Abstract
Objective: To propose and test a new classification system for characterising legislator support for various tobacco control policies.
Design: Cross sectional study.
Subjects: Federal and provincial legislators in Canada serving as of October 1996 who participated in the Canadian Legislator Study (n = 553; response rate 54%).
Main outcome measures: A three factor model (Voters, Tobacco industry, Other interest groups) that assigns nine tobacco control policies according to legislators' hypothesised perceptions of which group is more directly affected by these policies.
Results: Based on confirmatory factor analysis, the proposed model had an acceptable fit and showed construct validity. Multivariate analysis indicated that three of the predictors (believing that the government has a role in health promotion, being a non-smoker, and knowledge that there are more tobacco than alcohol caused deaths) were associated with all three factor scales. Several variables were associated with two of the three scales. Some were unique to each scale.
Conclusions: Based on our analyses, legislator support for tobacco control policies can be grouped according to our a priori factor model. The information gained from this work can help advocates understand how legislators think about different types of tobacco control policies. This could lead to the development of more effective advocacy strategies.
Full Text
The Full Text of this article is available as a PDF (301.1 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alexander D. L., Cohen J. E., Ferrence R. G., Ashley M. J., Northrup D. A., Pollard J. S. Tobacco industry campaign contributions in Ontario, 1990-95. Can J Public Health. 1997 Jul-Aug;88(4):230–231. doi: 10.1007/BF03404787. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ashley M. J., Bull S. B., Pederson L. L. Support among smokers and nonsmokers for restrictions on smoking. Am J Prev Med. 1995 Sep-Oct;11(5):283–287. [PubMed] [Google Scholar]
- Ashley M. J., Cohen J., Bull S., Ferrence R., Poland B., Pederson L., Gao J. Knowledge about tobacco and attitudes toward tobacco control: how different are smokers and nonsmokers? Can J Public Health. 2000 Sep-Oct;91(5):376–380. doi: 10.1007/BF03404811. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brenner H., Born J., Novak P., Wanek V. Smoking behavior and attitude toward smoking regulations and passive smoking in the workplace. A study among 974 employees in the German metal industry. Prev Med. 1997 Jan-Feb;26(1):138–143. doi: 10.1006/pmed.1996.9981. [DOI] [PubMed] [Google Scholar]
- Christofides N., Chapman S., Dominello A. The new pariahs: discourse on the tobacco industry in the Sydney press, 1993-97. Aust N Z J Public Health. 1999 Jun;23(3):233–239. doi: 10.1111/j.1467-842x.1999.tb01248.x. [DOI] [PubMed] [Google Scholar]
- Cohen Joanna E., de Guia Nicole A., Ashley Mary Jane, Ferrence Roberta, Northrup David A., Studlar Donley T. Predictors of Canadian legislators' support for tobacco control policies. Soc Sci Med. 2002 Sep;55(6):1069–1076. doi: 10.1016/s0277-9536(01)00244-1. [DOI] [PubMed] [Google Scholar]
- Davis S. K., Winkleby M. A., Farquhar J. W. Increasing disparity in knowledge of cardiovascular disease risk factors and risk-reduction strategies by socioeconomic status: implications for policymakers. Am J Prev Med. 1995 Sep-Oct;11(5):318–323. [PubMed] [Google Scholar]
- Flynn B. S., Goldstein A. O., Solomon L. J., Bauman K. E., Gottlieb N. H., Cohen J. E., Munger M. C., Dana G. S. Predictors of state legislators' intentions to vote for cigarette tax increases. Prev Med. 1998 Mar-Apr;27(2):157–165. doi: 10.1006/pmed.1998.0308. [DOI] [PubMed] [Google Scholar]
