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Michael Siegel, MD, MPH, Alison B. Albers, PhD, Debbie M. Cheng, PhD, Lois Biener, PhD and Nancy A. Rigotti, MD

Michael Siegel and Alison B. Albers are with the Social and Behavioral Sciences Department, Boston University School of Public Health, Boston, Mass. Debbie M. Cheng is with the Biostatistics Department, Boston University School of Public Health. Lois Biener is with the Center for Survey Research, University of Massachusetts, Boston. Nancy A. Rigotti is with the Massachusetts General Hospital.

Correspondence: Requests for reprints should be sent to Michael Siegel, MD, MPH, Social and Behavioral Sciences Department, Boston University School of Public Health, 715 Albany Street, TW2, Boston, MA 02118 (e-mail: mbsiegel{at}bu.edu).

Objectives. We examined the effect of local restaurant smoking regulations on restaurant environmental tobacco smoke exposure among youths.

Methods. We interviewed 3863 Massachusetts youths aged 12–17 years and ascertained how often they saw smokers in restaurants in their town. We assessed the effect of local restaurant smoking regulation strength on nonexposure to environmental tobacco smoke (seeing smokers never or only rarely).

Results. Compared with youths from towns with weak regulations, youths from towns with medium-strength regulations had 1.4 times the odds (odds ratio = 1.36; 95% confidence interval = 1.12, 1.65) and youths from towns with strong regulations had twice the odds (odds ratio = 2.03; 95% confidence interval = 1.64, 2.52) of reporting nonexposure.

Conclusions. Strong local restaurant smoking regulations are associated with reduced environmental tobacco smoke exposure among youths

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