place matters hookah finalx - oregon€¦ · air quality by business type summary of air quality...

11/8/2010

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The emergence of hookah lounges in Oregon

Steven Fiala

Rebecca Pawlak

Breathe Easy: Assessing Businesses Exempt from Oregon's Indoor Clean Air Act

Oregon Tobacco Prevention & Education Program

Overview

�Indoor Clean Air Act

�Businesses exempt from the Indoor Clean Air Act

�Impetus for the study

�Implications of exemptions

�Hookah lounges

Oregon’s Indoor Clean Air Act

�Took effect January 1, 2009

�Prohibits smoking in almost all indoor

workplaces and public places

�Cigar bars and smoke shops can be exempted

Study Aims #1

�To assess compliance with the ICAA

among certified smoke shops, certified cigar bars, and potential

indoor smoking lounges

Study Methods and Sample

� Assessments were conducted between July and

September of 2010

� The sample included:

�Certified smoke shops (n=15)

�Certified cigar bars (n=8)

�Other potential indoor smoking lounges (n=15)

Assessment Tool (front)

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Assessment Tool (back)

Summary of Compliance Assessment

� Compliance rates with the ICAA were high among businesses certified exempt from the indoor smoking ban

� Improper signage was the most common compliance issue

� Based on these assessments, certified businesses

should be reminded about signage required by the ICAA

Study Aims #2

�To assess air quality of smoking

lounges

Air Quality Measurements

� TSI SidePak AM510 Personal Aerosol Monitor (SidePak)

Peak PM2.5 in Smoking LoungesEPA Air Quality Index Business Type

Hazardous ≥251 Hookah Lounge

Very Unhealthy 151-250

Hookah Lounge

Hookah Lounge

Hookah Lounge

Hookah Lounge

Cigar Lounge

Hookah Lounge

Unhealthy 66-150

Hookah Lounge

Hookah Lounge

Hookah Lounge

Hookah Lounge

Cigar Lounge

Sensitive Groups 41-65

Cigar Lounge

Moderate 16-40 Cigar Lounge

Cigar Lounge

Good <15 Cigar Lounge

Cigar Lounge

Peak PM2.5 in Tobacco Retail Stores

EPA Air Quality

Index

Health Advisory Peak PM2.5 Average PM2.5 Type of Business

Good <5

Air quality is

considered

satisfactory, and

air pollution poses

little or no risk.

4 3 Tobacco Retailer





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0 20 40 60 80Pe

ak

Pa

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.5(μ

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Average Particulate matter2.5 (μg/m3)

Average vs. Peak Particulate Matter

Tobacco Retail

Cigar

Hookah

Air Quality by Business Type

Summary of Air Quality Assessment

� Regardless of certification status, indoor air quality in smoking lounges is poor

� With the exception of two cigar lounges in which only one cigar was lit at the time of the observation, peak PM2.5 ranged from a moderate

to hazardous health risk

Study Aim #3

�To describe hookah lounges in

Oregon

Oregon Healthy Teens 2008-2009


Hookah Lounge Locations in Oregon

Lane

Clackamas

Benton

Washington

Multnomah

Oregon Counties with Hookah Lounges, 2008-9

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Business Trends

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Smoke Shop Certification Application

Cumulative Timeline

Hookah

Cigar

Retail

1/1/09: ICAA

goes into effect

What is Hookah?

www.theshishaman.com

Bowl - where the tobacco is placed and

heated with coals

Base - smoke chamber which is partially filled with water

Stem - connects the bowl to the base by

a tube that carries the smoke down into the water

Hose - with a mouthpiece through

which the smoke is drawn from the base

Types of Hookah Lounges

� Intimate atmosphere


� House party atmosphere

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� Bar/club atmosphere

Flavors

House Blends

Marketing Assessment

� Main forms of advertising

�Word of mouth

�Web pages

� Social media

� Facebook / Myspace

Facebook

Media Misperception

http://www.theoutlookonline.com/features/story.php?story_id=123915413118976000

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Targeting Women

� Hookah smoking is portrayed as sexy and is glamorous

� Girls often get in to events for free

Targeting Youth

“Tired of not being able to go out and dance or hang with your friends since most places won’t

let you in because your not 21 and up? Well head over to our lounge and smoke some shisha!!!”

�Oregon hookah lounge website

Targeting Youth

� Use of social media to reach youth

� Hookah tobacco is flavored

Promotion of Drug and Alcohol Culture

� Alcohol-themed tobacco

� Stash cans

� K2 (“Spice”)

Youth Focus Group Results

� High acceptance of hookah

� No judgment expressed towards hookah smokers as

compared to cigarette smokers

� Hookah smoking is a social activity

� Hookah is thought to be less harmful than cigarettes

Key Findings

� Hookah lounges in Oregon provide a social environment for youth and young adults to smoke flavored tobacco

� Hookah lounges glamorize hookah use

� Widespread acceptance of hookah use among high school students

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Exemption Uses

� Smoking lounges, not tobacco retail stores, are the primary type of business operating under the smoke shop exemption

� The vast majority of smoke shop applications have been from hookah lounges, and this study

indicates that the trend will continue

Exemption Consequences

� As currently written, the smoke shop exemption in the ICAA allows for unlimited numbers of new smoking lounges to open, posing a serious health

hazard for employees and customers alike

Business Trends

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Cum

ula

tive N

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ber of Hookah Lounges

Registration Filing Date

Observed Hookah Lounges in Oregon

ICAAStart Date1/1/2009

Thanks for listening!

Questions?

place matters hookah finalx - oregon€¦ · air quality by business type summary of air quality...

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