A 14-year longitudinal study of the impact of clean indoor air legislation on state smoking prevalence, USA, 1997-2010
A 14-year longitudinal study of the impact of clean indoor air legislation on state smoking prevalence, USA, 1997-2010
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DOI：
10.1016/j.ypmed.2017.01.016
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发表时间：
2017-06-01
影响因子：
5.1
通讯作者：
Civils, Donald
中科院分区：
文献类型：
--
作者：
Becker, Craig M.;Lee, Joseph G. L.;Civils, Donald
虽然州一级的清洁室内空气立法是一项基于证据的建议，但关于清洁室内空气政策对州吸烟率的影响，证据有限。使用1997年至2010年的州吸烟率数据，一项重复测量观察分析评估了清洁室内空气政策（即，工作场所，餐馆和酒吧）和州吸烟率，同时控制州香烟税和年份。分析了过去几年任何清洁室内空气政策的影响，本年度生效的政策数量，以及前一年生效的政策数量。调查结果表明，吸烟率预测下降0.13个百分点（p = 0.03）每增加一年，一项或多项清洁室内空气政策生效，预测下降0.12个百分点（p = 0.09）对于本年度生效的每项政策，前一年生效的每项政策对下一年的预测下降0.22个百分点（p = 0.01）。清洁室内空气政策显示出可衡量的关联，在一年内实施以上和超越税收和时间趋势的吸烟流行率的减少。需要进一步努力，在尚未采取清洁室内空气政策的州和省推广此类政策。(C)2017年，作者。爱思唯尔公司出版
While clean indoor air legislation at the state level is an evidence-based recommendation, only limited evidence exists regarding the impact of clean indoor air policies on state smoking prevalence. Using state smoking prevalence data from 1997 to 2010, a repeated measures observational analysis assessed the association between clean indoor air policies (i.e., workplace, restaurant, and bar) and state smoking prevalence while controlling for state cigarette taxes and year. The impacts from the number of previous years with any clean indoor air policy, the number of policies in effect during the current year, and the number of policies in effect the previous year were analyzed. Findings indicate a smoking prevalence predicted decrease of 0.13 percentage points (p = 0.03) for each additional year one or more clean indoor air policies were in effect, a predicted decrease of 0.12 percentage points (p = 0.09) for each policy in effect in the current year, and a predicted decrease of 0.22 percentage points (p = 0.01) for each policy in effect in the previous year on the subsequent year. Clean indoor air policies show measurable associations with reductions in smoking prevalence within a year of implementation above and beyond taxes and time trends. Further efforts are needed to diffuse clean indoor air policies across states and provinces that have not yet adopted such policies. (C) 2017 The Authors. Published by Elsevier Inc.