Abstract
The purpose of this study was to analyze the economic impact of a city-wide smoke-free ordinance in the small, relatively isolated, rural, Northeast Missouri community of Kirksville. A model similar to prior studies was applied to the taxable sales revenues of eating and drinking establishment data prior to and following enactment of a smoke-free ordinance. It was found that there was a significant positive change in eating and drinking establishment taxable sales revenues post-enactment.
Introduction
Although adopting smoke-free policies is viewed as a wise health and business decision, the hospitality industry has feared such smoke-free workplace policies will decrease business and revenues. It appears, however, that few, if any, reliable, peer-reviewed studies support that claim.1,2 Currently, more than 40 countries have passed some type of smoke-free law; this includes almost 30 countries whose laws incorporate smoke-free bars and restaurants and over half of the states in the U.S. that have passed 100% smoke-free laws incorporating bars and restaurants.3,4 Internationally, there has been no undue economic impact documented for smoke-free ordinances in countries as diverse as Italy and Ireland.5,6 The same has been noted nationally for states such as Massachusetts, Washington, and California.7–9 Although the state of Missouri is not smoke-free, 20 municipalities possess smoke-free restaurant ordinances, and 18 municipalities possess smoke-free bar ordinances.3 In addition, smoke-free ordinances did not exert undue economic impact in localities such as New York City, Minneapolis/St. Paul, or several cities in Texas.10–12 To date, nearly 600 United States cities and localities have passed 100% smoke-free laws that include bars and restaurants.13
While most studies have examined the economic impact of smoke-free legislation on bars and restaurants in communities with large populations, and some have examined the economic impact on small cities, few studies have examined the economic impact of smoke-free legislation on relatively isolated rural communities with smaller populations. Compared to urban and suburban areas, tobacco use and secondhand smoke exposure is more prevalent among rural residents, there are fewer policies in place to protect rural residents from secondhand smoke in the workplace,14 and larger rural communities tend to have stronger tobacco control policies than smaller rural communities.15
Purpose/Significance
Kirksville, a small, rural Northeast Missouri community, enacted a smoke-free ordinance effective July 1, 2007, covering bars, restaurants, public recreation facilities, and sports venues within the city limits. Unique to previous studies, this rural city is a small ‘college town’ community of only 17,000 residents, but is the major commercial hub for a 40-mile radius. The purpose of this study was to determine the economic impact of the smoke-free ordinance on local bar and restaurant taxable sales revenues.
Methods
Data
Quarterly taxable sales revenue data were obtained from public reports of the Missouri Department of Revenue. Data for eating and drinking places were reported under the standard industrial classification code (SIC) 581.16 Total city tax revenue data were also obtained to indicate possible changes in the city’s economy. The consumer price indices (current series) for all urban consumers for the Midwest region were selected from the several price indices published by the Bureau of Labor Statistics to adjust for price inflation in all the revenue data.17 The data on unemployment rates were obtained from the Missouri Economic Research and Information Center, Missouri Department of Economic Development.18 The 12 quarters of data prior to ordinance’s enactment and 12 quarters following July 1, 2007 enactment were used in the analysis. Quarterly taxable sales revenue data for eating and drinking places were adjusted for changes in city’s economy, population and unemployment.
Analysis
The null hypothesis of no difference between pre- and post-smoke-free ordinance mean taxable sales was tested using a t-test to compare the difference between mean taxable sales ‘pre’-smoke-free ordinance and mean taxable sales ‘post’-smoke-free ordinance. An F-test was conducted on the variances of the two samples to test the hypothesis that the population variances associated with the two were the same. The t-test for two samples (pre- and post-smoke-free ordinance) was conducted with the assumption of equal population variances. The impact of the smoke-free ordinance on taxable sales was assessed using the p-value associated with the t-statistic (calculated).
Results
Summary statistics are presented in Table 1(a). Based on the F-test conducted on the variances of the two samples for eating and drinking establishments, we failed to reject the hypothesis that the population variances were equal (Table 1(b)). Therefore, a pooled t-test was conducted on pre- and post-smoke-free ordinance taxable sales. Based on p-values from the pooled t-test, the null hypothesis of no change in taxable sales post-smoke-free ordinance was rejected (Table 1(c)).
Table 1.
