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AJPH First Look, published online ahead of print Jan 2, 2008
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AJPH.2006.097998v1
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February 2008, Vol 98, No. 2 | American Journal of Public Health 258-267
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2006.097998

FRAMING HEALTH MATTERS

Crossing Borders: The Impact of the California Tobacco Control Program on Both Sides of the US–Mexico Border

Ana P. Martínez-Donate, PhD, Melbourne F. Hovell, PhD, MPH, C. Richard Hofstetter, PhD, Guillermo J. González-Pérez, PhD, Anu Kotay, MS and Marc A. Adams, MPH

At the time of the study, Ana P. Martínez-Donate, Melbourne F. Hovell, Anu Kotay, and Marc A. Adams were with the Graduate School of Public Health, San Diego State University, San Diego, Calif. C. Richard Hofstetter is with the Department of Political Sciences, San Diego State University, San Diego. Guillermo J. González-Pérez is with the Centro de Estudios en Poblacion y Salud, Universidad de Guadalajara, Guadalajara, Mexico.

Correspondence: Requests for reprints should be sent to Ana P. Martínez-Donate, Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin –Madison, 610 Walnut St, WARF 605, Madison, WI 53726-2397 (e-mail: martinezdona{at}wisc.edu).

We examined the association between exposure to the California Tobacco Control Program and tobacco-related behaviors and perceptions among adults of Mexican descent. Three cross-sectional population-based surveys were conducted among adults in cities that represent full, partial, and no exposure to the program: San Diego, Calif, Tijuana, Mexico, and Guadalajara, Mexico, respectively.

After we controlled for socioeconomic differences, we found significantly different rates of smoking, exposure to environmental tobacco smoke, and smoking bans in the 3 cities. We also observed a parallel gradient of cross-city differences in theoretical mediators of tobacco control. This suggests a significant association among the California Tobacco Control Program, tobacco-control outcomes, and theoretical mediators of these outcomes.

Similar programs should be implemented in other regions; they have widespread effects on social norms and behaviors related to smoking and environmental tobacco smoke and can help achieve tobacco control across nations.






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