economic impact of smoke-free policies on restaurants and bars

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    Economic Impact of Smoke-free

    Policies on Restaurants and Bars

    Andrew Hyland, PhDAssociate Member

    Roswell Park Cancer Institute

    [email protected]

    November 2002

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    ISSUE AT HAND Secondhand smoke causes lung cancer and heart disease.

    Nearly all people are exposed to secondhand smoke.

    Therefore, secondhand smoke is an important public healthproblem.

    Policies restricting smoking in public places reduceexposure to secondhand smoke.

    Main arguments against policies restricting smoking inpublic places include

    Lost revenue

    Freedom of choice

    Government should butt out

    Law is not enforceable

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    ANALOGY Studies evaluating the impact of smoke-free laws are

    conceptually similar to studies looking at the sideeffects of an experimental drug

    The DRUG is the POLICY

    The SIDE EFFECT is POOR ECONOMIC OUTCOME

    If the drug is too toxic, then it wont be used

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    METHODS USED TO DATE

    Several methods have been used to study the

    economic effects of smoke-free regulations Aggregate taxable sales Restaurant employment statistics

    Surveys of consumers

    Surveys of restaurant owners Compliance/Complaint files

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    STUDY QUALITY CRITERIA

    Caution needs to be used when interpreting studiesexamining the economic impact of smoke-free laws.

    Siegel proposed 4 criteria to use Us of objective data (e.g., tax receipts or employment

    statistics)

    Inclusion of all data points after the law was implementedand several years before

    Use of regression or other statistical methods that control forsecular trends and random fluctuation in the data

    Appropriate control for overall economic trend.

    Others also consider the funding source and whetherit is published in a peer-review publication

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    CONCLUSIONS AND QUALITY

    CRITERIA

    Scollo et al examined the relationship between studyquality and their stated conclusions (in press, Tobacco

    Control). The odds of using only a subjective measure was 4 times that of

    studies concluding a negative impact

    The odds of not being peer-reviewed was 20 times that of studiesconcluding no such negative impact.

    All of the studies concluding a negative impact were supported bythe tobacco industry

    93% of the tobacco industry-supported studies concluded a negativeeconomic impact compared to none of the non-industry supportedstudies.

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    AGGREGATE TAXABLE SALES -Restaurants

    As of Nov 2001, 20 studies have examined taxable sales inrestaurants - 19 conclude no effect or a positive impact and the1 tobacco industry funded study found a negative impact

    Selected published studies include No effect on restaurants or bars in CA and CO after an average of 4

    years of follow-up based on pooled data from 15 cities with smoke-freerestaurant ordinances and 5 cities and 2 counties with smoke-free barordinances (Glantz 1997)

    No effect on restaurants in one Arizona city after 1 years of follow-up(Sciacca 1998)

    No effect for 32 MA towns (Bartosch 1999)

    No effect in New York City restaurants or hotels 1 years after the lawtook effect (Hyland 1999)

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    Taxable Sales from Eating and Drinking

    Establishments in New York City and the Rest of

    New York State*, 1990 to 2000

    1,000,000

    1,500,000

    2,000,000

    2,500,000

    3,000,000

    3,500,000

    4,000,000

    4,500,000

    3/90-8/90

    9/90-2/91

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    3/97-8/97

    9/97-2/98

    3/98-8/98

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    3/99-8/99

    9/99-2/00

    ThousandsofDollars

    Law took effectNYC

    Outside NYC

    * The rest of New York State is all counties in the state exceptNew York City, Suffolk, Westchester, Erie, Monroe, Nassau, Livingston, and Rockland.

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    As of Nov 2001, 4 studies have examined taxable sales in barsand 2 in hotels, all 6 conclude no effect

    Selected published studies include

    No effect or perhaps even positive effects on tourism and hotelrevenues in 3 states and 6 cities (Glantz 1999)

    Bar revenues increased following smoke-free bar regulations in CA(Glantz 2000)

    Hotel taxable sales in New York City far outpaced sales in the rest ofNew York State without smoke-free regulations (Hyland 1999)

    AGGREGATE TAXABLE SALES

    Bars and Hotels

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    Bar revenues in California continued to increase after the smoke free

    bar law took effect in 1998 (dark blue line), three years after the

    smoke free restaurant provisions took effect in 1995 (light blue line)

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    Pros objective data collected in a consistent, uniformmanner

    Cons aggregate data can mask trends in subsets, data oftenincludes sales from places not under the jurisdiction of theregulations

    Considered to be an ideal outcome to assess economic impact

    AGGREGATE TAXABLE SALES

    Pros and Cons

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    20

    22

    24

    26

    28

    30

    Jan

    Feb

    Mar

    April

    May

    June

    July

    Aug

    Sept

    O

    ct

    N

    ov

    D

    ec

    1997 1998

    The number of restaurant emp oyees in Erie County New York has

    remained virtually unchanged before and after its smoke-free law

    waspassed in January 1998.