Statistics and Test Results
| a) Summary Statistics | ||||||
|---|---|---|---|---|---|---|
|
| ||||||
| Smoke-free Ordinance | Number of Quarters | Mean | Std Dev | Std Err | Minimum | Maximum |
| Pre | 12 | 5696859 | 298389 | 86137.6 | 5284631 | 6098151 |
| Post | 12 | 6110701 | 294314 | 84961.2 | 5549414 | 6520573 |
|
| ||||||
| Difference (Pre - Post) | −413842 | 296359 | 120988 | |||
| b) Equality of Variances: Result of F-test | ||||
|---|---|---|---|---|
|
| ||||
| Method | Degree of Freedom | F Value | Pr > F | |
|
| ||||
| Numerator | Denominator | |||
| Folded F | 11 | 11 | 1.03 | 0.9644 |
| c) Equality of Mean Tax Revenues: Result of T-test | ||||
|---|---|---|---|---|
|
| ||||
| Method | Variances | Degree of Freedom | t Value | Pr > |t| |
| Pooled | Equal | 22 | −3.42 | 0.0024 |
The taxable sales revenues of eating and drinking places in Kirksville increased by 7.3% with an average quarterly increase of $413,842, post smoke-free ordinance.
The trend in adjusted revenue from eating and drinking establishments in Kirksville from the third quarter of 2004 to the second quarter of 2010 is shown in Figure 1. The revenues from eating and drinking establishments, adjusted for inflation and economic activity, also showed no downward trend after ordinance enactment.
Figure 1.
Trend in Adjusted Revenue from Eating and Drinking Establishments in Kirksville.
(Adjusted for Information)
Conclusion and Discussion
In this small rural college community, it was determined that the smoke-free bars/restaurants ordinance posed no undue economic harm to hospitality business, and taxable sales revenues posted a significant positive change post-ordinance. The results of this current study mirrors the neutral or positive economic effects following smoke-free ordinance enactment quantified by other studies. However, a limitation was that all bars and restaurants were examined in the aggregate. Although there was a possibility that some establishments may have ‘broke-even’ or even lost revenue pre- to post-ordinance enactment, the net economic impact was the main focus.
Restaurant and bar owners frequently fear that smoke-free ordinances will decrease business and revenues. These fears have been exacerbated by studies overtly and covertly funded by the tobacco industry or their allies. Scollo et al.2 examined nearly 100 extant studies related to smoke-free legislation. After systematic review, it was determined that studies using subjective data (e.g. surveys, anecdotes) were four times more likely to conclude negative economic impact compared to studies using objective data (e.g. taxable sales). See Figure 1. Further, studies that were not peer-reviewed were 20 times more likely to conclude negative impact than those that were peer-reviewed. All of the studies that found negative impact had been supported by the tobacco industry; whereas, none of the non-tobacco industry supported studies reported economic harm.2 In the state of Missouri, as a recent example, the tobacco industry claimed that Kansas City’s smoke-free policy would harm hospitality business, but multivariate econometric models concluded the ordinance had no negative economic impact on hospitality business.19 When satisfying the basic criteria of objective instead of subjective data, being published in a peer-reviewed journal, and being free of tobacco industry influence, the preponderance of studies, including this current one, concluded no undue economic harm to bar and restaurant business as a result of smoke-free ordinances.
Biography
Carolyn C. Cox, PhD, CHES, (above) is Corresponding Author of this paper, and Professor in Health Sciences, at Truman State University in Kirksville. Noaman Kayani, PhD, is a Research Analyst at the Missouri Department of Health and Senior Services, Office of Epidemiology. Stanley R. Cowan, RS, MPA, is a Research Aide in the Department of Family and Community Medicine at the University of Missouri School of Medicine. Leslie A. Moss, BS, CHES, MHA, is a Graduate Research Assistant at the MU Center for Health Ethics, University of Missouri. This article is the second in a two-year Missouri Medicine special series on Preventive Cardiology.
Contact: ccox@truman.edu

Footnotes
Disclosure
None reported.
Scan code with your mobile device to read more on Missouri Medicine’s Preventive Cardiology Series.
References
- 1.Scollo M, Lal A. Summary of studies assessing the economic impact of smoke-free policies in the hospitality industry. VicHealth Centre for Tobacco Control. 2008. [Accessed August 13, 2010]. http://www.vctc.org.au/downloads/Hospitalitysummary.pdf.
- 2.Scollo M, Lal A, Hyland A, Glantz S. Review of the quality of studies on the economic effects of smoke-free policies on the hospitality industry. Tob Control. 2003;12:13–20. doi: 10.1136/tc.12.1.13. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Americans for Non-smoker’s Rights. States and commonwealths with 100% smoke-free laws in all workplaces, restaurants, and bars. [Accessed March 8, 2011]. http://www.no-smoke.org/pdf/100ordlisttabs.pdf.
