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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2003 Jan 1;94(1):36–40. doi: 10.1007/BF03405050

Support for Tobacco Control Policies

How Congruent are the Attitudes of Legislators and the Public?

Nicole A de Guia 18, Joanna E Cohen 18,28,, Mary Jane Ashley 18,28, Linda Pederson 38, Roberta Ferrence 18,28,48, Shelley Bull 28,58, David Northrup 68, Blake Poland 28
PMCID: PMC6980002  PMID: 12583669

Abstract

Objectives: To examine the congruence in perceptions and attitudes of legislators and the public regarding tobacco and tobacco control policies.

Methods: Two cross-sectional surveys were used, one of elected federal and provincial legislators and one of adult residents in Ontario, Canada. Perceptions and attitudes were analyzed as dependent variables using multiple logistic regression, and adjusted for age, sex, educational attainment, and smoking status.

Findings: Congruence was found in most instances, however, some differences were found. Legislators were more likely than the public to agree that most smokers are addicted and were more supportive of a smoking ban in workplaces, but these differences disappeared after controlling for socio-demographic characteristics. Legislators were also more aware than the public of the magnitude of deaths due to tobacco compared to alcohol, whereas the public was more supportive of strong penalties against stores that sell cigarettes to minors.

Conclusions: Our findings provide considerable evidence for congruence in the “real-world” (unadjusted) perceptions and attitudes of Ontario legislators and the Ontario public toward tobacco control policies. Such findings are positive for tobacco control advocates and should be leveraged to bring forward strong tobacco policies in the political arena.

