Secondhand smoke exposure is a major public health issue, increasing the risk of cardiovascular and respiratory diseases and cancer. Although best practices for adopting smoke-free policy are well understood, there is limited research on the effective implementation of smoke-free policy. This article presents theoretical and practical considerations for smoke-free policy implementation in three Kentucky communities guided by the Institutional Analysis and Development (IAD) Framework. Although both Danville and Lexington-Fayette County, Kentucky have comprehensive smoke-free policies, Danville had more effective implementation, as well as better outcomes. Further study is needed to understand the critical elements of smoke-free policy implementation and their association with population outcomes. The IAD is a promising model to guide the study of both policy adoption and implementation.
|Number of pages||12|
|Journal||Policy, Politics, and Nursing Practice|
|State||Published - Feb 5 2014|
Bibliographical notePublisher Copyright:
© The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
- Institutional Analysis and Development Framework
- policy implementation
- smoke-free policy
ASJC Scopus subject areas
- Leadership and Management
- Issues, ethics and legal aspects