County Smoke-Free Laws and Cigarette Smoking Among US Adults, 1995-2015
County Smoke-Free Laws and Cigarette Smoking Among US Adults, 1995-2015
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DOI：
10.1016/j.amepre.2019.08.025
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发表时间：
2020-01-01
影响因子：
5.5
通讯作者：
Latham, Keely
中科院分区：
文献类型：
--
作者：
Azagba, Sunday;Shan, Lingpeng;Latham, Keely
导言：烟草使用仍然是全世界可预防的死亡的主要原因。虽然关于美国无烟政策的研究存在于州或国家层面，但关于县级无烟政策的证据有限。这项研究考察了县级全面无烟法的变化与美国成年人吸烟行为之间的关系。方法：使用1995/1996年至2014/2015年《当前人口调查烟草使用补充资料》的数据，并于2019年进行分析。县无烟法人口覆盖率随时间的变化被用作自然实验。通过准实验分析，考察了县级综合无烟法规的变化与吸烟行为(吸烟状况和吸烟量)之间的关系。结果：在研究期间，目前的吸烟率从21.6%下降到11.9%。具体地说，每天吸烟的患病率从17.1%下降到9.1%，部分天吸烟从4.4%下降到2.9%。每天吸烟者每天吸烟的数量从18.5支下降到13.6支，部分吸烟者从5.9支下降到4.1支。全面无烟立法与较低的吸烟几率相关(AOR=0.76，95%CI=0.74，0.79)。生活在全面无烟政策县的成年人每天吸烟的次数比每天吸烟的人少(Beta=-1.55，p
Introduction: Tobacco use remains the leading cause of preventable death worldwide. Though research on smoke-free policies in the U.S. exists at the state or national level, there is limited evidence on such policies at the county level. This study examined the association between changes in county-level comprehensive smoke-free laws and smoking behavior among U.S. adults.Methods: Data were used from the 1995/1996 to the 2014/2015 Tobacco Use Supplement to the Current Population Survey, analyzed in 2019. Changes in county smoke-free law population coverage over time were used as a natural experiment. Quasi-experimental analyses were performed to examine the association between changes in county-level comprehensive smoke-free laws and smoking behavior (smoking status and number of cigarettes smoked).Results: During the study period, current smoking prevalence decreased from 21.6% to 11.9%. Specifically, the prevalence of every day smoking decreased from 17.1% to 9.1% and some days smoking decreased from 4.4% to 2.9%. The number of cigarettes smoked per day for every day smokers decreased from 18.5 to 13.6, and from 5.9 to 4.1 for those who smoked some days. Comprehensive smoke-free legislation was associated with lower odds of cigarette smoking (AOR=0.76, 95% CI=0.74, 0.79). Adults living in counties with comprehensive smoke-free policies smoked fewer cigarettes per day both for every day smokers (beta= - 1.55, p