References

  • 1.Manley MW, Pierce JP, Gilpin EA, Rosbrook B, Berry C, Wun LM. Impact of the American Stop Smoking Intervention Study on cigarette consumption. Tobacco Control. 1997;6:S12–S16. doi: 10.1136/tc.6.suppl_2.S12. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Pierce JP, Gilpin EA, Farkas AJ. Can strategies used by statewide tobacco control programs help smokers make progress in quitting? Cancer Epidemiology, Biomarkers and Prevention. 1998;7:459–64. [PubMed] [Google Scholar]
  • 3.Pierce JP, Gilpin EA, Emery SL, White MM, Rosbrook B, Berry CC, et al. Has the California tobacco control program reduced smoking? JAMA. 1998;280:893–99. doi: 10.1001/jama.280.10.893. [DOI] [PubMed] [Google Scholar]
  • 4.Reid DJ, McNeill AD, Glynn TJ. Reducing the prevalence of smoking in youth in Western countries: An international review. Tobacco Control. 1995;4:266–77. doi: 10.1136/tc.4.3.266. [DOI] [Google Scholar]
  • 5.Townsend JL. Policies to halve smoking deaths. Addiction. 1993;88:37–46. doi: 10.1111/j.1360-0443.1993.tb02762.x. [DOI] [PubMed] [Google Scholar]
  • 6.U.S. Department of HealthHuman Services. Preventing tobacco use among young people: A report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1994. [Google Scholar]
  • 7.Al-Delaimy W, Luo D, Woodward A, Howden-Chapman P. Smoking hygiene: A study of attitudes to passive smoking. New Zealand Med J. 1999;112:33–36. [PubMed] [Google Scholar]
  • 8.Ashley MJ, Bull SB, Pederson LL. Support among smokers and nonsmokers for restrictions on smoking. Am J Prev Med. 1995;11:283–87. doi: 10.1016/S0749-3797(18)30431-8. [DOI] [PubMed] [Google Scholar]
  • 9.Clarke V, White V, Beckwith J, Borland R, Hill DJ. Are attitudes towards smoking different for males and females? Tobacco Control. 1993;2:201–8. doi: 10.1136/tc.2.3.201. [DOI] [Google Scholar]
  • 10.Laforge RG, Velicer WF, Levesque DA, Fava JL, Hill DJ, Schofield PE, et al. Measuring support for tobacco control policy in selected areas of six countries. Tobacco Control. 1998;7:241–46. doi: 10.1136/tc.7.3.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Ross N, Taylor A. Geographical variation in attitudes toward smoking: Findings from the COMMIT communities. Soc Sci Med. 1998;46:703–17. doi: 10.1016/S0277-9536(97)00175-5. [DOI] [PubMed] [Google Scholar]
  • 12.Saeed A, Khoja T, Khan S. Smoking behaviour and attitudes among adult Saudi nationals in Riyadh City, Saudi Arabia. Tobacco Control. 1996;5:215–19. doi: 10.1136/tc.5.3.215. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Cohen JE. Ideology and Canadian legislators’ support for tobacco control policies. Chapel Hill, NC: University of North Carolina - Chapel Hill; 1999. [Google Scholar]
  • 14.de Guia NA, Cohen JE, Ashley MJ, Ferrence R, Northrup DA, Pollard JS. How provincial and territorial legislators view tobacco and tobacco control: Findings from a Canadian study. Chron Dis Can. 1998;19:57–61. [PubMed] [Google Scholar]
  • 15.de Cohen JE, Guia NA, Ashley MJ, Ferrence R, Northrup DA, Studlar DT. Predictors of Canadian legislators’ support for tobacco control policies. Soc Sci Med. 2002;55(6):1069–76. doi: 10.1016/S0277-9536(01)00244-1. [DOI] [PubMed] [Google Scholar]
  • 16.Davis SK, Winkleby MA, Farquar JW. Increasing disparity in knowledge of cardiovascular disease risk factors and risk-reduction strategies by socioeconomic status: Implications for policymakers. Am J Prev Med. 1995;11:318–23. doi: 10.1016/S0749-3797(18)30437-9. [DOI] [PubMed] [Google Scholar]
  • 17.Gifford R, Brindley MS. Attitudes of the Wisconsin State Legislature toward tobacco control policies. Wisconsin Med J. 1994;93(11):582–84. [PubMed] [Google Scholar]
  • 18.Goldstein AO, Cohen JE, Flynn BS, Gottlieb NH, Solomon LJ, Dana GS, et al. State legislators’ attitudes and voting intentions toward tobacco control legislation. Am J Public Health. 1997;87:1197–200. doi: 10.2105/AJPH.87.7.1197. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Hahn EJ, Toumey CP, Rayens MK, McCoy CA. Kentucky legislators’ views on tobacco policy. Am J Prev Med. 1999;16:81–88. doi: 10.1016/S0749-3797(98)00134-2. [DOI] [PubMed] [Google Scholar]
  • 20.Hendriks VM, Garretsen HFL, van de Goor IAM. A “parliamentary inquiry” into alcohol and drugs: A survey of psychoactive substance use and gambling among members of the Dutch parliament. Substance Use & Misuse. 1997;32:679–97. doi: 10.3109/10826089709039370. [DOI] [PubMed] [Google Scholar]
  • 21.Hahn EJ, Rayens MK. Public opinion and legislators’ views on tobacco policy. Kentucky Medical Association J. 2000;98:67–73. [PubMed] [Google Scholar]
  • 22.Alexander DL, Cohen JE, Ferrence RG, Ashley MJ, Northrup DA, Pollard JS. Tobacco industry campaign contributions in Ontario, 1990–95. Can J Public Health. 1997;88(4):230–31. doi: 10.1007/BF03404787. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Flynn BS, Dana GS, Goldstein AO, Bauman KE, Cohen JE, Gottlieb NH, et al. State legislators’ intentions to vote and subsequent votes on tobacco control legislation. Health Psychol. 1997;16:401–4. doi: 10.1037/0278-6133.16.4.401. [DOI] [PubMed] [Google Scholar]
  • 24.Flynn BS, Goldstein AO, Solomon LJ, Bauman KE, Gottlieb NH, Cohen JE, et al. Predictors of state legislators’ intentions to vote for cigarette tax increases. Prev Med. 1998;27:157–65. doi: 10.1006/pmed.1998.0308. [DOI] [PubMed] [Google Scholar]
  • 25.Glantz SA, Begay ME. Tobacco industry campaign contributions are affecting tobacco control policy-making in California. JAMA. 1994;272:1176–82. doi: 10.1001/jama.1994.03520150044035. [DOI] [PubMed] [Google Scholar]
  • 26.Glantz SA, Balbach ED. The Tobacco Wars: Inside the California Battles. Berkeley, CA: University of California Press; 2000. [Google Scholar]
