Smoking in Public Places: Predictors of Compliance and Voluntary Enforcement Behavior. Doctoral Dissertation, Universi- ty of California, Berkeley, 1982, 280 pp. RASHAK, N.E., OLSEN, L.K., SPEARS, A.K., HAGGERTY, J.M. Smoking policies of secondary schools in Arizona. Journal of School Health 56(5):180-183, May 1986. REPACE, J.L., LOWREY A.H. A quantitative estimate of nonsmokers’ lung cancer risk from passive smoking. Environment International 11:3-22, 1985. RHOADES, E.R., FAIRBANKS, L.L. Smoke-free facilities in the Indian Health Service. (letter). New England Journal of Medicine 313(24):1548, December 12, 1985. RIGOTTI, N.A., HILL PIKL, B., CLEARY, P., SINGER, D.E., MULLEY, A.G. The impact of banning smoking on a hospital ward: Acceptance, compliance, air quality and smoking behavior. (abstract). Clinical Research 34(2):833A, April 1986. ROBERT FINNEGAN ASSOCIATES. Smoking Policy Preferences of Employees of New England Telephone: An Employee Opinion Research Survey. (unpublished report). April 1985. ROPER ORGANIZATION. A Study of Public Attitudes Toward Cigarette Smoking and the Tobacco Industry in 1978. Roper Organization, May 1978. ROSENSTOCK, I.M., STERGACHIS, A., HEANEY, C. Evaluation of smoking prohibition policy in a health maintenance organization. American Journal of Public Health 76(8):1014—1015, August 1986. 332 SANDELL, S.D. The campaign for clean air indoors. Business and Health, pp. 19-21, November 1984. SEFFRIN, J.R., BRASHEAR, R.E., SHIRELEY, L.A. A statewide survey of hospital policy and practice concerning cigarette sales. American Review of Respiratory Disease 118(6):1105-1107, December 1978. SHANNON, A.R. Smoking cessation program survey. Pacific Northwest Bell Business Research, June 1986. SHIPLEY, R.H., ORLEANS, C.S. Treatment of cigarette smoking. In: Boudewyns, P.A., Keefe, F.J. (eds). Behavioral Medicine in General Medical Practice. New York, Addison Wesley, 1982, pp. 237-268. SHOR, R.E., WILLIAMS, D.C. Normative beliefs about tobacco smoking on campus in relation to an exposition of the viewpoint of the nonsmokers’ rights movement. Journal of Psychology 100(2nd half):261-274, November 1978. SOBEL, R. They Satisfy: The Cigarette in American Life. New York, Anchor Press/Doubleday, 1978. SOLOMON, L.C. The other side of the smoking worker controversy. Personnel Administrator 28(3):72-73, March 1983. SORENSEN, G., PECHACEK, T. Support for Nonsmoking Policies Among Employed Smokers. (unpublished manuscript). August 1, 1986. SORENSEN, G., PECHACEK, T., PALLONEN, U. Occupational and worksite norms and attitudes about smoking cessation. American Journal of Public Health 76(5):544-549, May 1986. THOMAS, E.G. Committee of 500 report. Smoking in the office: A burning issue. Management World 94):11-12, April 1980. TRI-AGENCY TOBACCO FREE PROJECT. State Legislated Action on Clean Indoor Air Act. New York, American Cancer Society, American Lung Association, American Heart Association, February 1986. UNIVERSITY OF CALIFORNIA SURVEY RESEARCH CENTER. California Poll. Berkeley, University of California, July, September, October 1984. U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE. Aduit Use of Tobacco, 1970. DHEW Pub. No. (HSM)73-8727. U.S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, National Clearinghouse for Smoking and Health, June 1973. U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE. Adult Use of Tobacco, 1975. U.S. Department of Health, Education, and Welfare, Public Health Service, Health Services and Mental Health Administration, National Clearing- house for Smoking and Health, June 1976. U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE. Use of Tobacco, Practices, Attitudes, Knowledge, and Beliefs, United States: Fall 1964 and Spring 1966. U.S. Department of Health, Education, and Welfare, Public Health Service, Health Services and Mental Health Administration, National Clearinghouse for Smoking and Health, July 1969. U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE. Krasnegor, N.A. (ed). Cigarette Smoking as a Dependence Process. NIDA Research Monograph 23. DHEW Pub. No. (ADM)79-800. U.S. Department of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse and Mental Health Adminis- tration, National Institute on Drug Abuse, January 1979. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. The Health Conse- quences of Smoking for Women: A Report of the Surgeon General. U.S. Department of Health and Human Services, Public Health Service, Office of the Assistant Secretary for Health, Office on Smoking and Health, 1980. 333 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. The Health Conse- quences of Smoking: Cardiovascular Disease. A Report of the Surgeon General. DHHS Pub. No. (PHS)82-50179. U.S. Department of Health and Human Services, Public Health Service, Office of the Assistant Secretary for Health, Office on Smoking and Health, 1982. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. The Health Conse- quences of Smoking: Chronic Obstructive Lung Disease. A Report of the Surgeon General. DHHS Pub. No. (PHS)84-50205. U.S. Department of Health and Human Services, Public Health Service, Office of the Assistant Secretary for Health, Office on Smoking and Health, 1984. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. A Decision Maker’s Guide to Reducing Smoking at the Worksite. U.S. Department of Health and Human Services, Public Health Service, Office on Smoking and Health, 1985a. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. Legislative Overview. U.S. Department of Health and Human Services, Public Health Service, Office of the Assistant Secretary for Health, Office on Smoking and Health, 1985b. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. The Health Conse- quences of Smoking: Cancer and Chronic Lung Disease in the Workplace. A Report of the Surgeon General. DHHS Pub. No. (PHS)85-50207. U.S. Department of Health and Human Services, Public Health Service, Office on Smoking and Health, 1985c. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. National Survey of Worksite Health Promotion Activities. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, 1986. U.S. PUBLIC HEALTH SERVICE. Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service. PHS Pub. No. 1103. U.S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, 1964. VETTEL, P. The don’t butt inn: Hotels now cater to nonsmokers. Chicago Tribune, February 23, 1986. WALSH, D.C. Corporate smoking policies: A review and an analysis. Journal of Occupational Medicine 26(1):17-22, January 1984. WALSH, D.C., GORDON, N.P. Legal approaches to smoking deterrence. Annual Review of Public Health 7:127-149, 1986. WARNER, K.E. Cigarette smoking in the 1970’s: The impact of the antismoking campaign on consumption. Science 211(4483):729-731, February 13, 1981a. WARNER, K.E. State legislation on smoking and health: A comparison of two policies. Policy Sciences 13:139-152, 1981b. WARNER, K.E. Regional differences in State legislation on cigarette smoking. Texas Business Review 56(1):27-29, January-February 1982. WARNER, K.E., ERNSTER, V.L., HOLBROOK, J.H., LEWIT, E.M., PERTSCHUK, M., STEINFELD, J.L., WHELAN, E.M. Public policy on smoking and health: Toward a smoke-free generation by the year 2000. Circulation 73(2):381A-395A, February 1986. WARNER, K.E., MURT, H.A. Impact of the antismoking campaign on smoking prevalence: A cohort analysis. Journal of Public Health Policy 3(4):374—-390, December 1982. WEIS, W.L. Can you afford to hire smokers? Personnel Administrator 26(5):71-78, May 1981. WINDSOR, R.A., BARTLETT, E.E. Employee self-help smoking cessation programs: A review of the literature. Health Education Quarterly 11(4):349-359, Winter 1984. ZIADY, M. A smoke-free workplace: Clearing the air at Pacific Northwest Bell. Good Health, Good Business (1):1, 1986. 334