- 4.Americans for Non-smoker’s Rights. Smoke-free status of workplaces and hospitality venues around the world. [Accessed March 8, 2011]. http://www.no-smoke.org/pdf/internationalbarsandrestaurants.pdf.
- 5.Borland R, Yong H-H, Siahpush M, et al. Support for and reported compliance with smoke-free restaurants and bars by smokers in four countries: findings from the International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006;15(suppl 3):iii34–iii41. doi: 10.1136/tc.2004.008748. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Fong G, Borland R, Hammond D, et al. Reductions in tobacco smoke pollution and increases in support for smoke-free public places following implementation of comprehensive smoke-free workplace legislation in the Republic of Ireland: findings from the ITC Ireland/UK Survey. Tob Control. 2006;15:iii51–iii58. doi: 10.1136/tc.2005.013649. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Alpert H, Carpenter C, Travers M, Connelly G. Environmental and economic evaluation of the Massachusetts Smoke-Free Workplace Law. J Commun Health. 2007;32:269–281. doi: 10.1007/s10900-007-9048-6. [DOI] [PubMed] [Google Scholar]
- 8.Boles M, Dilley J, Maher J, Boyson M, Reid T. Smoke-free law associated with higher-than-expected taxable retail sales for bars and taverns in Washington State. [Accessed August 13, 2010];Prev Chronic Dis. 2010 7(4) http://www.cdc.gov/pcd/issues/1010/jul09_0187.htm. [PMC free article] [PubMed] [Google Scholar]
- 9.Stolzenberg L, D’Alessio S. Is nonsmoking dangerous to the health of restaurants? The effect of California’s indoor smoking ban on restaurant revenues. Eval Rev. 2008. [Accessed August 13, 2010]. http://erx.sagepub.com/content/31/1/75.abstract. [DOI] [PubMed]
- 10.New York City Department of Finance. The state of smoke-free New York City: a one-year review. 2004. [Accessed August 13, 2010]. http://www.nyc.gov/html/doh/downloads/pdf/smoke/sfaa-2004report.pdf.
- 11.Klein E, Forster J, Erickson D, Lytle L, Schillo B. Economic effects of clean indoor air policies on bar and restaurant employment in Minneapolis and St Paul, Minnesota. J Public Health Management Practice. 2010;16(4):285–293. doi: 10.1097/PHH.0b013e3181c60ea9. [DOI] [PubMed] [Google Scholar]
- 12.Hayslett J, Huang P. Impact of clean indoor air ordinances on restaurant revenues in four Texas cities: Arlington, Austin, Plano and Wichita Falls 1987–1999. Texas Department of Health Bureau of Disease, Injury and Tobacco Prevention; 2000. [Accessed March 23, 2011]. http://www.tobaccoscam.ucsf.edu/pdf/088-HayslettTexas.pdf. [Google Scholar]
- 13.Americans for Non-smoker’s Rights. Overview List: How many Smoke-free Laws? [Accessed March 23, 2011]. http://www.no-smoke.org/pdf/mediaordlist.pdf.
- 14.Weg M, Cunningham C, Howren M, Cai X. Tobacco use and exposure in rural areas: Findings from the Behavioral Risk factor Surveillance System. Addictive Behaviors. 2011;36(3):231–236. doi: 10.1016/j.addbeh.2010.11.005. [DOI] [PubMed] [Google Scholar]
- 15.York N, Rayens M, Zhang M, Jones L, Casey B, Hahn E. Strength of tobacco control in rural communities. Journal of Rural Health. 2010;2010;26(2):120–128. doi: 10.1111/j.1748-0361.2010.00273.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Missouri Department of Revenue. Public Taxable Sales Reports. Available at: http://dor.mo.gov/publicreports/
- 17.U.S. Bureau of Labor Statistics | Office of Occupational Statistics and Employment Projections. Available at: http://www.bls.gov/cpi/
- 18.Missouri Economic Research and Information Center, Missouri Department of Economic Development (MERIC) in cooperation with US Department of Labor, Bureau of Labor Statistics. Available at: http://www.missourieconomy.org/indicators/laus/default.aspx?PeriodYear=2010&Month=01.
- 19.Tauras JA, Chaloupka FJ. Executive summary: The economic impact of the 2008 Kansas City Missouri smoke-free air ordinance. Health Care Foundation of Greater Kansas City; 2010. [Accessed March 23, 2011]. http://healthcare4kc.org/uploadedFiles/Resources/exec%20summary1-15rev.pdf. [Google Scholar]


