TY - JOUR
T1 - Gambling with our health
T2 - Smoke-free policy would not reduce tribal casino patronage
AU - Brokenleg, Isaiah
AU - Barber, Teresa K.
AU - Bennett, Nancy L.
AU - Peart Boyce, Simone
AU - Blue Bird Jernigan, Valarie
N1 - Funding Information:
The project was supported in part by a contract with the CDC (No. U158DP002617). Portions of this project’s work involve the Communities Putting Prevention to Work initiative supported by CDC funding. However, the findings and conclusions in this paper are those of the authors and do not necessarily represent the official position of the CDC. The authors would like to thank the Lake of the Torches Resort Casino and casino patrons, Lac du Flambeau Band of Lake Superior Chippewa Indians, Lac du Flambeau Tribal Council and Economic Development Corporation, Maureen Busalacchi and Health First Wisconsin, CDC Project Officer Zachery “Sho Nuff” Harris, ICF International, the Wisconsin Native American Tobacco Network, Great Lakes Inter-Tribal Epidemiology Center, Char Day and Americans for Nonsmokers’ Rights, Lashawnda Maulson, Cherokee Nation, Candace Sibley, Elizabeth Tornes, Marva “Movin’ On Up” Jefferson and the Wisconsin Tobacco Prevention and Control Program, and the National Tribal Environmental Health Think Tank.
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Background: Tribal sovereignty exempts tribal casinos from statewide smoking bans. Purpose: To conduct a tribally-led assessment to identify the characteristics of casino patrons at Lake of the Torches Resort Casino in Lac du Flambeau WI and their preferences for a smoke-free casino. Methods: A survey was administered from April to August 2011 to a stratified random sample of 957 members of the casino players club to assess their preferences for a smoke-free casino. These members were categorized into three groups: those who reported being likely to (1) visit more; (2) visit less; or (3) visit the same if the casino prohibited smoking. They were characterized by age, education, sex, race/ethnicity, annual income, players club level, and reasons for visiting the casino. Statistical analyses were conducted on weighted data in October to December 2011. Weighted logistic regression was calculated to control for potential confounding of patron characteristics. Results: Of the 957 surveyed patrons, 520 (54%) patrons were likely to visit more; 173 (18%) patrons to visit less; and 264 (28%) patrons were indifferent to the smoke-free status. Patrons more likely to prefer a smoke-free casino tended to be white, elderly, middle class and above, and visit the casino restaurants. Patrons within the lower tiers of the players club, almost half of the players club members, also showed a higher preference for a smoke-free casino. Conclusions: This tribal casino would likely realize increased patronage associated with smoke-free status while also contributing to improved health for casino workers and patrons.
AB - Background: Tribal sovereignty exempts tribal casinos from statewide smoking bans. Purpose: To conduct a tribally-led assessment to identify the characteristics of casino patrons at Lake of the Torches Resort Casino in Lac du Flambeau WI and their preferences for a smoke-free casino. Methods: A survey was administered from April to August 2011 to a stratified random sample of 957 members of the casino players club to assess their preferences for a smoke-free casino. These members were categorized into three groups: those who reported being likely to (1) visit more; (2) visit less; or (3) visit the same if the casino prohibited smoking. They were characterized by age, education, sex, race/ethnicity, annual income, players club level, and reasons for visiting the casino. Statistical analyses were conducted on weighted data in October to December 2011. Weighted logistic regression was calculated to control for potential confounding of patron characteristics. Results: Of the 957 surveyed patrons, 520 (54%) patrons were likely to visit more; 173 (18%) patrons to visit less; and 264 (28%) patrons were indifferent to the smoke-free status. Patrons more likely to prefer a smoke-free casino tended to be white, elderly, middle class and above, and visit the casino restaurants. Patrons within the lower tiers of the players club, almost half of the players club members, also showed a higher preference for a smoke-free casino. Conclusions: This tribal casino would likely realize increased patronage associated with smoke-free status while also contributing to improved health for casino workers and patrons.
UR - http://www.scopus.com/inward/record.url?scp=84906331492&partnerID=8YFLogxK
U2 - 10.1016/j.amepre.2014.04.006
DO - 10.1016/j.amepre.2014.04.006
M3 - Article
C2 - 24951040
AN - SCOPUS:84906331492
SN - 0749-3797
VL - 47
SP - 290
EP - 299
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 3
ER -