Abstract
OBJECTIVE—To examine the actual and anticipated costs of a law regulating workplace smoking and smoking in restaurants, taking into consideration observed and anticipated infrastructure costs, lost productivity, increased absenteeism, and loss of clientele. SETTING AND DESIGN—A survey of 401 Québec restaurants and 600 Québec firms conducted by the Québec Ministry of Health before the enactment of the law was used to derive costs incurred by those who had already complied and anticipated by those that did not. RESULTS—Direct and indirect costs associated with tobacco regulation at work and in restaurants were minimal. Annualised infrastructure costs amounted to less than 0.0002% of firm revenues and 0.15% of restaurant revenues. Anticipated costs were larger and amounted to 0.0004% of firm revenues and 0.41% of restaurant revenues. Impacts on productivity, absenteeism, and restaurant patronage were widely anticipated but not observed in currently compliant establishments. CONCLUSION—Firms and restaurants expected high costs to result from strict tobacco regulation because of infrastructure costs, decreased productivity, and decreased patronage. That none of these were actually observed suggests that policy makers should discount industry claims that smoking regulations impose undue economic hardship. Keywords: regulation; firms; restaurants; costs; survey
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Selected References
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- Bartosch W. J., Pope G. C. The economic effect of smoke-free restaurant policies on restaurant business in Massachusetts. J Public Health Manag Pract. 1999 Jan;5(1):53–62. doi: 10.1097/00124784-199901000-00009. [DOI] [PubMed] [Google Scholar]
- Brownson R. C., Eriksen M. P., Davis R. M., Warner K. E. Environmental tobacco smoke: health effects and policies to reduce exposure. Annu Rev Public Health. 1997;18:163–185. doi: 10.1146/annurev.publhealth.18.1.163. [DOI] [PubMed] [Google Scholar]
- Centers for Disease Control and Prevention (CDC) Assessment of the impact of a 100% smoke-free ordinance on restaurant sales--West Lake Hills, Texas, 1992-1994. MMWR Morb Mortal Wkly Rep. 1995 May 19;44(19):370–372. [PubMed] [Google Scholar]
- Eriksen M. P., Gottlieb N. H. A review of the health impact of smoking control at the workplace. Am J Health Promot. 1998 Nov-Dec;13(2):83–104. doi: 10.4278/0890-1171-13.2.83. [DOI] [PubMed] [Google Scholar]
- Farrelly M. C., Evans W. N., Sfekas A. E. The impact of workplace smoking bans: results from a national survey. Tob Control. 1999 Autumn;8(3):272–277. doi: 10.1136/tc.8.3.272. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Glantz S. A., Charlesworth A. Tourism and hotel revenues before and after passage of smoke-free restaurant ordinances. JAMA. 1999 May 26;281(20):1911–1918. doi: 10.1001/jama.281.20.1911. [DOI] [PubMed] [Google Scholar]
- Glantz S. A., Smith L. R. The effect of ordinances requiring smoke-free restaurants on restaurant sales. Am J Public Health. 1994 Jul;84(7):1081–1085. doi: 10.2105/ajph.84.7.1081. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Glasgow R. E., Cummings K. M., Hyland A. Relationship of worksite smoking policy to changes in employee tobacco use: findings from COMMIT. Community Intervention Trial for Smoking Cessation. Tob Control. 1997;6 (Suppl 2):S44–S48. doi: 10.1136/tc.6.suppl_2.s44. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hamilton V. H., Levinton C., St-Pierre Y., Grimard F. The effect of tobacco tax cuts on cigarette smoking in Canada. CMAJ. 1997 Jan 15;156(2):187–191. [PMC free article] [PubMed] [Google Scholar]
- Hyland A., Cummings K. M. Restaurant employment before and after the New York City Smoke-Free Air Act. J Public Health Manag Pract. 1999 Jan;5(1):22–27. doi: 10.1097/00124784-199901000-00005. [DOI] [PubMed] [Google Scholar]
- Hyland A., Cummings K. M. Restaurateur reports of the economic impact of the New York City Smoke-Free Air Act. J Public Health Manag Pract. 1999 Jan;5(1):37–42. doi: 10.1097/00124784-199901000-00007. [DOI] [PubMed] [Google Scholar]
- Hyland A., Cummings K. M., Wilson M. P. Compliance with the New York City Smoke-Free Air Act. J Public Health Manag Pract. 1999 Jan;5(1):43–52. doi: 10.1097/00124784-199901000-00008. [DOI] [PubMed] [Google Scholar]
- Jones K., Wakefield M., Turnbull D. A. Attitudes and experiences of restaurateurs regarding smoking bans in Adelaide, South Australia. Tob Control. 1999 Spring;8(1):62–66. doi: 10.1136/tc.8.1.62. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reynolds P. Epidemiologic evidence for workplace ETS as a risk factor for lung cancer among nonsmokers: specific risk estimates. Environ Health Perspect. 1999 Dec;107 (Suppl 6):865–872. doi: 10.1289/ehp.99107s6865. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schofield M. J., Considine R., Boyle C. A., Sanson-Fisher R. Smoking control in restaurants: the effectiveness of self-regulation in Australia. Am J Public Health. 1993 Sep;83(9):1284–1288. doi: 10.2105/ajph.83.9.1284. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Siegel M. Involuntary smoking in the restaurant workplace. A review of employee exposure and health effects. JAMA. 1993 Jul 28;270(4):490–493. [PubMed] [Google Scholar]
- Taylor A. E., Johnson D. C., Kazemi H. Environmental tobacco smoke and cardiovascular disease. A position paper from the Council on Cardiopulmonary and Critical Care, American Heart Association. Circulation. 1992 Aug;86(2):699–702. doi: 10.1161/01.cir.86.2.699. [DOI] [PubMed] [Google Scholar]
- Traynor M. P., Begay M. E., Glantz S. A. New tobacco industry strategy to prevent local tobacco control. JAMA. 1993 Jul 28;270(4):479–486. [PubMed] [Google Scholar]
- Wells A. J. Passive smoking as a cause of heart disease. J Am Coll Cardiol. 1994 Aug;24(2):546–554. doi: 10.1016/0735-1097(94)90315-8. [DOI] [PubMed] [Google Scholar]