- Gifford R., Brindley M. S. Attitudes of the Wisconsin State Legislature toward tobacco control policies. Wis Med J. 1994 Nov;93(11):582–584. [PubMed] [Google Scholar]
- Glantz S. A., Begay M. E. Tobacco industry campaign contributions are affecting tobacco control policymaking in California. JAMA. 1994 Oct 19;272(15):1176–1182. [PubMed] [Google Scholar]
- Goldstein A. O., Cohen J. E., Flynn B. S., Gottlieb N. H., Solomon L. J., Dana G. S., Bauman K. E., Munger M. C. State legislators' attitudes and voting intentions toward tobacco control legislation. Am J Public Health. 1997 Jul;87(7):1197–1200. doi: 10.2105/ajph.87.7.1197. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hahn E. J., Toumey C. P., Rayens M. K., McCoy C. A. Kentucky legislators' views on tobacco policy. Am J Prev Med. 1999 Feb;16(2):81–88. doi: 10.1016/s0749-3797(98)00134-2. [DOI] [PubMed] [Google Scholar]
- Hendriks V. M., Garretsen H. F., van de Goor L. A. A "parliamentary inquiry" into alcohol and drugs: a survey of psychoactive substance use and gambling among members of the Dutch parliament. Subst Use Misuse. 1997 May;32(6):679–697. doi: 10.3109/10826089709039370. [DOI] [PubMed] [Google Scholar]
- Jacobson P. D., Wasserman J., Raube K. The politics of antismoking legislation. J Health Polit Policy Law. 1993 Winter;18(4):787–819. [PubMed] [Google Scholar]
- Laforge R. G., Velicer W. F., Levesque D. A., Fava J. L., Hill D. J., Schofield P. E., Fan D., De Vries H., Shisana W. O., Conner M. Measuring support for tobacco control policy in selected areas of six countries. Tob Control. 1998 Autumn;7(3):241–246. doi: 10.1136/tc.7.3.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Menashe C. L., Siegel M. The power of a frame: an analysis of newspaper coverage of tobacco issues--United States, 1985-1996. J Health Commun. 1998 Oct-Dec;3(4):307–325. doi: 10.1080/108107398127139. [DOI] [PubMed] [Google Scholar]
- Monardi F., Glantz S. A. Are tobacco industry campaign contributions influencing state legislative behavior? Am J Public Health. 1998 Jun;88(6):918–923. doi: 10.2105/ajph.88.6.918. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moore S., Wolfe S. M., Lindes D., Douglas C. E. Epidemiology of failed tobacco control legislation. JAMA. 1994 Oct 19;272(15):1171–1175. [PubMed] [Google Scholar]
- Nathanson C. A. Social movements as catalysts for policy change: the case of smoking and guns. J Health Polit Policy Law. 1999 Jun;24(3):421–488. doi: 10.1215/03616878-24-3-421. [DOI] [PubMed] [Google Scholar]
- Pederson L. L., Bull S. B., Ashley M. J., Lefcoe N. M. A population survey on legislative measures to restrict smoking in Ontario: 2. Knowledge, attitudes, and predicted behavior. Am J Prev Med. 1986 Nov-Dec;2(6):316–323. [PubMed] [Google Scholar]
- Shore T. H., Tashchian A., Adams J. S. Development and validation of a scale measuring attitudes toward smoking. J Soc Psychol. 2000 Oct;140(5):615–623. doi: 10.1080/00224540009600501. [DOI] [PubMed] [Google Scholar]
- Taylor S. M., Ross N. A., Goldsmith C. H., Zanna M. P., Lock M. Measuring attitudes towards smoking in the Community Intervention Trial for Smoking Cessation (COMMIT). Health Educ Res. 1998 Mar;13(1):123–132. doi: 10.1093/her/13.1.123. [DOI] [PubMed] [Google Scholar]
- de Guia N. A., Cohen J. E., Ashley M. J., Ferrence R., Northrup D. A., Pollard J. S. Short report. How provincial and territorial legislators view tobacco and tobacco control: findings from a Canadian study. Chronic Dis Can. 1998;19(2):57–61. [PubMed] [Google Scholar]