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The Big Picture: What Are the Key Approaches to Making Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience. Joanne Wellman-Benson, RDH, MPH California Department of Public Health, Tobacco Control Section (TCS) National Conference on Tobacco or Health

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The Big Picture: What Are the Key Approaches to Making Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience

Joanne Wellman-Benson, RDH, MPH

California Department of Public Health, Tobacco Control Section (TCS)

National Conference on Tobacco or Health

Ancillary Meeting

October 23, 2007


How do you define as quickly as possible

How do you define “as quickly as possible?” Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience

It’s all relative!


Tcs infrastructure a comprehensive decentralized approach to create social norm change
TCS Infrastructure: Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California ExperienceA Comprehensive Decentralized Approach to Create Social Norm Change

  • Local Programs (61 health departments-LLAs, 67 community-based organizations)

  • Statewide media campaign

  • Clearinghouse of educational and promotional materials

  • Workgroups provide direction

  • Training and TA for local programs

  • Cessation Helpline

  • Surveillance and evaluation

  • TCS sets guidelines for grantees to conduct needs assessments by using Communities of Excellence (CX) indicators based on priority areas, of which SHS is one.


Take into consideration
Take into Consideration… Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience

1. Where you are in the tobacco control movement

  • TCS started in 1999, after passage of a tobacco tax

    2. If you have a statewide smoke-free workplace law or not

  • The CA Smoke-free Workplace Law was enacted in 1995, smoke-free bars enacted in 1998


Need to consider cont
Need to Consider (cont.) Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience

3. How long your statewide workplace law has been in effect

  • Californians have had smoke-free workplaces for almost 13 years and smoke-free bars for almost 10 years

    4. If you had a critical mass of local policies prior to the passage of the statewide smoke-free workplace law

  • 286 policies had been enacted at the local level prior to the statewide smoke-free workplace law

  • Program interventions need to be designed mainly to facilitate change at the community level


Need to consider cont1
Need to Consider (cont.) Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience

5. If smoke-free outdoor areas have become (or are becoming) a social norm

  • Smoke-free playgrounds and doorways (state law) outdoor entertainment venues, parks, beaches (voluntary and local policies)

    6. What do public opinion polls show?

  • increasingly favorable attitudes re: smoke-free apartments - the % of smokers in 2006 was the same % as the overall sample in 2001!


Attitude shift for smoke free multi unit housing
Attitude Shift* Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experiencefor Smoke-free Multi-unit Housing

*Note: This table consists of data compiled from different surveys with varied survey methodologies.

Prepared by: California Department of Public Health, Tobacco Control Section, July 2007


A natural progression
A Natural Progression Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience

  • Local smoke-free workplace policies, including restaurants and bars

  • Statewide smoke-free workplace law

  • Local voluntary outdoor tobacco smoke policies

  • Locally-mandated outdoor tobacco smoke policies

  • Statewide outdoor tobacco smoke laws (playgrounds and doorways of government buildings)

  • Local voluntary MUH policies

  • Locally-mandated MUH policies

  • Statewide MUH law?


Where we were in 2004
Where We Were in 2004… Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience

2004-2007 LLA plans could choose between 3 MUH CX indicators (indoor common areas, outdoor common areas, or units.) These were for voluntary policies.


2007 2010 lla plans are a different story
2007-2010 LLA Plans Are a Different Story! Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience

  • Seven SHS MUH Indicators that include both voluntary and legislative policies which include:

    • Indoor common areas (primarily covered by the state law)

    • Outdoor common areas

    • Units-required to assess

    • Zoning

    • Disclosure

    • Nuisance

    • Enforcement provisions


Comparison of lla muh objectives 2005 2010
Comparison of LLA MUH Objectives - 2005-2010 Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California Experience


Comparison of lla muh objectives 2005 20101
Comparison of LLA MUH Smoke-free Multi-Unit Dwellings the Norm (as quickly as possible): The California ExperienceObjectives - 2005-2010


There are many local voluntary muh policies that are virtually impossible to completely track

There are many local voluntary MUH policies that are virtually impossible to completely track


Eighteen local communities have passed smoke free muh ordinances and or resolutions
Eighteen Local Communities Have virtually impossible to completely trackPassed Smoke-free MUH Ordinances and/or Resolutions

  • 12 for outdoor common areas

  • 8 for units

  • 4 nuisance

  • 2 resolutions (non-binding)-County (50% of units) and City of Sacramento (25% of units)

  • 4 Public Housing: 1000 Oaks, Rancho Mirage, Santa Barbara-a senior housing complex, Madera


Tools for success for local programs
Tools for Success for Local Programs virtually impossible to completely track

  • Local health departments required to assess CX indicator pertaining to units

  • MUH Workgroup meets monthly - provides direction to TCS

  • Training opportunities and technical assistance calls

  • Statewide technical assistance grants (legal, policy, education/advocacy, low SES)

  • Media-billboards, TV ads, media tool kit

  • Public opinion polls of tenants and managers/owners

  • Educational materials-brochures, fact sheets, tool kit

  • Use the science to your advantage! (SHS is a toxic air contaminant, there is no safe level of exposure to SHS, third hand smoke, economic benefits, etc.)


For additional information
For additional information.. virtually impossible to completely track

Joanne Wellman-Benson

(916) 449-5482

[email protected]


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