Political Climate and Smoke-Free Laws in Rural Kentucky Communities

Mary Kay Rayens, Nancy L. York, Sarah M. Adkins, Erin L. Kaufman, Ellen J. Hahn

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


The purpose was to determine factors associated with rural communities' political readiness to enact smoke-free laws. Data from baseline assessment of a longitudinal intervention study to promote smoke-free policy in rural Kentucky communities; key informants (n = 144) and elected officials (n = 83) from 29 counties participated in cross-sectional telephone interviews. Controlling for population size and county-level smoking rate, the following factors predicted elected officials' perception of the likelihood of a local smoke-free law passing in the next 12 months: (1) support from the local board of health; (2) support from local leaders; and (3) smoke-free hospitals. Communities with lower adult smoking prevalence were more ready for smoke-free laws. Rural health advocates can increase political readiness for smoke-free laws by educating and engaging Board of Health members and local leaders, promoting the voluntary adoption of smoke-free policies in rural hospitals, and investing in effective population-based approaches to evidence-based tobacco treatment in rural communities.

Original languageEnglish
Pages (from-to)90-97
Number of pages8
JournalPolicy, Politics, and Nursing Practice
Issue number2
StatePublished - May 2012

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The project described was supported by Award Number R01HL086450 from the National Heart, Lung, and Blood Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute or the National Institutes of Health.


  • advocacy
  • elected officials
  • environmental tobacco smoke
  • public policy

ASJC Scopus subject areas

  • Leadership and Management
  • Issues, ethics and legal aspects


Dive into the research topics of 'Political Climate and Smoke-Free Laws in Rural Kentucky Communities'. Together they form a unique fingerprint.

Cite this