The impact of tobacco-free pharmacy policies on smoking prevalence
The impact of tobacco-free pharmacy policies on smoking prevalence
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DOI：
10.1016/j.japh.2016.05.006
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发表时间：
2016-11-01
影响因子：
2.1
通讯作者：
Ferketich, Amy K.
中科院分区：
文献类型：
--
作者：
Jin, Yue;Lu, Bo;Ferketich, Amy K.
目的：加州和马萨诸塞州是美国仅有的两个州，其市政当局制定了禁止药店销售烟草产品的地方法律。无烟药房法的影响仍然没有得到充分研究。本研究的目的是填补这一空白，通过检查无烟药房的法律和吸烟率之间的关联，随着时间的推移，在加州和马萨诸塞州的成年人。设计：本研究采用了一系列的横断面调查。本研究的数据来源为2005年至2013年每年的行为危险因素监测调查。设置：估计市或县一级吸烟流行率的纵向变化，并对有无烟药房法的市或县与无无烟药房法的市或县进行比较。用于估计吸烟率的参与者代表了加州和马萨诸塞州的成年人。干预措施：无烟药房法律的实施被认为是在本研究中的干预。主要结果措施：结果措施是成年人的吸烟率。混合效应负二项模型主要是检查纵向变化的结果measurement.Results：吸烟的患病率下降，随着时间的推移，在这两个国家。在马萨诸塞州，与没有禁烟药房法的城市相比，有禁烟药房法的城市的吸烟率在统计上显著下降。尽管存在的8.6%的患病率下降后，实施无烟药房法，这种减少是不具有统计学意义的吸烟率整体和其他factors.Conclusion的负面趋势控制后：本研究评估无烟药房法方面的现实世界的影响。我们的研究结果强调，未来需要对无烟药房法的影响进行更长时间的研究，并全面了解该法律的实施和执行情况。(C)2016年美国药学协会（R）。爱思唯尔公司出版All rights reserved.
Objectives: California and Massachusetts are the only 2 states in the United States with municipalities that have local laws prohibiting the sale of tobacco products by pharmacies. The impacts of the tobacco-free pharmacy laws remain understudied. This study aims to fill this gap by examining the association between tobacco-free pharmacy laws and smoking prevalence among adults over time in California and Massachusetts.Design: This study used a series of cross-sectional surveys. The data source for this study was the Behavioral Risk Factor Surveillance Survey for each year from 2005 to 2013.Setting: The longitudinal changes in smoking prevalence at the city or county level were estimated and comparisons were made between cities or counties with tobacco-free pharmacy laws and those without the laws.Participants: The participants used to estimate smoking prevalence were representative of adults within California and Massachusetts.Intervention: The implementation of tobacco-free pharmacy laws was considered to be the intervention in this study.Main outcome measures: The outcome measures were smoking prevalence among adults. Mixed-effects negative binomial models were performed primarily to examine longitudinal changes in outcome measures.Results: The prevalence of smoking decreased in both states over time. In Massachusetts, there was a statistically significant decrease in smoking prevalence among cities with tobacco-free pharmacy laws compared with those without such laws. Despite the presence of an 8.6% decrease in prevalence after the implementation of tobacco-free pharmacy laws, this reduction was not statistically significant after controlling for the negative trend in smoking rates overall and other factors.Conclusion: This study evaluated tobacco-free pharmacy laws with regard to the real-world impacts. Our findings highlight the need for future research on the effects of tobacco-free pharmacy laws with a prolonged time span and a comprehensive understanding of the law's implementation and enforcement. (C) 2016 American Pharmacists Association (R). Published by Elsevier Inc. All rights reserved.