Skip Navigation
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Your Environment. Your Health.

The economic impact of clean indoor air laws

Environmental Health Economic Analysis Annotated Bibliography


Review Cost-benefit analysis (CBA)
Eriksen M and Chaloupka F
CA: A Cancer Journal for Clinicians
This review article presented evidence that clean indoor air laws are easily implemented, well accepted by the public, reduce nonsmoker exposure to secondhand smoke, and contribute to a reduction in overall cigarette consumption. Economic analyses indicated that clean indoor policies do not have negative economic impacts on the hospitality industry, contrary to fears raised by the tobacco industry.
Not available

Health Outcomes

  • Reviewed publications that examined — cancer outcomes (lung cancer, cervical cancer)
  • respiratory outcomes (asthma, chronic obstructive pulmonary disease)
  • otitis media
  • cardiovascular outcomes (coronary heart disease)
  • birth outcomes (low birth weight, sudden infant death syndrome)

Environmental Agents

List of Environmental Agents:

  • Reviewed publications that examined — air pollutants (tobacco smoke)

Source of Environmental Agents:

  • Reviewed publications that examined — cigarette smoke

Economic Evaluation / Methods and Source


  • Cost-benefit analysis (CBA)

Cost Measured:

  • Reviewed publications that examined the following costs — costs and impacts on business/industry revenues (e.g., employment, openings/closings)
  • costs and impacts on tourism (e.g., retail revenues, hotel revenues, etc.)
  • impacts to gaming establishments and businesses

Potential Cost Measures: (Not available)

Benefits Measures:

  • Reviewed publications that assessed benefits of clean indoor air laws, such as — reduced medical costs
  • reduced serum cotinine levels in nonsmokers
  • reduced cigarette smoking
  • protecting nonsmokers from exposure to tobacco smoke

Potential Benefits: (Not available)

Location: (Not available)

Models Used: (Not available)

Methods Used:

  • The authors reviewed the spread of clean indoor air laws, along with their effects on public health and the scientific evidence of the economic impact of implementation of clean indoor air laws/policies.

Sources Used:

  • CDC Third National Report on Human Exposure to Environmental Chemicals (HHS, 2007); Smoke-free laws and secondhand smoke exposure in US non-smoking adults (Pickett et al., 2006); Population based smoking cessation: proceedings of a conference on what works to influence cessation in the general population (NCI, 2000); The guide to community preventive services: tobacco use prevention and control (Task Force on Community Preventive Services, 2001); The guide to community preventive services: what works to promote health? (Task Force on Community Preventive Services, 2005); The effect of ordinances requiring smoke-free restaurants on restaurant sales (Glantz and Smith, 1994); Restaurant employment before and after the New York City Smoke-Free Air Act (Hyland and Cummings, 1999); No association of smoke-free ordinances with profits from bingo and charitable games in Massachusetts (Glantz and Wilson-Loots, 2003); Society of Actuaries (2005); additional sources cited in publication

Economic Evaluation / Methods and Source


  • Eriksen M and Chaloupka F. 2007. The economic impact of clean indoor air laws. CA: A Cancer Journal for Clinicians.
  • Pubmed
  • DOI

NIEHS Funding: (Not available)

Other Funding: (Not available)

to Top