  • 27.Monardi F, Glantz SA. Are tobacco industry campaign contributions influencing state legislative behaviour? Am J Public Health. 1998;88:918–23. doi: 10.2105/AJPH.88.6.918. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Moore S, Wolfe SM, Lindes D, Douglas CE. Epidemiology of failed tobacco control legislation. JAMA. 1994;272:1171–75. doi: 10.1001/jama.1994.03520150039034. [DOI] [PubMed] [Google Scholar]
  • 29.Wright JR. Tobacco industry PACs and the nation’s health: A second opinion. In: Herrnson PS, Shailo RG, Wilcox C, editors. The Interest Group Connection: Electioneering, Lobbying, and Policymaking in Washington. Chatham, NJ: Chatham House; 1998. pp. 174–95. [Google Scholar]
  • 30.Guppy N, Freeman S, Buchan S. Representing Canadians: Changes in the economic backgrounds of federal politicians, 1965–1984. Can Rev Sociol Anthropol. 1987;24:417–29. doi: 10.1111/j.1755-618X.1987.tb01104.x. [DOI] [Google Scholar]
  • 31.Studlar DT, Alexander DL, Cohen JE, Ashley MJ, Ferrence R, Pollard JS. A social and political profile of Canadian legislators, 1996. J Legislative Studies. 2000;6:93–102. doi: 10.1080/13572330008420624. [DOI] [Google Scholar]
  • 32.McAllister I. Party elites, voters and political attitudes: Testing three explanations for mass-elite differences. Can J Political Sci. 1991;24:237–68. doi: 10.1017/S0008423900005072. [DOI] [Google Scholar]
  • 33.Putnam RD. The Comparative Study of Political Elites. Eaglewood Cliffs, NJ: Prentice-Hall; 1976. [Google Scholar]
  • 34.Ashley MJ, Ferrence R, Northrup D, Cohen JE, Pollard J, Alexander D. Survey of federal, provincial and territorial legislators regarding tobacco and tobacco control policies. Toronto, ON: Ontario Tobacco Research Unit; 1997. [Google Scholar]
  • 35.Ashley MJ, Pederson LL, Poland BD, Bull SB, Ferrence R, Cohen JE. Smoking, smoking cessation, tobacco control and programming: A qualitative and quantitative study. Toronto, ON: Ontario Tobacco Research Unit; 1997. [Google Scholar]
  • 36.Northrup D. The Canadian Legislator Survey: A Survey of Federal, Provincial, and Territorial Legislators Regarding Tobacco, Tobacco Control, and Other Health Issues. Technical documentation. Toronto, ON: Institute for Social Research, York University; 1997. [Google Scholar]
  • 37.Northrup D, Rhyne D. Smoking, Smoking Cessation, Tobacco Control and Programming: A Qualitative and Quantitative Study. Technical documentation. Toronto, ON: Institute for Social Research, York University; 1996. [Google Scholar]
  • 38.O’Handley K, Sutherland C. Canadian Parliamentary Guide/Guide Parlementaire Canadien. Toronto, ON: Gale Canada; 1996. [Google Scholar]
  • 39.Groves R, Lyberg L. An overview of nonresponse issues in telephone surveys. In: Groves R, Biemer P, Lyberg L, Massey J, Nicholls W, Waksberg J, editors. Telephone Survey Methodology. New York, NY: John Wiley and Sons; 1988. [Google Scholar]
  • 40.Stata Corp. Stata Reference Manual: Release 6. College Station: TX: Stata Corp.; 1999. [Google Scholar]
  • 41.Stata Statistical Software: Release 6.0 [program]. College Station, TX: Stata Corp., 1999.
  • 42.Ashley MJ, 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;91(5):376–80. doi: 10.1007/BF03404811. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 43.Taylor SM, Ross NA, Goldsmith CH, Zanna MP, Lock M. Measuring attitudes towards smoking in the Community Intervention Trial for Smoking Cessation (COMMIT) Health Educ Res. 1998;13:123–32. doi: 10.1093/her/13.1.123. [DOI] [PubMed] [Google Scholar]
  • 44.Green DP, Gerken AE. Self-interest and public opinion toward smoking restrictions and cigarette taxes. Public Opinion Q. 1989;53:1–16. doi: 10.1086/269138. [DOI] [Google Scholar]
  • 45.Dixon RD, Lowery RC, Levy DE, Ferraro KF. Self-interest and public opinion toward smoking policies: A replication and extension. Public Opinion Q. 1991;55:241–54. doi: 10.1086/269255. [DOI] [Google Scholar]
  • 46.National Cancer Institute. Health effects of exposure to environmental tobacco smoke: The report of the California Environmental Protection Agency. 1999. [Google Scholar]
  • 47.Cunningham R. Smoke & Mirrors: The Canadian Tobacco War. Ottawa, ON: International Development Research Centre; 1996. Chronology. [Google Scholar]
  • 48.Elston M. Chairman of Management Board of Cabinet. 1988. [Google Scholar]
  • 49.Sweanor D. Excise taxes and preventing tobacco use in young people. World Smoking and Health. 1992;17:9–12. [Google Scholar]
  • 50.Single E, Rehm J, Van Robson L, Truong M. The relative risks and etiologic fractions of different causes of death and disease attributable to alcohol, tobacco and illicit drug use in Canada. CMAJ. 2000;162:1669–75. [PMC free article] [PubMed] [Google Scholar]
  • 51.Barnes DE, Hanauer P, Slade JD, Bero LA, Glantz SA. Environmental tobacco smoke: The Brown and Williamson documents. JAMA. 1995;274:248–53. doi: 10.1001/jama.1995.03530030068036. [DOI] [PubMed] [Google Scholar]
  • 52.Barnes DE, Bero LA. Scientific quality of original research articles on environmental tobacco smoke. Tobacco Control. 1997;6:19–26. doi: 10.1136/tc.6.1.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 53.Barnes DE, Bero LA. Industry-funded research and conflict of interest: An analysis of research sponsored by the tobacco industry through the Center for Indoor Air Research. J Health Politics, Policy and Law. 1996;21:516–41. doi: 10.1215/03616878-21-3-515. [DOI] [PubMed] [Google Scholar]
  • 54.Cohen JE, Milio N, Rozier RG, Ferrence R, Ashley MJ, Goldstein AO. Political ideology and tobacco control. Tobacco Control. 2000;9:263–67. doi: 10.1136/tc.9.3.263. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 55.Flickinger RS. British political parties and public attitudes towards the European Community: Leading, following or getting out of the way? In: Broughton D, Farrell DM, Denver D, Rallings C, editors. British Elections and Parties Yearbook 1994. London: Frank Cass; 1995. [Google Scholar]

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