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    SURVEYS OF CONSUMERS

    16 studies of consumers conducted all 12 non-industry studiesand 2 industry studies report no effect, 4 industry studies reportnegative impact.

    Smokers dine out less, non-smokers dine out more with no neteffect on dining out frequency five months after NYC law took

    effect (Corsun 1996) Same conclusion in survey 18 months after NYC law took effect(Hyland 1999)

    Surveys of consumer intentions before smoke-free isimplemented generally suggest overall patronage will increase(Biener 1997, Biener 1999, Wakefield 1999); though opinion pollsdo exist that report smoker patronage will decrease (Fabrizio,McLaughlin, and Associates 1994)

    Pros the source of dining patterns

    Cons recall bias, not objective, bias due to personal views aboutthe law

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    Results from New York City Patron Survey in 1997 - Some smokers are

    dining out less often, some non-smokers are dining out more often; but for

    mostpeople, the smoke-free law hasnt made a difference.

    %11%

    %

    9%

    72% %

    %

    20%

    0%

    0%

    0%

    100%

    Smokers Non-smokers

    More often Less often Same

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    SURVEYS OF RESTAURATEURS

    44 restaurateur studies all 13 non-industry studies report no effect

    5 of 6 studies with an unknown funding source report a negativeeffect

    all 25 industry funded studies report negative impact

    One-third of all restaurants (both under jurisdiction of thelaw and not under jurisdiction of the law) reporteddecreases in business 18 months after the NYC law took

    effect i.e., no effect of the law after smoke-free law tookeffect (Hyland 1999)

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    SURVEYS OF RESTAURATEURS

    Unpublished private reports yield significant decreases in reportedbusiness such as

    16% reduced sales and 40% reduced workforce in a survey five monthsafter NYCs law (Fabrizio, McLaughlin, & Associates 1995)

    63% of NYC restaurateurs report the law is hurting their business in a

    survey 2 months after implementation (Penn + Schoen Associates, Inc.1996)

    Reported 25% to 35% revenue decreases in restaurants among interviewswith 25 retail establishments in Mesa, AZ (Applied Economic 1996)

    Pros who better to ask if there has been an impact? Cons recall bias, bias due to personal views about the law, not

    objective

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    COMPLIANCE/COMPLAINT FILES

    Studies of compliance are critical if nobody isobeying the law, then dont expect to see an effect

    Fewer complaints 2 years after NYC law than beforewhen law required separate sections (Hyland 1999)

    Complaint levels at same rate 12 months after ErieCounty, NY law implemented (Hyland 2001)

    Pros need to measure compliance to assess impact

    Cons correlation between complaints and

    compliance may be low

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    Relativelyfewcomplaints

    aboutthelawhave

    registered,NewY

    orkCity199

    5-7.

    020

    40

    60

    80

    100

    120

    140

    Apr-95

    May-95

    Jun-95

    Jul-95

    Aug-95

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    Oct-95

    Nov-95

    Dec-95

    Jan-96

    Feb-96

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    Aug-96

    Sep-96

    Oct-96

    Number ofComplaints

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    SUMMARY OF LITERATURE

    Virtually all published studies show no adverse aggregateeffect in restaurants (most studies), hotels (some studies),and bars (fewest studies), regardless of study method used.

    Studies showing adverse consequences typically haveflawed methods, rely on survey data or anecdotal reports,or are funded by a restaurant or tobacco interest.

    Restaurant business remains healthy after smoke-freedining policies are implemented.

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    FUTURE RESEARCH

    Many believe the issue is closed and we already knowthe answer smoke-free laws have no effect (Glantz1999)

    From a public health perspective future studies needto be done in more diverse settings with improvedmethods such as isolating taxable sales specific torestaurants only.

    From a purely scientific perspective, future studiesshould examine individual level data by looking atactual sales over time before and after a smoke-freelaw.

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    FOR MORE INFORMATION

    http://www.tobaccoscam.ucsf.edu/target/index.cfm - website targeted towardrestaurant owners

    http://www.vctc.org.au/publ/reports/Hospitality_paper_summary.pdf for summaryof all reports on the economic impact of

    smoke-free policies in the hospitalityindustry.