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Measuring Indoor Air Quality and Engaging California Indian Stakeholders at the Win-River Resort and Casino: Collaborative Smoke-Free Policy Development

Author

Listed:
  • Neil E. Klepeis

    (Education, Training, and Research, Inc., Scotts Valley, CA 95066, USA
    Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA
    Neil Klepeis and Associates, Environmental Health Research and Consulting, Aromas, CA 95004, USA)

  • Narinder Dhaliwal

    (Education, Training, and Research, Inc., Scotts Valley, CA 95066, USA)

  • Gary Hayward

    (Win-River Resort & Casino, Redding Rancheria, Redding, CA 96001, USA)

  • Viviana Acevedo-Bolton

    (Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA)

  • Wayne R. Ott

    (Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA)

  • Nathan Read

    (Shasta County Public Health Tobacco Education Program, Shasta County Public Health, Redding, CA 96001, USA)

  • Steve Layton

    (Shasta County Public Health Tobacco Education Program, Shasta County Public Health, Redding, CA 96001, USA)

  • Ruoting Jiang

    (Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA)

  • Kai-Chung Cheng

    (Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA)

  • Lynn M. Hildemann

    (Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA)

  • James L. Repace

    (Repace Associates, Inc., Secondhand Smoke Consultants, Bowie, MD 20720, USA)

  • Stephanie Taylor

    (Shasta County Public Health Tobacco Education Program, Shasta County Public Health, Redding, CA 96001, USA)

  • Seow-Ling Ong

    (Education, Training, and Research, Inc., Scotts Valley, CA 95066, USA)

  • Francisco O. Buchting

    (Buchting Consulting, Oakland, CA 94612, USA)

  • Juliet P. Lee

    (Prevention Research Center, Pacific Institute for Research and Evaluation (PIRE), Oakland, CA 94612, USA)

  • Roland S. Moore

    (Prevention Research Center, Pacific Institute for Research and Evaluation (PIRE), Oakland, CA 94612, USA)

Abstract

Most casinos owned by sovereign American Indian nations allow smoking, even in U.S. states such as California where state laws restrict workplace smoking. Collaborations between casinos and public health workers are needed to promote smoke-free policies that protect workers and patrons from secondhand tobacco smoke (SHS) exposure and risks. Over seven years, a coalition of public health professionals provided technical assistance to the Redding Rancheria tribe in Redding, California in establishing a smoke-free policy at the Win-River Resort and Casino. The coalition provided information to the casino general manager that included site-specific measurement of employee and visitor PM 2.5 personal exposure, area concentrations of airborne nicotine and PM 2.5 , visitor urinary cotinine, and patron and staff opinions (surveys, focus groups, and a Town Hall meeting). The manager communicated results to tribal membership, including evidence of high SHS exposures and support for a smoke-free policy. Subsequently, in concert with hotel expansion, the Redding Rancheria Tribal Council voted to accept a 100% restriction of smoking inside the casino, whereupon PM 2.5 exposure in main smoking areas dropped by 98%. A 70% partial-smoke-free policy was instituted ~1 year later in the face of revenue loss. The success of the collaboration in promoting a smoke-free policy, and the key element of air quality feedback, which appeared to be a central driver, may provide a model for similar efforts.

Suggested Citation

  • Neil E. Klepeis & Narinder Dhaliwal & Gary Hayward & Viviana Acevedo-Bolton & Wayne R. Ott & Nathan Read & Steve Layton & Ruoting Jiang & Kai-Chung Cheng & Lynn M. Hildemann & James L. Repace & Stepha, 2016. "Measuring Indoor Air Quality and Engaging California Indian Stakeholders at the Win-River Resort and Casino: Collaborative Smoke-Free Policy Development," IJERPH, MDPI, vol. 13(1), pages 1-26, January.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:1:p:143-:d:62535
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    References listed on IDEAS

    as
    1. Tang, H. & Cowling, D.W. & Lloyd, J.C. & Rogers, T. & Koumjian, K.L. & Stevens, C.M. & Bal, D.G., 2003. "Changes of attitudes and patronage behaviors in response to a smoke-free bar law," American Journal of Public Health, American Public Health Association, vol. 93(4), pages 611-617.
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    3. Repace, J.L., 2009. "Secondhand smoke in Pennsylvania casinos: A study of nonsmokers' exposure, dose, and risk," American Journal of Public Health, American Public Health Association, vol. 99(8), pages 1478-1485.
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